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

Mesun Health and Rehabilitation Center

Lawrenceville, GA · 100 certified beds · Last Life Safety survey November 21, 2025

CMS Certification Number 115772 · first certified January 2021

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within GA

9 citations — more than 54% 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

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

The latest survey found 0 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was November 2025. 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

Emergency preparedness

3 of the 9 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 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 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 facility9GA median8National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in GA8
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0582024-0702025-11
Citations at each Life Safety survey
Survey dateCitations
May 25, 20221
July 18, 20248
November 21, 20250

Most-cited tags

Most-cited tags at this facility
K-02001K-09231E-00041K-03211K-03531K-05111K-03721E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0200Meet other general requirements.12024-07-18
K-0923Have proper medical gas storage and administration areas.12024-07-18
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-07-18
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-07-18
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-07-18
K-0511Have properly installed electrical wiring and gas equipment.12024-07-18
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-07-18
E-0039Conduct testing and exercise requirements.12024-07-18

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 3
  • Smoke Deficiencies 3
  • Services Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies3
Smoke Deficiencies3
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

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

July 18, 2024 — 8 citations

Citations issued on July 18, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 30, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 30, 2024)
K-0200Meet other general requirements.Deficient, Provider has date of correction (August 30, 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 (August 30, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 30, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 30, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 30, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 30, 2024)

May 25, 2022 — 1 citation

Citations issued on May 25, 2022
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 29, 2022)

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