Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 Parkside At Budd Terrace Operating Company Llc during CMS and state inspections, most recent first.
The facility failed to ensure that in-house and agency nursing staff were competent to provide TPN-related care, despite a policy and facility assessment stating that staff would be trained and evaluated for necessary competencies. Review of records showed no documented TPN training or competency validation for any in-house nurses and only one agency nurse with a self-attested TPN competency. A resident receiving TPN via a double-lumen PICC had orders for specific TPN infusion parameters and 10 ml normal saline flushes for each lumen before and after TPN. An agency RN, who reported receiving no TPN training from the facility or her agency, flushed only one lumen with 5 ml normal saline and did not stop the TPN infusion when the pump alarmed repeatedly and the TPN bag was empty. Facility leadership stated that all nursing staff were expected to be competent in TPN care, but this was not supported by training or competency documentation.
The facility failed to provide and document bathing services according to residents’ needs, care plans, and the established bathing schedule for three residents. A cognitively intact resident with quadriplegia and muscle wasting, care planned to need ADL assistance, had only a few documented baths over an extended period with no refusals or clinical justification for missed showers. Another severely cognitively impaired resident, totally dependent for bathing and scheduled for twice-weekly baths, was documented as bathed only four times in a month. A third cognitively intact resident requiring moderate assistance for bathing had no bathing care plan and no record of any bathing during the entire stay. A RN described a room-based shower schedule and a process where CNAs, including agency staff without EMR access, were to report completed care for documentation, but acknowledged this was not consistently followed, and the DON confirmed that documentation was lacking to show these residents had been bathed.
The facility failed to provide and document individualized activity programming for two residents, contrary to its policy requiring ongoing, preference-based activities to support physical, mental, and psychosocial well-being. One resident with moderate cognitive impairment had a care plan indicating participation in group and 1:1 activities, but EMR progress notes contained no evidence of any activity participation or quarterly activity assessments. Another resident with severe cognitive impairment, stroke, and epilepsy had a detailed activities care plan and assessment calling for 1:1 visits, music, socialization, sensory activities, and chaplain visits, yet there was no documentation of activity participation over several months, and repeated observations showed the resident lying in bed without engagement. The AD confirmed missing documentation and overdue assessments, while an activity assistant reported she did not document individual participation and was unfamiliar with the resident’s activity preferences and care plan.
Two residents dependent on TPN did not receive safe, appropriate IV nutrition care. One resident with COPD and atrial flutter had orders for TPN via a double-lumen PICC line over a set nighttime period with specific flush volumes, but was weighed only once, had daily skilled notes incorrectly documenting oral intake instead of IV nutrition, and was observed receiving care from an agency RN who failed to stop the TPN despite an empty bag and pump alarms, and flushed only one lumen with an insufficient volume contrary to orders. Another resident with Crohn’s disease and short bowel syndrome had TPN ordered over a set nighttime period, but there were no PICC care or flush orders, one ordered TPN dose was not given due to pharmacy unavailability, the PICC dressing was changed only once just before discharge, the resident was never weighed, and skilled notes were sparse and omitted TPN and PICC information. The DON stated expectations that PICC/TPN orders be entered on admission or treatment start, that documentation accurately reflect TPN and PICC status, and that weights be monitored weekly for residents on TPN.
A resident with minimal cognitive impairment and significant physical care needs reported that staff frequently ignored her call light or left without assisting, resulting in incontinence. An observation confirmed improper care practices, as the resident was found triple diapered with a full brief, which was not standard protocol.
A facility failed to honor a resident's preference for evening showers, as outlined in their care plan and the facility's policy on Residents' Rights & Responsibilities. Despite the resident's diagnosis of Stage IV Ovarian Cancer and need for assistance with ADLs, night CNAs often did not provide showers at the preferred time, offering bed baths instead. Documentation showed only three out of seven scheduled showers were given in October, with no reasons recorded for the missed showers.
Failure to Ensure Nursing Staff Competency in TPN Care and PICC Line Management
Penalty
Summary
The deficiency involves the facility’s failure to ensure that nurses and nurse aides had appropriate competencies to provide Total Parenteral Nutrition (TPN) care and services, despite the facility’s own policy and facility assessment stating that staff would be trained and competent in this area. The facility’s Competency Evaluation Policy required that staff competencies be determined through the facility assessment, evaluated during orientation, and reassessed periodically using methods such as demonstration, testing, and direct observation, with documentation maintained in staff files. The facility assessment for 2025/2026 documented that the facility admitted residents receiving TPN and that nursing staff would be appropriately trained and competent to provide TPN-related care. However, review of the facility’s nurse training and competency documentation showed that none of the 83 in-house staff nurses had ever received training or demonstrated competency related to TPN care, and the facility could not provide documentation that 32 of 33 agency nurses working in the most recent 30 days had TPN-related training or competency verification. The surveyors identified one resident receiving TPN, who had physician’s orders for TPN electrolytes to be infused intravenously over 12 hours with a 1-hour taper up and 1-hour taper down, and for each lumen of the resident’s double-lumen PICC line to be flushed with 10 ml normal saline twice daily before and after TPN administration. During an observation, an agency RN provided TPN-related care to this resident and stated she had not received TPN training from the facility or her agency, though she claimed to have skills with TPN. The RN flushed only one lumen with 5 ml of normal saline instead of 10 ml for each lumen as ordered and did not discontinue the TPN infusion even when the pump alarm repeatedly sounded and the TPN bag was empty. In an interview, the RN/Unit Manager, DON, and Administrator stated their expectation that all nursing staff be competent to provide TPN-related care, as the facility routinely admitted residents receiving TPN, but the documentation and observations showed this had not been ensured.
Failure to Provide and Document Scheduled Bathing for Multiple Residents
Penalty
Summary
The deficiency involves the facility’s failure to provide and document bathing services according to residents’ needs, care plans, and the established bathing schedule. One resident with quadriplegia, muscle wasting, and chronic pain syndrome, who was cognitively intact and care planned to require staff assistance with ADLs including bathing, had EMR documentation showing only five assisted baths over nearly a two‑month period. There was no documentation that this resident received showers on other assigned shower days, nor any documented refusals or clinical justification for missed showers. A RN explained that showers were scheduled by room number and that CNAs, including agency staff, were responsible for providing showers, but agency CNAs could not document directly in the EMR and were expected to report care to licensed staff or the next shift, a process the RN acknowledged was not consistently followed, leading to incomplete documentation and uncertainty about whether showers were provided as scheduled. Another resident with a history of stroke and epilepsy, who was severely cognitively impaired and totally dependent on staff for bathing, had a care plan requiring two staff to provide physical care with personal hygiene, bathing, dressing, and grooming, and was scheduled to be bathed twice weekly on specific days. Point-of-care documentation over a one‑month period showed the resident was bathed only four times, less than the scheduled frequency. A third cognitively intact resident with muscle wasting and atrophy, who required moderate assistance for bathing per the admission MDS, had no bathing-related care plan and no documentation of any bathing assistance during the entire admission. The DON stated that residents were expected to be assisted with bathing according to their preferences and plan of care, and that bathing or refusals were to be documented, and confirmed that documentation was lacking to indicate that these residents had been bathed.
Failure to Provide and Document Individualized Activity Programming
Penalty
Summary
The facility failed to provide an ongoing activity program to meet the individual interests and needs of residents, as required by its own policy and regulatory standards. The facility’s Activities policy dated April 2025 stated that residents were to receive an ongoing program of group, individual, and independent activities based on comprehensive assessment, care plan, and preferences, designed to support physical, mental, and psychosocial well-being. However, surveyors found that for two residents reviewed for activities, there was no supporting documentation that planned activities were actually provided or that ongoing assessments were completed as required. One resident, identified as R349, had an annual MDS with a BIMS score of 10/15, indicating moderate cognitive impairment. The resident’s care plan, initiated in July 2024 and revised in October 2024, stated that the resident continued to engage in group activities such as bingo and travel/documentary videos, as well as self-directed and 1:1 activities in the room, and interacted daily with others. Despite these care plan statements, review of the EMR progress notes showed no evidence that the activities department conducted 1:1 activities with this resident or that the resident participated in any group activity programs during the assessment period. The Activity Director confirmed there was no documentation of activity participation and that no quarterly activity assessments had been completed for this resident. Another resident, identified as R299, had a history of stroke and epilepsy and a quarterly MDS BIMS score of 4/15, indicating severe cognitive impairment. The activities care plan documented that the resident was dependent on staff for assistance with activities, sensory stimulation, and social interaction, and included specific interventions such as providing opportunities for socialization with peers, individual music listening (gospel and jazz), assistance with TV and telephone use, FaceTime calls with the resident’s mother, and scheduled chaplain visits. The most recent activities assessment described ongoing 1:1 visits for wellness, reminiscence, orientation, inspirational reading, seasonal decorations, music listening, sensory activities, and Geri-chair rides, and noted that scheduled out-of-room group time was not accomplished. However, EMR review from early January through late March 2026 revealed no documentation of participation in any activity program, and repeated observations over several days showed the resident lying in bed without engagement in individual, 1:1, or group activities. The Activity Director confirmed the absence of documentation and that the last activities assessment was not updated quarterly, and the Activity Assistant stated she did not document individual participation, was unaware she was supposed to do so, and did not know the resident’s activity preferences or care plan. The Administrator stated her expectation was that activities be provided and documented per each resident’s needs and interests and that assessments occur on admission, quarterly, and with significant changes in status. This deficient practice had the potential to negatively affect the quality of life for the affected residents.
Failure to Ensure Safe TPN Administration and Monitoring for Two Residents
Penalty
Summary
The deficiency involves the facility’s failure to ensure safe and appropriate administration and monitoring of TPN for two residents who were dependent on IV nutrition. One resident with COPD and atrial flutter was admitted on TPN via a double-lumen PICC line, ordered to infuse a specified volume over 12 hours at bedtime with a 1-hour taper up and 1-hour taper down, and with orders to flush each lumen with 10 ml normal saline twice daily before and after TPN administration. The resident’s MDS documented that more than 50% of nutrition was received via IV and that the resident was NPO. However, vital sign records showed the resident was weighed only once during the admission, and daily skilled evaluation notes from admission through most of the stay incorrectly documented that all nutrition was taken by mouth and contained no information about TPN or the PICC line. During an observation of care, an agency RN provided TPN-related care to this resident and flushed only one lumen of the double-lumen PICC line with 5 ml of normal saline, contrary to the order for 10 ml flushes to each lumen. The RN did not stop the TPN infusion while providing care, even though the pump alarm repeatedly sounded and the TPN bag was empty. In an interview, the RN stated she believed the TPN was ordered to run continuously and that the lumen used for TPN did not need to be flushed, and she described a practice of flushing only the unused lumen with a total of 10 ml per shift. The unit manager later confirmed that the physician’s order was for TPN to infuse over 12 hours at night, not continuously, and that both lumens should have been flushed with 10 ml normal saline per orders; she also stated she did not know if the agency RN was competent to provide TPN-related care. A second resident with noninfective gastroenteritis and colitis, Crohn’s disease, and short bowel syndrome was also dependent on TPN, with an order for a specified volume of TPN to infuse at bedtime over 14 hours with a 1-hour taper up and 1-hour taper down. The order set did not include any orders for PICC line care, dressing changes, or flushing/maintenance of the double-lumen PICC line used for TPN. The MAR showed that this resident did not receive the ordered TPN on one date because it was not available from pharmacy, and the PICC line dressing was not changed until one day prior to discharge. The resident’s nutritional care plan identified nutritional and hydration risk related to TPN dependence, but vital sign records showed the resident was never weighed during the admission, and daily skilled evaluation notes were sparse and contained no documentation of TPN or PICC line care. In an interview, the DON stated her expectation that all PICC/TPN orders be entered on admission or initiation of treatment, that nurses accurately document route of nutrition and PICC/TPN care in daily notes, and that weights be obtained on admission and weekly for four weeks for residents receiving TPN.
Failure to Respond to Call Lights and Provide Timely Care
Penalty
Summary
The facility failed to honor a resident's right to a dignified existence and self-determination by not responding adequately to the call light system. The resident, who had a BIMS score indicating little to no cognitive impairment, required assistance with activities of daily living due to conditions such as osteoarthritis, chronic pain, and muscle weakness. Despite these needs, the resident reported that staff often ignored her call light or left without providing assistance, leading to episodes of incontinence. An interview with the resident confirmed that staff instructed her to relieve herself in her briefs, promising to clean her up later, which she found distressing. An observation revealed the resident was triple diapered with a full brief, which was not standard care protocol. This situation was corroborated by a registered nurse who acknowledged that some CNAs were not following proper care procedures.
Failure to Honor Resident's Shower Preferences
Penalty
Summary
The facility failed to honor a resident's right to choose their preferred time for showers, as outlined in the facility's policy on Residents' Rights & Responsibilities. The policy emphasizes the importance of respecting each resident's personal dignity and their right to make informed decisions regarding their care. Despite this, the facility did not ensure that a resident, who preferred to have showers between 11:00 pm and 12:00 am, was accommodated. The resident, who has a diagnosis of Stage IV Ovarian Cancer and requires assistance with activities of daily living, reported that night CNAs were unwilling to provide showers at the preferred time, often offering only a bed bath instead. The resident's care plan specifically included the intervention to honor their wish for evening showers. However, a review of the shower schedule and documentation revealed that the resident received only three out of seven scheduled showers in October, with no documentation explaining the missed showers. An interview with the Unit Manager confirmed that CNAs are expected to document reasons for missed showers and report them for rescheduling, which was not done in this case. This lack of adherence to the resident's care plan and facility policy resulted in a deficiency in promoting and facilitating resident self-determination.
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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 Atlanta
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pruitthealth - Virginia Park | 1.6 mi | — | 0 | 0 |
| A.g. Rhodes Home Wesley Woods | 1.7 mi | — | 5 | 0 |
| Westminster Commons | 2.8 mi | — | 0 | 0 |
| Decatur Center For Nursing And Healing Llc | 2.9 mi | — | 7 | 0 |
| Terraces At Peachtree Hills Place, The | 3 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.