Asbury Solomons

In the surveyor’s words

From the most serious findings on record at Asbury Solomons, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 9, 2025

  Based on observations, interviews and record reviews it was determined that the facility failed to store food in a manner that maintains professional standards of food service safety. This practice had the potential to affect all residents eating food prepared by the facility's kitchen. The findings include: During the initial tour of the Kitchen with the Director of Dining on 6/03/25 at 9:06 AM there were foods found expired, and foods found open with no label showing expiration dates. The following foods were identified: In the Walk-in Refrigerator the following items were found expired. Meat wrapped in plastic and labeled Turkey, Cooked, Chilled, Use by Thursday 5/01. Cheese wrapped in plastic and labeled Cheese, opened (not in original package). […]

• No harm, potential for more than minimal, patternF880Dec 8, 2021

  Based on observation and staff interview it was determined the facility failed to ensure an effective infection prevention and control program by failing to ensure that staff utilized personal protective equipment (PPE) in a manner that met minimum standards and minimized risk for infectious spread. The noncompliant practice within the facility infection prevention and control program left all residents, staff, and visitors at increased risk for infection. The findings include: Consistent with the 4/2/2020 CMS guidance, on 4/27/2021, the Centers for Disease Control and Prevention (CDC) published updated guidance which stated, In general, fully vaccinated HCP (health care provider) should continue to wear source control while at work. […]

• No harm, potential for more than minimal, patternF883Dec 8, 2021

  Based on medical record review and interview it was determined the facility failed to have an effective system in place to assess residents' pneumonia vaccination status, adequate assessment of a resident's previous pneumonia vaccine administration is required in order to determine which pneumococcal vaccine is indicated and when it should be administered. This was found to be evident for 5 ( #34, #41, #18, #6,#33) of 5 residents reviewed for immunization status during the survey. The findings include: Review of the Pneumococcal Pneumonia Vaccination policy (revision date 10/1/21) revealed the facility will follow current CDC guidelines and best practices for the prevention and control of pneumococcal pneumonia. Procedures/Process includes: 1. […]

• No harm, potential for more than minimal, isolatedF689Jul 17, 2026

  Based on a review of facility investigation documents, medical records, and staff interviews, it was determined that the facility failed to provide adequate supervision to a resident identified as a wandering risk. This was evident in 1 (Resident #17) out of 1 resident reviewed for supervision during the recertification and complaint survey. The Findings include:A Wander Guard system is an electronic security solution used in long term care facilities to prevent at-risk residents from wandering off-site or into unsafe areas.During an interview with the ADON on 07/16/2026 the wander guard system was explained as a two step process. The sensor will give an audible alarm sound when warning that a resident wearing a wander guard sensor has approached an exit door or the elevator. […]

• No harm, potential for more than minimal, isolatedF550Dec 8, 2021

  Based on observation and staff interview, it was determined that the facility staff failed to provide a resident with dignity and respect by dressing the resident in clothing that was labeled with the resident's name prominently displayed. This was evident for 3 (#42, #38, #33) of 3 residents observed wearing slipper socks during the annual survey. The findings include: On 12/1/21 at 9:48 AM observation was made of Resident #42 sitting in a wheelchair. Resident #42 was wearing slipper socks and the front shin area of the slipper socks was labeled with Resident #42's last name. On 12/3/21 at 12:48 PM observation was made of Resident #42 sitting in the dining room along with 2 other residents, Resident #38 and Resident #33. […]