Gallatin Rest Home

In the surveyor’s words

From the most serious findings on record at Gallatin Rest Home, in the surveyor’s own words.

• Actual harm, isolatedF686Jun 5, 2025

  2. During an observation on 6/5/25 at 7:57 a.m., resident #13 received morning cares from staff members F and K. Resident #13 was lying on her back in the bed. Resident #13 had a wound dressing on her right heel which was left in place. When resident #13 was turned to her right side for incontinence care, an open area was noted on her coccyx. There was no wound dressing in place. Staff member F applied moisture barrier cream, and a new incontinence brief. Resident #13 called out in pain and cried when she was moved in her bed. […]

• Actual harm, isolatedF689Jun 8, 2023

  Based on interview and record review, the facility failed to maintain scale equipment, resulting in a fall with an injury, for 1 (#28) of 2 sampled residents. Findings include: Review of an incident for resident #28, dated 2/21/23, showed, Upon entry into room resident was on all fours on the floor with a pool of blood near left leg .Was in the chair scale and fell out when a wheel fell off, Resident thinks she hit her head . [sic]. During an interview on 6/7/23 at 10:16 a.m., staff member F stated resident #28 required assistance with transfers and had a history of falls. […]

• No harm, potential for more than minimal, widespreadF812Jun 18, 2026

  Based on observation, interview, and record review, the facility failed to ensure opened food products were labeled with the date opened, and failed to properly store opened food products after opening. The failure placed all residents receiving food from the kitchen at increased risk of receiving expired, contaminated, or deteriorated food products. Findings include:During an observation of the kitchen dry storage and cold storage areas on 6/15/26 at 2:00 p.m., the following were observed: - An open, unsealed 25-pound bag of flour with approximately one quarter of the contents remaining; no open date. - Several open bulk spice containers, partially used (onion powder, nutmeg, paprika, garlic powder, thyme, and cloves); no open dates. […]

• No harm, potential for more than minimal, widespreadF809Jul 2, 2024

  Based on observations and interviews, the facility failed to provide residents with meals with no more than 14 hours between the evening meal and breakfast; failed to provide a nourishing snack at bedtime; and failed to document a resident group approval of the mealtime hours for 7 (#s 2, 9, 17, 18, 19, 21, and 28) of 13 sampled residents. This practice had the potential to affect all residents who receive meals from the dining service. Findings include: During an observation on 7/2/24 at 8:20 a.m., breakfast began to be served in the dining room. The sign posted on the entry to the dining room showed breakfast was to start at 8:00 a.m., lunch at 12:00 p.m., and dinner at 5:00 p.m. The times scheduled included a 15-hour gap between dinner and breakfast. […]

• No harm, potential for more than minimal, widespreadF880Jul 2, 2024

  Based on observation, interviews, and record review, the facility failed to ensure implementation and monitoring of measures to prevent the growth of Legionella or other opportunistic waterborne pathogens in the building's water systems; and maintain cleanable surfaces on ice/water dispenser machine. This practice had the potential to affect all residents. Findings include: 1. During an observation on 7/1/24 at 3:30 p.m., the ice/water dispenser, on the rehabilitation unit, was dirty with a black film, white mineral deposits and rust on the tray where you place the cups and along the bottom wall of the dispensing area. The dispenser tray was no longer cleanable. 2. […]