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 51 to 68 of 68 citations

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

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

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

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

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

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

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

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

  6. 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 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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care 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

    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 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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services 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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services 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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service 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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

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

  13. 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 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

    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 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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control 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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental 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 minimal harm

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

    Widespread (many residents). CMS level C.

    Health citation F-0868, Administration Deficiencies. Inspection of March 7, 2019. Found during a standard inspection.

    The home has a plan to correct it (April 5, 2019).

  18. No harm, with potential for 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 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.