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

Douglasville Center for Nursing and Healing LLC

Douglasville, GA · 246 certified beds · Last Life Safety survey June 19, 2026

CMS Certification Number 115273 · first certified February 1980

Ownership

Operated by EMPIRE CARE CENTERS · For profit - Limited Liability company

  • New ownershipOwnership changed November 1, 2025 (change of ownership)from DOUGLASVILLE NURSING AND REHABILITATION CENTER, LLC
22
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
4
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within GA

22 citations — more than 92% 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 CMS's current file.

The latest survey found 3 citations; the earlier surveys on file averaged 9.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was June 2026. Facilities in GA are typically surveyed 14–19 months after the last one (median 16), measured over 546 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 about three years in Virginia. How the window is measured

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Which alerts

4 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

11 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 22 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations in CMS's current file

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

This facility22GA median8National median11
Citations in CMS's current file, compared
MeasureCitations
This facility22
Median facility in GA8
Median facility nationally11

Survey history

Citations at each Life Safety survey
142024-0252025-0632026-06
Citations at each Life Safety survey
Survey dateCitations
February 8, 202414
June 27, 20255
June 19, 20263

Most-cited tags

Most-cited tags at this facility
K-03533K-03723K-03632K-03242K-07411K-07541K-03741K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-06-19
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.32026-06-19
K-0363Install corridor and hallway doors that block smoke.22026-06-19
K-0324Provide properly protected cooking facilities.22025-06-27
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12024-02-08
K-0754Provide properly sized and located linen or trash receptacles.12024-02-08
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-02-08
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-02-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 13
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies13
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Services Deficiencies1
Construction Deficiencies1

Every citation on file

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

June 19, 2026 — 3 citations

Citations issued on June 19, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 3, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 3, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 3, 2026)

June 27, 2025 — 5 citations

Citations issued on June 27, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 11, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 11, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 11, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 11, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 11, 2025)

February 8, 2024 — 14 citations

Citations issued on February 8, 2024
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (March 24, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 24, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 24, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 24, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 24, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 24, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 24, 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 (March 24, 2024)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (March 24, 2024)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (March 24, 2024)
K-0791Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.Deficient, Provider has date of correction (March 24, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 24, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 24, 2024)

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