Augusta Center for Health & Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Augusta Center for Health & Rehabilitation, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 27, 2022

  Based on interviews and document reviews, the facility failed to provide adequate supervision to a resident who was a known elopement risk with a history of suicidal ideation. This failure resulted in the resident exited the facility on two occasions and was found in and by the road for 1 of 3 residents reviewed for elopement (Resident #1). This failure created an immediate jeopardy situation. Findings: On 9/13/22 the Department of Licensing and Certification received a complaint from an anonymous source indicating that he/she saw a Facebook (social media) post indicating that a resident was seen beside the road trying to wheel him/herself into traffic in an attempt to kill him/herself. […]

• Immediate jeopardy, isolatedF742Sep 27, 2022

  Based on interviews and document review, the facility failed to ensure that a resident who had signs of suicidal ideation received the care and services necessary to reach and maintain the highest level of mental and psychosocial functioning for 1 of 3 residents reviewed for mood/behavior (Resident #1). Findings: On 9/13/22 the Department of Licensing and Certification received a complaint from an anonymous source indicating that he/she saw a Facebook (social media) post indicating that a resident was seen beside the road trying to wheel him/herself into traffic in an attempt to kill him/herself. […]

• Actual harm, isolatedF689May 14, 2026

  Based on interviews and record reviews, the facility failed to ensure that a resident was free of accidents/hazards for a resident who had rolled out of bed during personal care resulting in a fracture for 1 of 3 residents reviewed for falls. (Resident #1).Findings:On 4/19/26 Division of Licensing and Certification received an incident report indicating the following: On Thursday 4/15, staff member (Certified Nursing Assistant CNA #1) was giving care to [Resident #1]. [Resident #1] began to fall out of bed. The [CNA#1] called out for help. Two other staff arrived and helped lower [Resident #1] to the floor. [Resident #1] had persistent pain. X-ray results today show bilateral fractures above the knee. […]

• Actual harm, isolatedF684Aug 3, 2023

  Based on record review, interview, and facility policy review, the facility failed to transfer a resident timely to the hospital after the resident experienced a significant change in condition for one resident (Resident (R)22) of six sampled residents reviewed for hospitalization . This resulted in harm when R22 was admitted to the hospital's Critical Care Unit (CCU) with a diagnosis of acute metabolic encephalopathy likely secondary to sepsis and urinary tract infection (UTI) and acute kidney injury likely prerenal in the setting of septic shock. […]

• No harm, potential for more than minimal, widespreadF812Aug 3, 2023

  Based on observation, interview, and facility policy review, the facility failed to keep the kitchen's ovens, knife rack, food preparation pans, and insulated plate holders clean and/or dry, and failed to keep a scoop from being stored in direct contact with flour that was in a storage container. This had the potential to affect all 71 residents who resided in the facility and consumed food prepared from the facility's kitchen. Findings include: Review of the facility's policy entitled, Sanitation of Kitchen, Food Service Equipment & Work Surfaces, revised on 02/22, revealed, Foodservice equipment and surfaces (stationary and mobile) are cleaned. […]