Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around January 2027
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 Union County Nursing Home during CMS and state inspections, most recent first.
The facility failed to follow a puree recipe, affecting the nutritional value of pureed country-fried steak for six residents on a pureed diet. The Dietary Manager in Training prepared the food without a recipe, using broth and water, contrary to facility guidelines. Interviews with staff confirmed the improper preparation method, and the lack of orientation for the DMIT was noted.
The facility did not follow its policy on labeling and dating food items in the kitchen's walk-in freezer. Two open boxes of cookie dough were found without labels indicating when they were opened or should be discarded. This failure to adhere to safe food handling procedures had the potential to impact 96 residents receiving oral diets, increasing the risk of foodborne illness.
The facility failed to maintain proper medication storage on three of six carts due to missing end-of-shift controlled medication count signatures. Observations showed missing signatures on the narcotic count sheets for Pink A, Pink B, and Blue C Halls. Interviews with nursing staff confirmed the absence of signatures, which are necessary to validate the controlled substances count. The DON verified the missing signatures and attributed them to oversight by the responsible nurses.
The facility did not include stop dates for PRN psychoactive medications lorazepam and trazodone for two residents, contrary to facility policies and CMS regulations. One resident received trazodone for insomnia without a stop date, and another was prescribed lorazepam for agitation without a stop date. The consultant pharmacist was aware of the requirement but lacked documentation of communication with the physician to amend the orders. The DON confirmed the absence of stop dates and recommendations.
Two residents in the facility did not receive adequate denture care, as revealed through observations, interviews, and record reviews. One resident, with severe cognitive impairment, had dentures left in her mouth without proper cleaning, leading to mouth pain. Another resident, with Alzheimer's, received oral care infrequently. Staff interviews highlighted inconsistencies in charting oral care, with many instances of blanks or '9's indicating care was not attempted or documented. The DON acknowledged the oversight, emphasizing the need for daily oral care.
A facility failed to follow infection control protocols, including hand hygiene during catheter care, maintaining isolation precautions, and disinfecting a PICC line connector. A resident with a urinary catheter did not receive proper hand hygiene from staff, a resident on isolation had their room door left open, and a PICC line was not disinfected before IV antibiotic administration.
Failure to Follow Puree Recipe Affects Nutritional Value
Penalty
Summary
The facility failed to ensure that a puree recipe was followed to maintain the nutritional value of pureed country-fried steak for six residents on a pureed diet. During an observation, the Dietary Manager in Training (DMIT) was seen preparing pureed foods without a recipe, using broth and several cups of water, which is against the facility's guidelines. The DMIT, who had been working at the facility for only three days, stated she did not receive orientation but had on-the-job training. The facility's document titled Texture Modification Inservice explicitly states that large amounts of liquids or thickeners should not be added to purees as it can impact the nutritional value and quality of the food. Interviews with the Registered Dietitian (RD) and the Dietary Manager (DM) confirmed that there is a recipe for pureed food, but it was not provided to the DMIT. The DM stated that water should not be used in preparing pureed food as it diminishes the nutritional value. The District Manager also confirmed that pureed food should not be prepared with water and mentioned plans to provide an in-service to staff. The Administrator reiterated that kitchen staff should not use water when preparing pureed food, highlighting a lack of adherence to established guidelines.
Failure to Label and Date Food Items in Freezer
Penalty
Summary
The facility failed to adhere to its policy on safe food handling procedures, specifically regarding the labeling and dating of food items stored in the kitchen's walk-in freezer. During an observation, it was found that two open boxes of cookie dough, containing approximately 60 and 80 cookies respectively, were not labeled with an opened or discard date. This oversight was confirmed by the Registered Dietitian and the Dietary Manager. The facility's policy clearly states that all food items should be appropriately labeled and dated, either by manufacturer packaging or staff notation, to ensure safe food handling practices. The deficiency had the potential to affect 96 residents who received an oral diet from the kitchen, posing a risk of foodborne illness.
Medication Cart Signature Deficiency
Penalty
Summary
The facility failed to properly maintain and store medications on three of six medication carts, as evidenced by missing end-of-shift controlled medication count signatures. Observations revealed that the controlled substance books on the medication carts for Pink A Hall, Pink B Hall, and Blue C Hall had missing signatures on the End of Shift Controlled Drug Count sheets. Specifically, the Pink A Hall sheet was missing five signatures, the Pink B Hall sheet was missing ten signatures, and the Blue C Hall sheet was missing three signatures. Interviews with nursing staff, including an RN and LPNs, confirmed the absence of signatures, which are required to validate the count of controlled substances at the beginning and end of each shift. The Director of Nurses (DON) verified the missing signatures and acknowledged that the purpose of the narcotic count and signing the sheets is to ensure the accuracy of the controlled substances count on each cart. The DON stated that the missing signatures were likely due to oversight by the nurses responsible for those shifts. The facility's policy requires that the narcotic sheets be removed and reviewed at the end of each month, and any missing signatures are addressed by identifying the responsible nurse and providing education. However, the report does not mention any corrective actions taken to address the deficiency after the incident.
Failure to Implement Stop Dates for PRN Psychoactive Medications
Penalty
Summary
The facility failed to implement stop dates for PRN psychoactive medications, specifically lorazepam and trazodone, for two residents, which is a requirement under the facility's policies and CMS regulations. For one resident, diagnosed with spondylosis, delusional disorder, and vascular dementia, trazodone was prescribed as needed for insomnia without a stop date, and it was administered sporadically over several months. The facility's records did not show any recommendations regarding the duration of this PRN medication. Another resident, with diagnoses including major depressive disorder and mild pain, was prescribed lorazepam as needed for agitation, also without a stop date. Despite the consultant pharmacist's awareness of the requirement for stop dates on PRN orders, there was no documentation of communication with the physician to amend the orders. The Director of Nursing acknowledged the absence of stop dates and recommendations for these medications.
Inadequate Denture Care for Residents
Penalty
Summary
The facility failed to provide adequate denture care for two residents, R26 and R78, as observed through family and staff interviews, record reviews, and policy examination. R26, who was severely cognitively impaired and required substantial assistance with grooming, did not have her oral care needs addressed in her care plan. Observations and family interviews revealed that R26's dentures were often left in her mouth without proper cleaning, leading to complaints of mouth pain. The facility's records showed inconsistent documentation of oral care, with several days marked as not attempted or not charted. R78, diagnosed with Alzheimer's disease and requiring total assistance with oral care, also experienced inadequate denture care. Family interviews indicated that oral care was performed infrequently, approximately once a week. Observations confirmed that R78's oral care was not consistently provided, and the facility's records reflected numerous days without any charting or attempts at oral care. Interviews with CNAs and the LPN/UM revealed a lack of clarity and consistency in charting oral care, with many instances of blanks or '9's indicating that care was not attempted or documented. The DON acknowledged that oral care should be completed daily and as needed, but the lack of documentation suggested oversight. This deficiency in providing necessary oral care had the potential to cause discomfort and impact the residents' nutrition and hydration intake.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to adhere to proper hand hygiene protocols during perineal and catheter care for a resident with severe cognitive impairment and a urinary catheter. During an observation, a CNA and an RN Educator provided perineal and catheter care but did not perform hand hygiene after removing gloves and before donning new ones. This oversight occurred despite the facility's policy requiring hand hygiene before and after glove use. The RN Educator confirmed the lapse in hand hygiene and acknowledged the need for compliance monitoring. In another instance, a resident on enteric contact isolation for a history of Clostridium difficile had their room door left open, contrary to isolation protocols. An LPN administered medication without initially donning PPE and had to leave the room to retrieve a stethoscope, further breaching isolation procedures. The LPN acknowledged the need for the door to be closed and the importance of adhering to isolation precautions. Additionally, a resident with a PICC line for IV antibiotic administration did not receive proper disinfection of the needleless connector. An RN administered the antibiotic without cleaning the connector after removing the cap, contrary to the facility's policy. The LPN/UM confirmed that the connector should be disinfected even if a cap is present, highlighting a failure to follow aseptic technique guidelines.
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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 Blairsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chatuge Regional Nursing Home | 12.7 mi | — | 9 | 0 |
| Clay County Health And Rehabilitation | 13.9 mi | — | 0 | 0 |
| Murphy Rehabilitation & Nursing | 15.7 mi | — | 0 | 0 |
| Friendship Health And Rehab | 19.9 mi | — | 0 | 0 |
| Pruitthealth - Blue Ridge | 20.6 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.