Augusta Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Augusta Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 6, 2025

  Based on interview and record review, the facility did not ensure the resident environment remained as free of accidents as possible for 2 of 4 residents (R29, R4) reviewed for accidents. The facility did not complete a thorough investigation of falls for root cause and implement interventions to prevent further falls. R29 had a fall on 12/19/24 that resulted in a left femur fracture and surgical repair. This example is cited at actual harm. The facility did not complete a thorough investigation of falls to determine staff following plan of care, root cause, monitor for trends, and re-assess interventions to prevent further accidents for R4. […]

• No harm, potential for more than minimal, widespreadF880Apr 8, 2026

  Based on observation, interview, and record review, the facility did not provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections with the potential to affect all 37 residents.-Registered Nurse (RN) E did not perform glove change/hand hygiene appropriately during wound care to R10.-Laundry Aide (LA) G transported clean linens throughout the building uncovered.Findings include: Facility Policy titled, Wound Care Policy, last reviewed 08/2025, reads in part: The goal is to promote wound healing, prevent complications, and maintain the highest practicable level of resident health.Dressing changes must include hand hygiene, proper personal protective equipment (PPE). […]

• No harm, potential for more than minimal, widespreadF814Feb 6, 2025

  Based on observations and interviews, the facility failed to ensure the facility's garbage was properly stored in the dumpster. The failure had the potential to promote a breeding ground for pests and rodents affecting all 39 residents within the facility. Findings: On 02/04/25 at 8:15 AM, during initial tour of the kitchen, Surveyor asked [NAME] (I) to show surveyor where the dumpsters were located. [NAME] I led Surveyor out the back of the facility where the dumpster was. The dumpster was overflowing with black garbage bags, and black garbage bags were piled against the dumpster all over the ground in front of and around the dumpster. Surveyor asked [NAME] I about this, and [NAME] I indicated the facility is in outbreak. […]

• No harm, potential for more than minimal, widespreadF812Dec 20, 2023

  Based on observation, interview and record review, the facility did not prepare, distribute, and serve food in a manner that prevents foodborne illness to all 38 residents (R) in the facility. Findings include: Facility policy entitled Dishwashing sanitization protocol, stated in part, . Before each use, staff must verify that the dishwasher is operating at the recommended high temperature for effective sanitization, sanitization color changing stickers must be used to verify that the dishwasher is achieving the required high temperature for proper sanitization, apply the color changing stickers to designated areas within the dishwasher before each cycle . […]

• No harm, potential for more than minimal, widespreadF880Dec 20, 2023

  Based on observation, interview and record review, the facility did not maintain an infection prevention and control program to prevent Legionella, or provide hand hygiene to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections. This had the potential to affect 38 of 38 residents (R) residing in the facility. Findings: Example 1 Water Management Plan The facility's policy titled, Legionella Surveillance, Detection and Management states, in part .The facility, has a water management program that is overseen by the Water Management Team. 1. […]