Towne Square Care of Puryear

In the surveyor’s words

From the most serious findings on record at Towne Square Care of Puryear, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812May 19, 2026

  Based on facility policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when undated, unlabeled food items were found stored in the kitchen. The facility had a census of 24 and 24 of the residents were served from the Kitchen. The findings include: 1. Review of the undated facility policy titled, Food Storage (Dry, Refrigerated, and Frozen) revealed .Food shall be stored on shelves in a clean, dry area free from contaminants Food shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety.All food-items will be labeled. […]

• No harm, potential for more than minimal, patternF812Mar 26, 2025

  Based on policy review, observation, and interview, the facility failed to maintain a sanitary kitchen when 1 of 1 ice machines was observed to have a dark slimy build up and when 1 of 1 nourishment refrigerator had a yellow sticky substance in the freezer and refrigerator. The findings include: 1. The facility policy titled, Policy & Procedure: Sanitizing, dated 2/1/2017, revealed .food storage .areas will be kept clean and free from litter, debris .All equipment .shall be washed to clean and sanitize using hot water and/or chemical sanitization solution .Ice machines .will be .cleansed and sanitized . 2. Observation in the kitchen on 3/24/2025 at 8:40 AM, revealed a dark slimy build up on inside of the ice machine. […]

• No harm, potential for more than minimal, patternF812Apr 3, 2024

  Based on policy review, Job Description, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions as evidenced by dirty trash can, carbon build-up on the pans, dirty equipment, the deep fryer with carbon build-up with food particles, carbon build-up on the flat grill, and large amount of greasy dark stain on the floor beside and behind the deep fryer, kitchen cabinets with large amount of peeling Formica laminate on the doors and drawer, cabinet under the sink with dark furry substance with an old stained cloth and the cabinet underneath in disrepair. The facility had a census of 25 with 25 of those residents receiving a meal tray from the kitchen. The findings included: 1. […]

• No harm, potential for more than minimal, patternF582Mar 30, 2022

  Based on medical record review and interview, the facility failed to provide 5 of 5 sampled residents (Resident #2, #8, #21, #26, and #32) reviewed with the Advanced Beneficiary Notice (ABN), Center for Medicare and Medicaid Services (CMS)- when therapy services were discontinued, and the resident remained in the facility for long-term care services or was discharged from the facility. This failure left the residents without information related to the cost of therapy services if they desired to continue the services in the facility and did not allow for them to have an informed choice. […]

• No harm, potential for more than minimal, isolatedF761May 19, 2026

  Based on facility policy review, medical record, observation, and interview, the facility failed to ensure medications were properly stored when 2 of 2 medication storage carts (Hall 1 and Hall 2) had expired and outdated medications. The findings include: 1. Review of the facility's policy titled, Medication Storage, dated 2/1/2017, revealed .No discontinued, outdated, or deteriorated medications should be available for use in the facility.Expired medications are to be removed from areas medication carts prior to or at the time of expiration. 2. Review of the medical record revealed Resident #3 was admitted to the facility on [DATE], with diagnoses including Hypertension, Kidney Disease, and Dementia. […]