Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

GLENWOOD HEALTH CENTER BY HARBORVIEW

DECATUR, GA · 225 certified beds · Last Life Safety survey January 3, 2026

CMS Certification Number 115025 · first certified February 1967

Ownership

Operated by HARBORVIEW HEALTH SYSTEMS · For profit - Limited Liability company

  • Ownership changed April 1, 2022 (change of ownership)from GLENWOOD OPERATING COMPANY LLC
20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within GA

20 citations — more than 90% of the 356 certified nursing homes in GA. Compared within GA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was January 2026. Facilities in GA are typically surveyed 14–20 months after the last one (median 16), measured over 532 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in GA, and nationally. Surveyors differ markedly between states, so the GA figure is the meaningful one.

This facility20GA median8National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in GA8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-04152024-1042026-01
Citations at each Life Safety survey
Survey dateCitations
April 13, 20231
October 11, 202415
January 3, 20264

Most-cited tags

Most-cited tags at this facility
K-03742K-03532K-02912K-05112K-07121K-07411K-03311K-07541
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22026-01-03
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-11
K-0291Install emergency lighting that can last at least 1 1/2 hours.22026-01-03
K-0511Have properly installed electrical wiring and gas equipment.22026-01-03
K-0712Have simulated fire drills held at unexpected times.12024-10-11
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-10-11
K-0331Construct fire resistant interior walls.12026-01-03
K-0754Provide properly sized and located linen or trash receptacles.12024-10-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 5
  • Egress Deficiencies 3
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Miscellaneous Deficiencies5
Egress Deficiencies3
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 3, 2026 — 4 citations

Citations issued on January 3, 2026
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 2, 2026)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (February 2, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 2, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 2, 2026)

October 11, 2024 — 15 citations

Citations issued on October 11, 2024
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (December 5, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 5, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 5, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 5, 2024)
K-0371Have properly sized and located compartments to protect residents from smoke.Deficient, Provider has date of correction (December 5, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 5, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 5, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 5, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 5, 2024)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (December 5, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 5, 2024)
K-0900Meet Health Care Facilities Code mechanical requirements.Deficient, Provider has date of correction (December 5, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 5, 2024)

April 13, 2023 — 1 citation

Citations issued on April 13, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 23, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.