Bishop Gadsden Episcopal Health Care Center

Inspection history (10)

• April 25, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-04-25 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-05-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-25.GOV

• April 25, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-04-25 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-05-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-25.GOV

• April 25, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-04-25 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-05-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-25.GOV

• March 20, 2024 · D

  Citation F0841

  Federal surveyors cited this nursing home on 2024-03-20 under CMS tag F0841 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. The deficiency was recorded as corrected on 2024-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-20.GOV

• March 20, 2024 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2024-03-20 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-20.GOV

• March 20, 2024 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2024-03-20 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-20.GOV

• February 17, 2022 · K

  Citation F0880

  Federal surveyors cited this nursing home on 2022-02-17 under CMS tag F0880 (CMS scope/severity K: pattern, immediate jeopardy) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-17.GOV

• February 17, 2022 · F

  Citation F0761

  Federal surveyors cited this nursing home on 2022-02-17 under CMS tag F0761 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2022-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-17.GOV

• February 17, 2022 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2022-02-17 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2022-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-17.GOV

• February 17, 2022 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2022-02-17 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-03-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-02-17.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 5.59 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Functional Pathways

   parent · PAC 3577041854