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Gateway Rehabilitation And Healthcare

📍 2030 Harper Avenue Nw, Lenoir, NC 28645 📞 (828) 754-3888 🛏️ 100 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $183,726

$169,046
Jan 10, 2022

Fine

$14,680
Jan 10, 2022

Fine

$0
Jan 10, 2022

Payment Denial

2021 1 penalties totaling $14,508

$14,508
Sep 7, 2021

Fine

2020 1 penalties totaling $3,250

$3,250
Dec 30, 2020

Fine

2018 1 penalties totaling $3,250

$3,250
Mar 16, 2018

Fine

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Health Violations by Year

2024 4 violations

Tag 0622 D Jun 14, 2024

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Jul 9, 2024
Tag 0626 D Jun 14, 2024

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Jul 9, 2024
Tag 0677 D Jun 14, 2024

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

✓ Corrected: Jul 9, 2024
Tag 0880 D Jun 14, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 9, 2024

2023 22 violations

Tag 0554 D Oct 24, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Nov 20, 2023
Tag 0561 D Oct 24, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Nov 20, 2023
Tag 0677 G Oct 24, 2023

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

✓ Corrected: Nov 20, 2023
Tag 0812 E Oct 24, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 20, 2023
Tag 0867 G Oct 24, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Nov 20, 2023
Tag 0561 E Sep 8, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Nov 20, 2023
Tag 0578 D Sep 8, 2023

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.

✓ Corrected: Oct 3, 2023
Tag 0584 B Sep 8, 2023

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.

✓ Corrected: Oct 3, 2023
Tag 0641 E Sep 8, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Oct 3, 2023
Tag 0656 D Sep 8, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0657 D Sep 8, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0677 G Sep 8, 2023

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

✓ Corrected: Nov 20, 2023
Tag 0695 D Sep 8, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0725 E Sep 8, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0727 E Sep 8, 2023

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.

✓ Corrected: Oct 3, 2023
Tag 0755 D Sep 8, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 3, 2023
Tag 0761 D Sep 8, 2023

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.

✓ Corrected: Oct 3, 2023
Tag 0812 E Sep 8, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 20, 2023
Tag 0867 G Sep 8, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Nov 20, 2023
Tag 0580 E Jun 1, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 27, 2023
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2022 24 violations

Tag 0600 G May 26, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 13, 2022
Tag 0607 G May 26, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 13, 2022
Tag 0689 G May 26, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 13, 2022
Tag 0550 G Mar 21, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 21, 2022
Tag 0561 E Mar 21, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Apr 21, 2022
Tag 0583 D Mar 21, 2022

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 21, 2022
Tag 0641 D Mar 21, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 21, 2022
Tag 0646 D Mar 21, 2022

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

✓ Corrected: Apr 21, 2022
Tag 0655 D Mar 21, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 21, 2022
Tag 0657 E Mar 21, 2022

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

✓ Corrected: Apr 21, 2022
Tag 0660 D Mar 21, 2022

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Apr 21, 2022
Tag 0677 D Mar 21, 2022

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

✓ Corrected: Apr 21, 2022
Tag 0688 G Mar 21, 2022

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Apr 21, 2022
Tag 0725 E Mar 21, 2022

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

✓ Corrected: Apr 21, 2022
Tag 0732 C Mar 21, 2022

Post nurse staffing information every day.

✓ Corrected: Apr 21, 2022
Tag 0742 K Mar 21, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Apr 21, 2022
Tag 0758 D Mar 21, 2022

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.

✓ Corrected: Apr 21, 2022
Tag 0761 E Mar 21, 2022

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.

✓ Corrected: Apr 21, 2022
Tag 0806 E Mar 21, 2022

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Apr 21, 2022
Tag 0622 D Jan 10, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Mar 21, 2022

2021 4 violations

Tag 0551 J Sep 7, 2021

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: Sep 29, 2021
Tag 0580 D Sep 7, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Sep 29, 2021
Tag 0684 D Sep 7, 2021

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

✓ Corrected: Sep 29, 2021
Tag 0835 J Sep 7, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Sep 29, 2021
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2020 11 violations

Tag 0880 D Dec 30, 2020

Provide and implement an infection prevention and control program.

Tag 0658 D Nov 3, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 9, 2020
Tag 0880 E Nov 3, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 9, 2020
Tag 0578 E Feb 28, 2020

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.

✓ Corrected: Mar 26, 2020
Tag 0686 D Feb 28, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 26, 2020
Tag 0689 D Feb 28, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 26, 2020
Tag 0690 D Feb 28, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 26, 2020
Tag 0695 D Feb 28, 2020

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

✓ Corrected: Mar 26, 2020
Tag 0812 F Feb 28, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 26, 2020
Tag 0842 D Feb 28, 2020

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

✓ Corrected: Mar 26, 2020
Tag 0867 D Feb 28, 2020

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Mar 26, 2020

2019 8 violations

Tag 0578 D Apr 11, 2019

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.

✓ Corrected: May 8, 2019
Tag 0600 D Apr 11, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 8, 2019
Tag 0658 D Apr 11, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 8, 2019
Tag 0677 D Apr 11, 2019

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

✓ Corrected: May 8, 2019
Tag 0690 D Apr 11, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: May 8, 2019
Tag 0812 F Apr 11, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 8, 2019
Tag 0814 D Apr 11, 2019

Dispose of garbage and refuse properly.

✓ Corrected: May 8, 2019
Tag 0842 D Apr 11, 2019

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

✓ Corrected: May 8, 2019
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2018 6 violations

Tag 0624 D May 2, 2018

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: May 10, 2018
Tag 0561 D Mar 16, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: May 2, 2018
Tag 0636 D Mar 16, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: May 2, 2018
Tag 0641 D Mar 16, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: May 2, 2018
Tag 0656 D Mar 16, 2018

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

✓ Corrected: May 2, 2018
Tag 0865 D Mar 16, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: May 2, 2018
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