Federal Nursing-Home Survey Record
MESUN HEALTH AND REHABILITATION CENTER
Does MESUN HEALTH AND REHABILITATION CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), MESUN HEALTH AND REHABILITATION CENTER (CCN 115772), in LAWRENCEVILLE, GA, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity D on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $4,017 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
CMS has $4,017 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Civil money penalties on file
$4,017
CMS has $4,017 in civil money penalties on file against this facility. CMS also records 2 day(s) of payment denial.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 2.7
Deficiency timeline — full federal history
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure medication error rates are not 5 percent or greater.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide activities to meet all resident's needs.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
22 citations from earlier inspection cycles — historical, not current (expand)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Report COVID19 data to residents and families.
Ensure staff are vaccinated for COVID-19
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Respond appropriately to all alleged violations.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Provide enough food/fluids to maintain a resident's health.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Document what happened
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