Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nhc Healthcare Ft Oglethorpe during CMS and state inspections, most recent first.
The facility failed to implement pressure injury interventions, including daily skin checks for a resident with a walking boot, leading to the development of unstageable pressure ulcers. Despite a physician's order, staff only removed the boot three times per week, resulting in avoidable pressure ulcers on the resident's right foot, heel, and calf.
A resident with severe cognitive impairment and a history of falls required extensive assistance with transfers, including the use of a Hoyer lift and two staff members. However, the resident was assisted by only one CNA in the shower room, leading to a fall and resulting in fractures to her right foot, tibia, and fibula. The facility's investigation identified the lack of proper assistance as the root cause of the fall.
Failure to Implement Pressure Injury Interventions
Penalty
Summary
The facility failed to implement pressure injury interventions, including the removal of a resident's walking boot to perform daily skin checks, which led to the development of unstageable pressure ulcers for one resident. The resident, who had diagnoses including major depressive disorder, dementia with anxiety, and fractures of her right tibia, fibula, and metatarsals, was admitted to the facility and was at high risk for pressure sores. Despite a physician's order to assess skin integrity when donning and doffing the walking boot, the staff did not perform daily skin checks and only removed the boot three times per week on the resident's bath days. Interviews with staff revealed that the walking boot was not removed daily to check the resident's skin on her right leg and foot. The Director of Nursing confirmed that there was no documentation of daily skin checks in the resident's electronic medical record. The resident's weekly skin observations initially indicated no wounds, but by the following week, new unstageable pressure ulcers were documented on the resident's right foot, heel, and calf. These wounds were attributed to the walking boot and were observed to contain necrotic tissue and eschar. The resident's condition was further complicated by her frailty, poor nutritional status, and dependency on staff for activities of daily living. The facility's treatment nurse and the resident's physician confirmed the presence of the new wounds and noted that the gauze used to pad the foot from the boot had migrated, causing compression and decreased blood supply to the foot. The failure to perform daily skin checks as ordered led to the development of avoidable pressure ulcers, causing harm to the resident.
Failure to Provide Adequate Supervision and Assistance Device Resulting in Resident Fall and Fractures
Penalty
Summary
The facility failed to ensure adequate supervision and the use of appropriate assistance devices to prevent falls for a resident (R172) with severe cognitive impairment and a history of falls. The resident required extensive assistance with transfers, including the use of a Hoyer lift and the assistance of two staff members. However, on the day of the incident, the resident was being assisted by only one CNA in the shower room, which led to the resident sliding down and being lowered to the floor by the CNA. This incident resulted in the resident sustaining fractures to her right foot, right tibia, and right fibula. The resident's care plan clearly indicated the need for two-person assistance and the use of a Hoyer lift for transfers due to her inability to assist with transfers and her unsteadiness. Despite this, the CNA attempted to transfer the resident alone, leading to the fall. The incident was documented by the LPN on duty, who noted that the resident did not exhibit immediate signs of injury but later developed bruising and pain, which led to the discovery of the fractures through an X-ray. Interviews with staff members, including the LPN, CNAs, and the Director of Nursing, confirmed that the resident required total assistance for transfers and that the fall occurred due to inadequate assistance. The facility's investigation and post-fall checklist identified the lack of proper assistance as the root cause of the fall. The resident's family was notified, and the resident was sent to the hospital for further evaluation and treatment of the fractures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Oglethorpe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Fort Oglethorpe | 1.1 mi | — | 8 | 0 |
| Center For Advanced Rehab At Parkside, The | 2.2 mi | — | 1 | 0 |
| Life Care Center Of East Ridge | 3.2 mi | — | 0 | 0 |
| Nhc Healthcare Rossville | 4.1 mi | — | 0 | 0 |
| Nhc Healthcare, Chattanooga | 6.8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.