Marquis Piedmont Post Acute Rehab

In the surveyor’s words

From the most serious findings on record at Marquis Piedmont Post Acute Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Sep 30, 2024

  Based on observation, interview and record review it was determined the facility failed to ensure there were sufficient nursing staff available to provide the necessary care and services to meet residents' needs in 1 of 1 facility reviewed for staffing. This placed residents at risk for unmet care needs. Findings include: On 9/24/24 the facility had a census of 51 residents. On 9/26/24, Staff 1 (Administrator) provided a list of residents who: -Required two-person mechanical lift transfers: 17; -Required two-person extensive or total assistance for bathing: 3; -Required two-person extensive or total assistance for toileting: 3; -Required two-person extensive or total assistance for dressing: 6; -Required one-to-one feeding: 3 -Had behavioral health needs which required monitoring:… […]

• No harm, potential for more than minimal, patternF761Apr 10, 2026

  Based on observation, interview and record review it was determined the facility failed to ensure medications and biologicals were secured for 2 of 3 medication carts and 2 of 3 treatment carts reviewed for safe medication storage. This placed residents at risk for unauthorized access to medications. Findings include:The facility's 5/2010 Security of Medication Cart Policy specified the following: -The nurse must secure the medication cart during the medication hall to prevent unauthorized entry. -Medication carts must be securely locked at all times when out of the nurse's view. 1. On 4/6/26 at 12:02 PM a treatment cart was observed to be unlocked on the North Hall. The nurse was not in view of the cart. […]

• No harm, potential for more than minimal, patternF732Sep 30, 2024

  Based on interview and record review it was determined the facility failed to ensure the Direct Care Staff Daily Report (DCSDR) postings were thoroughly completed or accurately reflected the number of staff working and their hours worked for 37 of 37 days reviewed for sufficient staffing. This placed residents at risk for incorrect staffing information. Findings include: Review of the 8/18/24 through 9/24/24 DCSDRs indicated the staff postings were incomplete or inaccurate on all 37 days reviewed. On 9/25/24 at 8:24 AM Staff 2 (DNS) acknowledged the 8/18/24 through 9/24/24 DCSDRs were not accurately completed and did not include the hours staff members worked on all 37 days reviewed.

• No harm, potential for more than minimal, isolatedF554Apr 10, 2026

  Based on observation, interview and record review it was determined the facility failed to assess residents for safe self-administration of medication for 1 of 2 sampled residents (# 29) reviewed for self-administering medication. This placed residents at risk for an unsafe medication regimen. Findings include:Resident 29 was admitted to the facility in 12/2025 with diagnoses including depression and end stage renal failure. Resident 29's 12/17/25 admission MDS assessed her/him as cognitively intact. On 4/6/26 at 11:47 AM and 1:19 PM observations were made of an empty six pack of Imodium on Resident 29's dresser to the right of her/his bed. […]

• No harm, potential for more than minimal, isolatedF600Apr 10, 2026

  Based on observation, interview and record review the facility failed to protect the resident's right to be free from physical abuse for 1 of 1 (#11) sampled resident reviewed for abuse. This placed residents at risk for continued physical abuse. Findings include: Resident 11 was admitted to the facility in 2024 with diagnoses including dementia and hearing deficit.Resident 11's 10/9/25 Quarterly MDS assessed her/him as cognitively intact and received anticoagulant (blood thinner) medication daily.Resident 36 admitted to the facility in 11/2025 with diagnoses including diabetes and visual deficit.Resident 36's 11/30/25 admission MDS assessed her/him as cognitively intact.On 3/29/26 Staff 21 (LPN) initiated a Resident-to-Resident Event Assessment for an incident involving Resident 11 and… […]