Montgomery General Elderly Care

In the surveyor’s words

From the most serious findings on record at Montgomery General Elderly Care, in the surveyor’s own words.

• Actual harm, patternF600Dec 14, 2022

  Based on record review, staff interview, and resident interview the facility failed to protect Residents from mental, physical, and sexual abuse resulting in actual harm, including physical pain, mental anguish and psychosocial harm to multiple residents, as perpetrated by Resident #49's ongoing pattern of irrational and aggressive behaviors. This was true for seven (7) of 58 residents. Two (2) residents had to be sent to the hospital for physical harm resulting from Resident #49's actions. Several residents complained of living in fear of Resident #49 which is psychosocial harm. Resident #49 was found in another residents room in their bed completely nude and touching the other resident which is a form of sexual abuse. […]

• Actual harm, isolatedF600May 31, 2023

  Based on record review, staff interview and resident interview, the facility failed to provide sufficient protection to prevent resident to resident abuse. Resident #32, #50 and #10 all suffered actual harm because of Resident #6's physically abusive behavior. Resident #32 suffered actual harm when Resident #6 threw a glass of water at her because she wandered into his room. This caused Resident #32 to suffer a puncture wound to the top her head which was bleeding. She also had red marks on her back and side. Resident #50 suffered actual harm after Resident #6 hit her and ran over her foot. She had broken skin to the top of her foot. […]

• No harm, potential for more than minimal, widespreadF880Nov 26, 2025

  Based on observation, record review, and staff interview the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections. This failed practice was a random opportunity for discovery and had the potential to effect all residents currently residing in the facility during the Long-Term Care Survey Process. Facility Census: 57. Findings Include: a) Dining room Continuous observation of the dining room on [DATE] from 11:30 AM to 12:01 PM, revealed that at 12:01 PM, (3) three residents at the round table were served their lunch meal. […]

• No harm, potential for more than minimal, patternF584Nov 26, 2025

  Based on observation and staff interview the facility failed to maintain a safe, clean, comfortable, and homelike environment by not providing a clean privacy curtain for Resident #27, and ensuring the residents' shower area for B Bath did not have paint peeling, missing caulking and rust on a shower caddy. These failed practices had the potential to affect more than a limited number of residents. Resident Identifier: #27. Facility Census: 57.Findings included: a) On 11/24/2025 at 12:45 Pm, The B Bath shower room was investigated. Peeling paint in the shower area and the bathroom floor area were observed including around the toilet by the state surveyors. […]

• No harm, potential for more than minimal, patternF684Nov 26, 2025

  Based on record review and staff interview the facility failed to provide care and services in accordance with current standards of practices by not following its policy and physicians orders related to weights. This failed practice was found true for (3) three of (6) six residents reviewed for nutrition during the Long-Term Care Survey Process. Resident identifiers: #55, #9, and #11. Facility Census: 57. Findings Include: a) Weight monitoring policy A review on 11/25/25 at 10:30 AM, of the policy titled {Weight Monitoring}, Section 2, C, reads: If there is a noticeable discrepancy in the current weight vs previous weight, the resident shall be re-weighted and the charge nurse shall follow-up accordingly. […]