Piedmont Gardens Health Facility

In the surveyor’s words

From the most serious findings on record at Piedmont Gardens Health Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 4, 2026

  Based on observation, interview and record review, the facility failed to ensure food are prepared under sanitary conditions when:-Ice machine had brownish material build up on the water bin and tubing on the inside area of the machine where water was present.- Kitchen [NAME] (CK) did not cover beard with hair restraint.- Kitchen floor and tiles with cracked areas and brownish buildups.- Kitchen vents with dusty blackish materials- Food shelves and trays with debris.- Two hot boxes (Food warmer) with food debris.- Broom with dustpan were stored in the dry food storage room.- Kitchen wall had cracked and chipped paint and blackish discoloration.- Equipment's air-gaps drainage pipe-basin areas had yellowish brown buildup.- Chemical and cleaning agents were stored in open area next to clean… […]

• No harm, potential for more than minimal, patternF550Jun 4, 2026

  Based on observation, interview, and record review, the facility failed to ensure two of 21 sampled residents (Residents 18 and 90) were served food in a dignified manner and one of 21 sampled residents (Resident 90) was groomed in a dignified manner when: 1. Resident 90 waited 16 minutes, and Resident 18 waited 27 minutes after other residents at their table were served food, to get their food. 2. Resident 90 was not offered facial hair grooming. This failure resulted in Resident 90 feeling upset and had the potential to cause Residents 18 and 90 to feel insignificant, embarrassed and undignified. […]

• No harm, potential for more than minimal, patternF761Jun 4, 2026

  Based on observation, interview, and record review, the facility failed to ensure the safe and secure storage of medications when:A damaged/crushed plastic, orange colored medication bottle containing crushed pills, for Resident 32, was kept in the medication cart. An expired bottle with Calcium 600 milligrams (mg) tablets was kept in the medication cart.The central supply/over the counter (OTC) medication storage room doors (entry door and inside door) were left unlocked and unattended.These failures resulted in unsafe medication storage practices, had the the potential for medication errors and unauthorized access to OTC medications and supplies.Findings:1. During a concurrent observation and interview on [DATE] at 2:05 p.m. […]

• No harm, potential for more than minimal, patternF656Jan 30, 2025

  Based on observation, interview and record review, the facility staff did not have comprehensive care plan for bed alarms and chair alarm as fall prevention for 3 out of 8 sampled residents(Resident 36, 55 and 44.) The failure to not care plan interventions for bed alarm use under fall risk for Resident 36, 55 and 44 has the potential to not provide direct or limited staff supervision for resisdents and also to not accurately monitor, provide care, and reassess the effectiveness of the bed alarms. Findings: During an observation on 1/27/25 at 10:15 a.m. […]

• No harm, potential for more than minimal, patternF880Jan 30, 2025

  Based on observation ,interview record review, facility staff including Certified Nursing Assistant (CNA), Licensed Nurses (LNs), and Maintenance Staff did not perform hand hygiene while providing care to one of five sampled residents (Resident 42) when : 1.CNA 3 did not perform hand hygiene before and after putting in hearing aides in Resident 42 's ears and before donning gloves for incontinence care. 2.LNs did not sanitize/disinfect glucometer and flat surfaces to keep medication tray during medication administration. This failure placed all residents at risk for spread of in infection. 1. Findings: During an observation on 01/29/25 at 09:45 a.m. […]