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 25 of 40 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 February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

  9. 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 May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

  12. 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 May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

  13. 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 May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

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

    Have an alternate power supply for its alarm system.

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

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  22. 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 February 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

  23. 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).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 11, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 8, 2021).

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.