Georgetown Nursing and Transitional Care

In the surveyor’s words

From the most serious findings on record at Georgetown Nursing and Transitional Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Mar 17, 2025

  Based on interviews and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 (Resident #1) of 6 residents reviewed for falls. The facility failed to put assessments and/or neuro checks in place for Resident #1 after she was sent to the ER after a fall on 03/12/25 at approximately 6:00 a.m. and returned to the facility on [DATE] at approximately 10:23 a.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 29, 2024

  Based on observations, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safely for 1 of 1 kitchen reviewed for food storage and sanitation. 1. The facility failed to ensure food and beverages in refrigerator unit #2 and 3 and the walk-in freezer, were covered, labeled, and dated. This failure could place residents at risk of foodborne illness. Findings included: Observation of the kitchen 02/27/24 08:45 am during initial tour revealed , refrigerator # 2 had a rack of covered drinks not labeled with a use by date, refrigerator # 3 with a 7 shelf rack with brown squares in white container with no cover or labeled, ,3rd shelf with clear bowl containers of green and brown substance… […]

• No harm, potential for more than minimal, patternF812Jun 24, 2026

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food safety for one of one kitchen (identifier) reviewed for food safety requirements.The facility failed to ensure that all expired items were removed from storage.The facility failed to ensure all items were properly labeled and dated.The facility failed to store dented cans separately from other canned items.These failures could place residents at risk of foodborne illness.Findings included:During an observation of the kitchen on 6/22/2026 from 9:23 A.M. - 9:36 A.M. […]

• No harm, potential for more than minimal, patternF550Apr 30, 2025

  49410 Based on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 3 of 10 residents (Resident #36, Resident #58, and Resident #67) reviewed for rights. The facility failed to ensure LVN A and CNA B knocked on Resident #36, Resident #58, and Resident #67's doors when going into the residents' rooms. These failures could place residents at risk of feeling like their privacy was being invaded or the facility was not their home. Findings included: Review of Resident #36's Face Sheet dated 04/29/2025 revealed he was a [AGE] year-old male who was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF558Apr 30, 2025

  Based on observations, interviews, and record review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 3 of 8 (Resident #15, #25, and #39) residents reviewed for accommodations. The facility failed to ensure call lights were within reach while in resident rooms for Resident #15 and Resident #39. The facility failed to ensure dining room tables were appropriate height for wheelchairs for Resident #25. These failures could place residents at risk of injury, for not receiving timely care, or a decreased quality of life. Findings included: 1. Record review of Resident #15's admission record, dated 04/30/2025, reflected an [AGE] year-old female who was admitted to the facility on [DATE]. […]