Piedmont Post-Acute

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 14, 2024

  Based on interview, record review, and facility document and policy review, the facility failed to ensure two staff members assisted with a mechanical lift transfer for 1 Resident (R)1 of 4 residents reviewed for mechanical lift transfers. The failure resulted in R1 sustaining a laceration to the top right side of their head, which required three staples to repair. Findings included: A facility policy titled, Lifting Machine, Using a Mechanical, revised 07/2017, revealed, 1. At least two (2) nursing assistants are needed to safely move a resident with a mechanical lift. 2. Mechanical lifts may be used for tasks that require: a. Lifting a resident from the floor; b. Transferring a resident from bed to chair; c. Lateral transfers; d. Lifting limbs; e. Toileting or bathing; or f. […]

• Actual harm, isolatedF697Mar 1, 2024

  Based on review of the facility policy, record review, observations, and interviews, the facility failed to document and record pain management on the Medication Administration Record (MAR), for the administration of narcotic medications for 1 Resident (R)5, of 1 resident reviewed for medication administration. Findings include: Review of the facility policy titled, Administering Medication, revised April 2019, revealed Policy Statement, Medications are administered in a safe and timely manner, and as prescribed. The individual administrating the medication initials the resident ' s medication administration record (MAR) on the appropriate line after giving each medication and before administering the next ones. […]

• No harm, potential for more than minimal, widespreadF812Apr 4, 2026

  Based on observation, interview, and facility policy review, the facility failed to ensure staff checked temperatures of all foods placed on the steam table for hot holding prior to meal service. Specifically, staff failed to check temperatures of additional batches of food added to the steam table during meal service on 04/03/2026. This had the potential to affect 80 residents who received food from the facility kitchen. Findings included: Review of a facility policy titled, Serving Temperatures for Hot and Cold Foods, effective 2020, revealed, The cook will take temperatures of hot and cold food items using approved food thermometers prior to each meal service. […]

• No harm, potential for more than minimal, widespreadF880Apr 4, 2026

  Based on observation, interview, record review, facility document review, and facility policy review, the facility failed to ensure staff followed infection control practices to help prevent the development and transmission of communicable diseases and infections, which affected 1 of 1 resident, (Resident (R)92), reviewed for tracheostomy care, 1 of 1 resident, (R9), reviewed for pressure ulcers, and 1 of 1 resident, (R87), reviewed for transmission based precautions. The facility also failed to implement a complete water management program for Legionella prevention, which had the potential to affect all the residents in the facility. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF803Apr 9, 2025

  Based on observation, interview and record review, the facility failed to ensure: 1.Correct serving sized utensils were used to ensure portion sizes at meals, which had the potential for all residents who received food from the kitchen to have unmet food intakes and potentially to have weight loss. 2. Resident (R)65 received the appropriate texture food (pureed) for dysphagia which had the potential for the resident to choke. Findings include: During an observation on 04/08/25 between 11:50 AM and 12:30 PM, of the meal service, [NAME] (C) 1 was observed plating food to be served to residents. The preplanned menu identified the meal included sliced pork roast, mashed potatoes, and green beans. […]