All citations for Mt Airy Gardens Rehabilitation and Nursing Center

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 Mt Airy Gardens Rehabilitation and Nursing Center

Last standard health inspection on record

February 20, 2025

Showing 1 to 21 of 21 citations

  1. 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, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

  11. 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 March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of August 13, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

  13. 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 March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2019).

  18. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  19. No harm, with potential for minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  20. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  21. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.