Forsyth Rehabilitation & Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 17, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare and distribute and serve food in accordance with professional standards of practice and in a manner to prevent possible contamination when the facility failed to keep dented cans separated from other cans, when the facility staff failed to ensure all food items were properly labeled and sealed, failed to ensure expired foods were discarded, when the facility staff failed to ensure fans in food areas were free from dirt and debris, and when staff stacked dishes while still wet. This had the potential to affect all residents who consumed food from the facility kitchen. The facility census was 93 residents.1. […]

• No harm, potential for more than minimal, widespreadF812Jan 11, 2024

  Based on observations, interviews, and record review, the facility failed to ensure food was stored, prepared, and distributed free from possible contamination and in sound condition in accordance with professional standards when staff failed to dispose of food after expiration, ready-to-eat foods were touched with bare hands, a thermometer was not properly cleaned, and frozen meat was not stored properly. The failed practice had the potential to affect 76 census residents consuming food in the kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2021

  Based on observation, interview, and record review, the facility failed to maintain the kitchen in a clean manner when staff failed to keep the handsink clean, failed to keep walls in the dishwashing area clean, failed to keep shelves in the walk-in cooler clean, failed to keep an air vent clean, and failed to keep flies to a minimum. The facility census was 83. Record review of Cleaning Schedules, dated April 2011, showed the following: -It is the responsibility of the Dining Services Manager to enforce the cleaning schedules and to monitor the completion of assigned cleaning tasks; -Daily, weekly and monthly cleaning schedules prepared by the Dining Services Manager with all cleaning tasks listed will be posed in the Dietary Department; -It will specify the days the cleaning schedule… […]

• No harm, potential for more than minimal, patternF561Nov 17, 2025

  Based on interview, observation, and record review, the facility failed promote each resident's right to self-determination when the facility failed to provide services to maintain good grooming and personal hygiene in accordance with resident preferences for five residents (Resident #86, #77, #84, #82, and #64). The facility census was 93.Review showed the facility did not provide a policy related to showers. 1. Review of Resident #86's face sheet (a document that gives a resident's information at a quick glance) showed the following information:-admission date of 06/12/25;-Diagnoses included diabetes (a chronic condition in which the body cannot regulate blood sugar levels properly), chronic pain, high blood pressure, and chronic osteomyelitis (an autoimmune disease that causes bone… […]

• No harm, potential for more than minimal, patternF700Nov 17, 2025

  Based on observation, interview, and record review, the facility failed document identification and use of possible alternatives prior to use of side rails; failed to document assessing risk versus benefits of side rail use; failed to obtain informed consent for the use of side rails prior to installation; failed to care plan side rails; and failed to complete ongoing assessments to ensure the side rails are appropriate for use for eight residents (Resident #1, Resident #2, Resident #12, Resident #19, Resident #47, Resident #86, Resident #77, and Resident #100). […]