Gardens of Paulding the

In the surveyor’s words

From the most serious findings on record at Gardens of Paulding the, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 24, 2023

  Based on medical record review, family and staff interviews, observations, review of hospital records and review of the facility policy, the facility failed to ensure Resident #35 was properly monitored and interventions were applied to address constipation. This resulted in actual harm when Resident #35 went multiple days with no recorded bowel movements, went to the local hospital emergency room (ER) and was subsequently admitted to the hospital for a small bowel obstruction. This affected one resident (#35) of three residents reviewed for constipation. The facility also failed to ensure an order for a wound dressing treatment was in place prior to the application of wound dressing. This affected one resident (#11) of four residents reviewed for skin conditions. […]

• Actual harm, isolatedF689Mar 16, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on observation, medical record review, staff interview, review of a facility investigation, review of an employee personnel file, and review of facility in-services, the facility failed to ensure staff members utilized proper safety devices when assisting a resident with ambulation resulting in a fall. This resulted in actual harm when Resident #41 was walking with a nurse aide without the use of a walker or gait belt, and subsequently fell , hitting her head and causing excessive bleeding which required hospitalization . This deficient practice affected one (#41) of three residents reviewed for falls. […]

• Actual harm, isolatedF689Jul 29, 2022

  Based on medical record review, review of hospital medical records, review of a facility investigation, staff interviews, and policy review, the facility failed to ensure Resident #29 was free from accidents hazards when staff transferred the resident using the improper amount of assistance. This resulted in Actual Harm when a staff member performed a pivot transfer independently and the resident subsequently sustained an avulsion injury (an avulsion injury is caused by trauma and usually happens when a bone is moving one way, and a tendon or ligament is suddenly pulled the opposite way) to the right patellar tendon. This affected one (#29) of three residents reviewed for accidents. The facility census was 39. […]

• No harm, potential for more than minimal, widespreadF812May 20, 2026

  Based on observation, review of a cleaning checklist, staff interview, and policy review, the facility failed to ensure the kitchen was properly cleaned and maintained in a sanitary manner, and failed to ensure food items were stored in a manner to prevent contamination. This deficient practice had the potential to affect all 39 residents who received food prepared in the kitchen. The facility census was 39.Findings include:Observation on 05/20/25 at 8:40 A.M. revealed food debris, small pieces of paper and paper towel, and dirt accumulation at the entryway of the kitchen. Further observation of the kitchen revealed the interior of the microwave contained an unknown splattered yellow substance. […]

• No harm, potential for more than minimal, widespreadF812Sep 11, 2025

  Based on observation, staff interview, review of facility policy, and review of the Food and Drug Administration (FDA) guidelines, the facility failed to label refrigerated foods and practice proper hand hygiene during food service. This had the potential to affect all residents. The facility census was 39. Findings include: 1. Observation on 09/08/25 at 8:20 A.M. of the walk-in refrigerator revealed the following food items not labeled or dated: a gallon size plastic bag of sliced cheddar cheese, bag of bologna, and container of coleslaw. Interview on 09/08/25 at 8:28 A.M. […]