All citations for Lorien Health Systems Mt Airy

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Lorien Health Systems Mt Airy

Last standard health inspection on record

August 13, 2025

Showing 1 to 19 of 19 citations

  1. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  2. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  3. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

  5. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

  6. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

  7. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  8. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  10. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  11. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 7, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 25, 2026).

  12. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  13. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  14. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  15. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  16. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  18. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  19. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Isolated (one or a few residents). CMS level D.

    Health citation F-0868, Administration Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.