GOLD CITY HEALTH AND REHAB in DAHLONEGA, GA was fined $52,548 by CMS following 24 deficiency citations identified during federal surveys.

GOLD CITY HEALTH AND REHAB (DAHLONEGA, GA) — $52,548 in CMS Fines

Outcome: GOLD CITY HEALTH AND REHAB in DAHLONEGA, GA was fined $52,548 by CMS following 24 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.


• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.


• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.


• 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.


• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.


• Post nurse staffing information every day.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.