Mt Airy Gardens Rehabilitation and Nursing Center

In the surveyor’s words

From the most serious findings on record at Mt Airy Gardens Rehabilitation and Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 20, 2024

  Based on observations, review of medical record reviews, interviews with resident and facility staff, and review of facility policy, the facility failed to ensure staff provided adequate supervision to prevent a resident, who had been previously assessed as being at high risk of elopement, from leaving the facility unsupervised. This resulted in Immediate Jeopardy when one resident (#26) was placed at potential risk for serious life-threatening harm and/or injury when he eloped from the facility without staff knowledge. […]

• No harm, potential for more than minimal, widespreadF803Feb 20, 2025

  Based on observation, staff interview, review of a scoop size chart, and review of dietary spreadsheets, the the facility failed to ensure appropriate portion sizes were served. This had the potential to affect all 77 residents in the facility. The facility census was 77. Findings include: Observation on 02/19/25 at 11:50 A.M. revealed Dietary [NAME] (DC) #378 was utilizing a green handled scoop for serving macaroni and cheese on the lunch trayline. When queried, DC #378 was unable to say what size scoop she was using for the macaroni and cheese. Review of the dietary spreadsheet for the 2024-2025 fall/winter menus for Wednesday of week two, revealed macaroni and cheese was to be a 4 ounce (oz) serving. […]

• No harm, potential for more than minimal, widespreadF812Feb 20, 2025

  Based on observation, staff interview, and policy review, the facility failed to store and handle food in a manner to prevent the potential spread of foodborne illness. This had the potential to affect all 77 residents in the facility. The facility census was 77. Findings include: 1) Observation of the dry storage area in the kitchen on [DATE] at 9:50 A.M., with Dietary Director (DD) #371, revealed a jar of grape jelly, approximately half full, with no open date, and a jug of barbeque sauce, approximately half full and with no open date. Manufacturer labels on both the jelly and barbeque sauce indicated the products needed to be refrigerated after opening. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2023

  Based on observation, staff interview, policy review and review of the temperature logs, the facility failed to ensure the kitchen sanitation was maintained. In addition, the facility failed to ensure food and dishwashing temperature logs were maintained. This had the potential to affect all 67 residents who received food from the kitchen. The facility census was 67. Findings include: Observation and interview on 02/15/23 at 10:54 A.M. revealed a uncovered trash can was next to the sanitizer. The storage bins for the clean ladles, scoops, and spatulas were dirty. The Dietary Cook (DC) #23 said she had not been able to clean the utensil bin in a week. There was sewage backing up on the floor and the drain had water in it. […]

• No harm, potential for more than minimal, widespreadF921Sep 26, 2022

  Based on medical record review, observations, and staff and resident interviews, the facility failed to provide a sanitary environment for residents. This affected four residents (Resident #3, #7, #8, and #9) and had the potential to affect all 68 residents in the facility. The facility census was 68. Findings include: 1. Review of the medical record for Resident #3 revealed an admitted [DATE] with diagnoses including cerebral infarction, dysphagia, and [CONDITION(S)]. 2. Review of the medical record for Resident #8 revealed an admitted [DATE] with diagnoses including [CONDITION(S)], [CONDITION(S)] [CONDITION(S)], and diabetes. 3. Review of the medical record for Resident #9 revealed an admitted [DATE] with diagnoses including [CONDITION(S)] disease, [CONDITION(S)], and [CONDITION(S)]. 4. […]