Peak Resources - Gastonia

In the surveyor’s words

From the most serious findings on record at Peak Resources - Gastonia, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 3, 2025

  Based on observations and staff interviews, the facility failed to discard expired and spoiled food items from 1 of 1 walk-in cooler. These failures had the potential to affect food served to residents. Findings included: An initial observation of the walk-in cooler on [DATE] at 10:07 AM revealed a plastic bag containing thawed chicken sitting inside a metal pan with a date of [DATE] sitting on a bottom shelf. A box ,d+[DATE] full of green peppers with a delivery date of [DATE] was sitting on a top shelf. An observation of the green peppers at the same date and time revealed the peppers were shriveled and contained multiple brown spots. […]

• No harm, potential for more than minimal, patternF812Dec 14, 2023

  Based on observations and staff interviews the facility failed to date an open food item in 1 of 1 walk-in cooler and remove expired food items from 1 of 1 reach-in cooler and 1 of 1 nourishment refrigerator (main dining room). This practice had the potential to affect food and beverages served to the residents. Findings included: 1. An initial tour of the walk-in cooler on [DATE] at 9:52 AM revealed an opened and undated 5-pound container of pimento cheese. An interview with the Certified Food Manager (CFM) at the same date and time revealed all food should have an open date and the person who opened the item was responsible for dating it. An interview with the Administrator on [DATE] at 5:50 PM revealed all food should be dated when opened. 2. […]

• No harm, potential for more than minimal, patternF880Oct 8, 2021

  Based on observations, staff interviews and record reviews, the facility failed to follow infection control policies when two housekeepers entered and exited resident rooms for cleaning (Housekeeper #1 and #2) without changing gloves or performing hand hygiene and when a nurse aide (Nurse Aide #1) performed incontinence care and exited the room without removing her gloves or performing hand hygiene. In addition, Housekeeper #2 was observed using the same cleaning cloth to clean multiple surfaces in a resident's bathroom and room. The observations occurred for 3 of 4 staff members reviewed for infection control practices. […]

• No harm, potential for more than minimal, isolatedF677Jun 17, 2026

  Based on observations, record review, resident and staff interviews, the facility failed to assist a resident, who required staff assistance with transfers, out of bed when requested for 1 of 5 sampled residents reviewed for activities of daily living (Resident #8).Findings included:Resident #8 was admitted to the facility on [DATE] with diagnoses that included disease of spinal cord, chronic pain, chronic obstructive pulmonary disease (difficulty breathing), left hand contracture, and history of falling.The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #8 had intact cognition and impairment on one side of the upper extremity. […]

• No harm, potential for more than minimal, isolatedF880Jun 17, 2026

  Based on record review, observation and staff interviews, the facility failed to follow their infection control policy and procedure for Enhanced Barrier Precautions (EBP) when Nurse #1, did not put on a personal protective equipment (PPE) gown prior to urinary catheter care provided to a resident (Resident #7). The deficient practice occurred for 1 of 4 staff members reviewed for infection control (Nurse #1). Findings included: A review of the facility's Infection Prevention and Control Program for EBP last revised on 10/2025 read in part, EBPs were designed to reduce transmission of multidrug resistant organisms (MDRO) by employing targeted gown use during high-contact resident care activities. […]