The Vardell Report.Fayetteville Center for Nursing & Healing LLC

Across 6 inspections from April 2022 to November 2025, state surveyors documented 23 findings at Fayetteville Center for Nursing & Healing LLC; 18 have a recorded correction and 5 await one; CMS lists 2 enforcement actions in the window.

Inspections

6

2022–2025, complaint, standard and infection control

Findings

23

Deficiencies cited by state inspectors

Corrected

18

Of 23 findings, with a recorded correction date

Penalties

2

2 fines; payment not published

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

1. Nov 192025

   Complaint investigation

   7 findings

   • F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Level DNo actual harm, potential for moreCorrected Dec 9, 2025
   • F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Level DNo actual harm, potential for moreCorrected Dec 9, 2025
   • F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level DNo actual harm, potential for moreCorrected Dec 9, 2025
   • F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Level DNo actual harm, potential for moreCorrected Dec 9, 2025
   • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level DNo actual harm, potential for moreCorrected Dec 9, 2025
   • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level DNo actual harm, potential for moreCorrected Dec 9, 2025
   • F695Provide safe and appropriate respiratory care for a resident when needed.Level DNo actual harm, potential for moreCorrected Dec 9, 2025

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

2. Jun 132025

   Standard health inspection

   5 findings

   The same visit included a complaint investigation.

   • F554Allow residents to self-administer drugs if determined clinically appropriate.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
   • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
   • F760Ensure that residents are free from significant medication errors.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
   • F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction
   • F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreDeficient, Provider has no plan of correction

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

3. Aug 162024

   Infection control inspection

   No findings

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

4. Feb 12024

   Standard health inspection

   2 findings

   The same visit included a complaint investigation.

   • F554Allow residents to self-administer drugs if determined clinically appropriate.Level DNo actual harm, potential for moreCorrected Mar 17, 2024
   • F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Level DNo actual harm, potential for moreCorrected Mar 17, 2024

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

5. Nov 92023

   Complaint investigation

   5 findings

   • F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Level GActual harmCorrected Dec 10, 2023
   • F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected Dec 10, 2023
   • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreCorrected Dec 10, 2023
   • F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Level DNo actual harm, potential for moreCorrected Dec 10, 2023
   • F759Ensure medication error rates are not 5 percent or greater.Level DNo actual harm, potential for moreCorrected Dec 10, 2023

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

6. Apr 12022

   Standard health inspection

   4 findings

   • F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Level DNo actual harm, potential for moreCorrected May 1, 2022
   • F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedLevel DNo actual harm, potential for moreCorrected May 1, 2022
   • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level DNo actual harm, potential for moreCorrected May 1, 2022
   • F692Provide enough food/fluids to maintain a resident's health.Level DNo actual harm, potential for moreCorrected May 1, 2022

   Enforcement Action

   Civil money penalty, $3,728 imposed November 9, 2023. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of April 1, 2022, the nearest before the penalty date.

   Enforcement Action

   Civil money penalty, $7,443 imposed November 9, 2023. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of April 1, 2022, the nearest before the penalty date.

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1. 1

   Telling Families About Changes, Cited in Two Inspections

   Inspectors cited F580 in April 2022 and November 2025. This citation covers whether the resident, their doctor and a family member are told promptly about an injury, a decline or another significant change. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   222324242525F580 across all 6 inspections, oldest to newest
2. 2

   Quality of Care, Cited in Two Inspections

   Inspectors cited F684 in April 2022 and November 2023. This citation covers whether residents receive the treatment their orders, preferences and goals call for. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   222324242525F684 across all 6 inspections, oldest to newest
3. 3

   Residents Taking Their Own Medication, No Recorded Correction

   F554 was cited in February 2024 and June 2025. This citation covers whether a resident who keeps and takes their own medication has been assessed as safe to do so. The most serious was level D (no actual harm, potential for more). The June 2025 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.

   222324242525F554 across all 6 inspections, oldest to newest
4. 4

   Care Plans, No Recorded Correction

   F656 was cited in June 2025 and November 2025. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. The most serious was level D (no actual harm, potential for more). The June 2025 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.

   222324242525F656 across all 6 inspections, oldest to newest
5. 5

   Significant Medication Errors, No Recorded Correction

   F760 was cited in June 2025. This citation covers whether residents are free from significant medication errors. The most serious was level D (no actual harm, potential for more). The June 2025 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.

   222324242525F760 across all 6 inspections, oldest to newest
6. 6

   Medication Labeling and Storage, No Recorded Correction

   F761 was cited in June 2025. This citation covers how drugs are labeled and kept locked, including controlled drugs. The most serious was level D (no actual harm, potential for more). The June 2025 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.

   222324242525F761 across all 6 inspections, oldest to newest
7. 7

   Infection Control, No Recorded Correction

   F880 was cited in June 2025. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. The most serious was level D (no actual harm, potential for more). The June 2025 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.

   222324242525F880 across all 6 inspections, oldest to newest

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

1. 01

   How quickly will we hear about a fall, an injury or a change in condition, and from whom?

   Telling Families About Changes: cited in two inspections, most seriously at level D.

2. 02

   How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?

   Quality of Care: cited in two inspections, most seriously at level D.

3. 03

   How do you decide whether a resident may keep and take their own medications?

   Residents Taking Their Own Medication: cited in two inspections, most seriously at level D. The June 13, 2025 citation has no recorded correction date.

4. 04

   How is a care plan written and reviewed here, and how do families take part in it?

   Care Plans: cited in two inspections, most seriously at level D. The June 13, 2025 citation has no recorded correction date.

5. 05

   What happened after the medication error citation, and how are high-risk drugs double-checked?

   Significant Medication Errors: cited in one inspections, most seriously at level D. The June 13, 2025 citation has no recorded correction date.

6. 06

   How are medications stored and secured, and who checks the medication carts?

   Medication Labeling and Storage: cited in one inspections, most seriously at level D. The June 13, 2025 citation has no recorded correction date.

7. 07

   Who leads infection control here, and how often are hand-hygiene and isolation practices audited?

   Infection Control: cited in one inspections, most seriously at level D. The June 13, 2025 citation has no recorded correction date.

8. 08

   How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?

   No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.

9. 09

   What led to the 2023 fine, and has it been paid?

   A $3,728 civil money penalty was imposed November 9, 2023. CMS publishes the fine, not whether it has been paid. The record holds two enforcement actions in the window.

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Georgia Department of Community Health, Healthcare Facility Regulation Division.

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Georgia Department of Community Health, Healthcare Facility Regulation Division

  Inspection Apr 1, 2022 · Published Oct 1, 2026 · Retrieved Oct 31, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Georgia Department of Community Health, Healthcare Facility Regulation Division

  Inspection Nov 9, 2023 · Published Oct 1, 2026 · Retrieved Oct 31, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Georgia Department of Community Health, Healthcare Facility Regulation Division

  Inspection Feb 1, 2024 · Published Oct 1, 2026 · Retrieved Oct 31, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Georgia Department of Community Health, Healthcare Facility Regulation Division

  Inspection Aug 16, 2024 · Published Oct 1, 2026 · Retrieved Oct 31, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Georgia Department of Community Health, Healthcare Facility Regulation Division

  Inspection Jun 13, 2025 · Published Oct 1, 2026 · Retrieved Oct 31, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Georgia Department of Community Health, Healthcare Facility Regulation Division

  Inspection Nov 19, 2025 · Published Oct 1, 2026 · Retrieved Oct 31, 2026

• Penalties, Provider Data Catalog

  Centers for Medicare & Medicaid Services

  Published Oct 1, 2026 · Retrieved Oct 31, 2026

  View Dataset ↗
• Provider Information, Provider Data Catalog

  Centers for Medicare & Medicaid Services · 115360

  Published Oct 1, 2026 · Retrieved Oct 31, 2026

  View Dataset ↗

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.