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

ATRIUM HEALTH NAVICENT BALDWIN

MILLEDGEVILLE, GA · 15 certified beds · Last Life Safety survey December 8, 2024

CMS Certification Number 115649 · first certified April 1998

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Other

  • Ownership changed July 3, 2021 (change of ownership)to ATRIUM HEALTH NAVICENT BALDWIN SKILLED NURSING UNIT from NAVICENT HEALTH OCONEE, LLC
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within GA

8 citations — more than 47% 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 5 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (February 2026 to August 2026). Most GA facilities have been surveyed by February 2027. This facility’s last Life Safety survey was December 2024. 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

1 inspection-and-testing tag has 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.

Emergency preparedness

1 of the 8 citations on file is 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

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 facility8GA median8National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in GA8
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-1032023-1152024-12
Citations at each Life Safety survey
Survey dateCitations
October 2, 20220
November 12, 20233
December 8, 20245

Most-cited tags

Most-cited tags at this facility
K-03532K-03511K-07121E-00011K-03411K-05111K-03741
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-12-08
K-0351Install an approved automatic sprinkler system.12023-11-12
K-0712Have simulated fire drills held at unexpected times.12024-12-08
E-0001Establish an Emergency Preparedness Program (EP).12024-12-08
K-0341Install a fire alarm system that can be heard throughout the facility.12024-12-08
K-0511Have properly installed electrical wiring and gas equipment.12024-12-08
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12023-11-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Services Deficiencies 1
  • Emergency Preparedness Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Services Deficiencies1
Emergency Preparedness Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

December 8, 2024 — 5 citations

Citations issued on December 8, 2024
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 20, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (January 20, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 20, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 20, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 20, 2025)

November 12, 2023 — 3 citations

Citations issued on November 12, 2023
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 22, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 22, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 22, 2023)

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