Gallaway Health and Rehab

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 27, 2025

  Based on facility policy review, medical record review, email correspondence review, observation, and interview, the facility failed to protect the residents' right to be free from neglect for 3 of 14 (Resident #6, Resident #1, and Resident #12) sampled residents reviewed for abuse and neglect. Resident #6, a vulnerable, cognitively impaired, totally dependent resident who required enteral feeding (method of delivering nutrition directly into the gastrointestinal tract) for nutrition was reviewed for neglect. On 3/20/2025, the nurse documented Resident #6 had a tear on the side of the feeding port of the percutaneous endoscopic gastrostomy (PEG) tube which caused leakage of the feeding onto the bed. […]

• Immediate jeopardy, isolatedF600Dec 21, 2022

  Based on policy review, job description review, facility investigation review, medical record review, observation, and interview, the facility failed to ensure a resident's right to be free from abuse and neglect for 6 of 15 sampled residents (Resident #1, #2, #3, #4, #5, and #14) reviewed for abuse. The facility's failure to ensure a resident's right to be free from abuse and neglect resulted in Immediate Jeopardy when the facility failed to assess and provide timely treatment for an injury of unknown origin that resulted in a fracture for Resident #5; and a fall that resulted in a fracture for #14; and failed to prevent, identify, and monitor Resident #1 resulting in multiple resident-to-resident altercations with Resident #2 and #3. […]

• Immediate jeopardy, isolatedF656Dec 21, 2022

  Based on policy review, medical record review, review of daily assignment sheets, time detail reports, Safety Check Log (1:1 Monitoring logs), and interview, the facility failed to implement care plan interventions for 1:1 monitoring for 1 of 18 (Resident #1) sampled residents which resulted in an Immediate Jeopardy when Resident #1, a severely cognitively impaired resident with a history of aggression and physical altercations, was left unattended by staff on 11/10/2022 and struck another resident (Resident #2) in the head, initiating an altercation. […]

• Immediate jeopardy, isolatedF684Dec 21, 2022

  Based on policy review, job description review, medical record review, observation, and interview, the facility failed to ensure that residents were provided appropriate care and services to meet the residents' physical, mental and/or psychosocial needs in a timely manner for 2 of 18 sampled residents (Resident #5 and #14) reviewed for quality of care. This resulted in Immediate Jeopardy (IJ) when Resident #5 complained of pain and abuse by a staff member and no one addressed this abuse allegation and injury until the next day; and when staff failed to acknowledge and implement an immediate (STAT) physician's order, follow up on radiology results, transfer a resident to the hospital in a timely manner, and provide pain relief for Resident #14. […]

• Immediate jeopardy, isolatedF689Dec 21, 2022

  Based on policy review, facility investigation review, review of time detail reports, review of daily assignment sheets, review of Safety Check logs, medical record review, observation, and interview, the facility failed to ensure a safe environment for 5 of 11 sampled residents (Resident #1, #2, #3, #4, and #14) reviewed for resident-to-resident altercations and accident hazards. The facility's failure to ensure a safe environment resulted in Immediate Jeopardy (IJ) when the facility failed to provide 1 on 1 supervision for Resident #1, a severely cognitively impaired resident with known combative and aggressive behaviors, which resulted in resident-to-resident altercations between resident #1 and Residents #2, #3, and #4 on 3 different occasions; and when the facility failed to follow… […]