Azalea Gardens Nursing Center

In the surveyor’s words

From the most serious findings on record at Azalea Gardens Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observation, staff interview, and facility policy review, the facility failed to use hand hygiene, discard overly ripe produce, and failed to calibrate a food thermometer prior to checking food temperatures, for two (2) of two (2) kitchen observations. Findings included: A review of the facility's Food Safety Policy, dated November 2023, revealed, Food will . be stored, prepared . with professional standards for food service safety. Policy Guidelines 1. Food safety practices shall be followed throughout the facility's entire food handing process .Elements of the process include the following .b. Storage of food in a manner that helps prevent deterioration or contamination of the food, including from the growth of microorganisms . 3. […]

• No harm, potential for more than minimal, patternF812Aug 6, 2026

  Based on observation, interviews, and facility policy review, the facility failed to store and maintain food under sanitary conditions by failing to remove produce with visible biological growth from refrigerated storage and by storing an ice scoop directly on consumable ice for one (1) of two (2) kitchen observations.Findings include:A review of the facility's policy titled, Food Safety Policy, dated [DATE], revealed, .Policy Guidelines: 1. Food safety practices shall be followed throughout the facility's entire food handling process.b. Storage of food in a manner that helps prevent deterioration.6. […]

• No harm, potential for more than minimal, patternF604Jun 22, 2023

  Based on observations, interviews, record review, and facility policy review, the facility failed to identify physical restraints related to the use of full-length bed rails and a lap buddy (type of chair restraint) for ten (10) of 19 sampled residents. Resident #1, Resident #10, Resident #13, Resident #19, Resident #41, Resident #45, Resident #54, Resident #58, Resident #60, and Resident #61. Findings Include: A record review of the facility's policy Physical Restraint Application Policy, dated January 2018, revealed Policy: The purpose of this procedure is to provide safety or postural support of a resident to prevent injury to the resident or others when the resident has medical symptoms that warrant the use of restraints . […]

• No harm, potential for more than minimal, patternF656Jun 22, 2023

  Based on record review, staff interview, and facility policy review, the facility failed to develop a care plan for physical restraints related to the use of full length bed rails and a lap buddy (a form of chair restraint) for 10 of 19 residents sampled. Resident #1, Resident #10, Resident #13, Resident #19, Resident #41, Resident #45, Resident #54, Resident #58, Resident #60, and Resident #61. Findings include: A record review of the facility's policy Comprehensive Care Plans, dated September 2018, revealed Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident's rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial… […]

• No harm, potential for more than minimal, isolatedF583Aug 6, 2026

  Based on observations, interviews, record review, and facility policy review, the facility failed to protect residents' rights to personal privacy and confidentiality by failing to provide visual privacy for one resident whose shoulder and a portion of the chest were exposed and visible from the doorway and by posting residents' personal care information on the walls without evidence the residents or their representatives requested the information be displayed, for three (3) of (16) sampled residents (Residents #7, #21, and #52).Findings include: A record review of the facility's policy titled, Resident Rights Policy, dated Jun2026, revealed, .Policy Guidelines.11. […]