CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mount Airy Nursing and Rehab Center
View the most recent health deficiencies and inspection results for Mount Airy Nursing and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mount Airy Nursing and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-19 | 2026-04-17 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-10-30 | 2025-12-17 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-29 | 2025-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-29 | 2025-09-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-08-29 | 2025-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-29 | 2025-09-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-08-29 | 2025-09-30 | N |
| 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. | Health | 2025-08-29 | 2025-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-29 | 2025-09-30 | N |
| Provide activities to meet all resident's needs. | Health | 2025-08-29 | 2025-09-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-05-02 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-02 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-02 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-02 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-02 | 2023-06-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-02 | 2023-06-30 | N |
| Post nurse staffing information every day. | Health | 2023-05-02 | 2023-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-02 | 2023-06-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-02 | 2023-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-02 | 2023-06-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-02 | 2023-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-06-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-02 | 2023-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-02 | 2023-06-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-02 | 2023-06-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-02 | 2023-06-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-02 | 2023-06-12 | N |
| Keep all essential equipment working safely. | Health | 2023-05-02 | 2023-06-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-02 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-02 | 2023-06-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-05-02 | 2023-06-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-02 | 2023-06-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-02 | 2023-06-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-02 | 2023-06-12 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-05-02 | 2023-06-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-02 | 2023-06-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-02 | 2023-06-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-02 | 2023-06-12 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-05-02 | 2023-06-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-05-02 | 2023-06-12 | N |
| 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. | Health | 2023-05-02 | 2023-06-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-02 | 2023-06-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-02 | 2023-06-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-02 | 2023-06-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-02 | 2023-06-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-02 | 2023-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-02 | 2023-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-02 | 2023-06-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-02 | 2023-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-28 | 2019-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-05-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-28 | 2019-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-28 | 2019-05-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-02-28 | 2019-05-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-28 | 2019-05-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-28 | 2019-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-28 | 2019-05-03 | N |
| 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. | Health | 2019-02-28 | 2019-05-03 | N |
| 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. | Health | 2019-02-28 | 2019-05-03 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-02-28 | 2019-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-05-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-28 | 2019-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-05-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-28 | 2019-05-03 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-02-28 | 2019-05-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-28 | 2019-05-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-28 | 2019-05-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-28 | 2019-05-03 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-28 | 2019-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-28 | 2019-05-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-28 | 2019-05-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-02-28 | 2019-05-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-28 | 2019-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-28 | 2019-05-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-02-28 | 2019-03-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-28 | 2019-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-28 | 2019-03-14 | N |