Gates Health And Rehabilitation Center
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Next, Resident #56's left buttock wound care was discussed. The Wound NP stated gauze saturated with wound cleanser should be used to clean the wound as previously described and patted dry. Then, the medihoney and collagen should be applied and covered with an adhesive dry dressing. The Wound NP was informed of the observation of the left buttock wound care performed today (08/14/25) that included the wound being cleaned by wiping in an upward motion and side-to-side; and the resident being laid down on
the brief after the wound was cleaned and the clean dressing being applied without re-cleaning the wound.
The Wound NP stated the wound should have been recleaned after the wound contacted the resident's brief. She stated wound care was done using clean technique and not by sterile technique. A clean barrier should have been placed under the resident's buttocks prior to the wound care being performed. During weekly facility visits, the Wound NP stated she provided education on correct wound care technique to the staff nurses.An interview with the Wound Care Nurse was conducted on 08/15/25 at 7:58 AM. The Wound Care Nurse stated she was aware the Wound NP expected betadine to be used liberally on Resident #56's heel. She stated she was aware when Nurse #2 did not provide this treatment and stated betadine was applied.The Director of Nursing (DON) was interviewed on 08/15/25 at 4:07 PM. The DON stated wounds did not have to be cleaned by starting at the center of a wound and moving to the outer edges of the wound
in a continuous circular motion. She explained Resident #56 was a resident of color and that betadine was difficult to see on a person of color. She also stated she was not aware the Wound NP expected betadine to be used liberally on a wound. The DON also discussed Resident #56's left buttock wound and stated she did not think the wound should have been re-cleaned after being placed on his brief. The DON stated the Wound Care Nurse was responsible for providing wound care education.Interview with the Administrator on 08/15/25 at 4:27 PM revealed the Wound Care Nurse had made her aware of the wound care treatment on 08/14/25 for Resident #56. She confirmed Nurse #2 was nervous and did not routinely provide wound care.
The Administrator explained Nurse #2 was knowledgeable in how to provide wound care but was nervous having the Wound Care Nurse, and surveyors present. She stated the Wound Care Nurse was available to assist/educate any staff providing wound care.
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If continuation sheet
F-Tag F0690
Federal health inspectors cited Gates Health and Rehabilitation Center in Gatesville, NC for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Gates Health and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0812
Federal health inspectors cited Gates Health and Rehabilitation Center in Gatesville, NC for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-15.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Gates Health and Rehabilitation Center.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
Gates Health and Rehabilitation Center in Gatesville, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Gatesville, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Gates Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.