Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lynn Haven Health And Rehabilitation during CMS and state inspections, most recent first.
Two residents receiving respiratory care had equipment left uncovered in their rooms. One resident with pneumonia had an incentive spirometer on the dresser, uncovered and not in use, while another resident with COPD had an uncovered nebulizer mouthpiece with visible debris present. An RN confirmed the equipment should have been covered or bagged when not in use, and the DON and Administrator stated this was the expected practice.
Medication administration errors were identified for three residents during med pass observation and record review. A CMA gave one resident only one inhalation of an ordered inhaler instead of two, failed to administer ordered meds for another resident and gave an unlisted liquid supplement instead, and did not give an ordered calcium/vitamin D chewable to a third resident despite stating it had been administered. The DON stated CMAs are expected to report medication issues to the charge nurse and that she performs periodic spot checks and annual skills training.
Failure to perform hand hygiene during meal service was observed in the dining room. Dietary aides served trays after touching kitchen surfaces without washing hands, and multiple CMAs assisted residents with meals, changed gloves, and moved between residents without hand hygiene. The DM also adjusted a resident’s wheelchair, rubbed the resident’s arm, and then helped another resident with meal items without hand hygiene. Staff confirmed they did not perform hand hygiene, and the ADON/IP stated the issue was ongoing.
The facility failed to provide scheduled baths/showers for two residents who were dependent on staff for ADLs. One resident received only two baths in a month due to documentation issues, while another experienced inconsistencies and missed baths due to scheduling confusion and lack of policy.
The facility failed to implement their smoking policy, allowing an LPN to smoke on the front patio instead of the designated back patio. This was confirmed by observations and interviews, revealing a lack of adherence to safety measures and staff unfamiliarity with smoking rules.
Uncovered Respiratory Equipment Left in Resident Rooms
Penalty
Summary
The facility failed to ensure respiratory equipment was properly stored for two residents receiving respiratory care. One resident had diagnoses including pneumonia and had physician orders for oxygen at 2 liters per minute via nasal cannula every eight hours and albuterol sulfate solution. Observations in the resident’s room on multiple occasions revealed an incentive spirometer sitting uncovered on the dresser and not in use. An RN stated she had not noticed the uncovered incentive spirometer during rounds and confirmed it should have been covered, noting that leaving it exposed could allow bacterial buildup and lead to infection when used. A second resident had a diagnosis including COPD and a physician order for albuterol sulfate solution via nebulizer as needed for shortness of breath or wheezing. Observations in the resident’s room on multiple occasions revealed a nebulizer mouthpiece on the dresser, uncovered and with visible debris present. The RN stated respiratory equipment should be bagged when not in use and confirmed the nebulizer should have been covered, acknowledging the negative outcome could be inhaling particles and increased infection risk. The DON and Administrator both stated that incentive spirometers and nebulizers were expected to be covered when not in use and identified infection risk as the negative outcome of leaving them uncovered.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
Medication administration errors were identified for three residents during observation and record review. The facility policy required medications to be administered according to valid prescriber orders, with the nurse or CMA verifying the correct medication, dose, and directions before administration. During a medication pass, a CMA administered tiotropium bromide to one resident as one inhalation, although the physician order was for 2 puffs by inhalation once daily. The CMA stated she usually gives only one puff because it makes her shaky and acknowledged that the resident was supposed to receive two inhalations. For another resident, a CMA administered several ordered medications, but record review showed that calcium carbonate 500 mg-vitamin D3 10 mcg chewable tablet and multiple vitamin-minerals tablet were not administered as ordered. Instead, the CMA gave liquacel 16/2.5 grams 30 mL in 4 oz water, which was not listed in the resident’s medication orders. The CMA stated that the eye drops ordered for the resident were not in the medication cart and that she would need to notify the nurse, and she also stated that she gave liquacel because the resident received medications crushed and the liquid was easier to swallow. For a third resident, the CMA stated that calcium carbonate with vitamin D3 had been administered, but review of the medication orders showed that the ordered calcium carbonate 500 mg-vitamin D3 10 mcg chewable tablet had not been given. The LPN later stated that the medication was a floor stock medication and not one of the prepackaged medications from the pharmacy, and the pharmacy technician confirmed that the medication was listed as floor stock rather than a prepackaged medication. The DON stated that CMAs are expected to report medication issues to the charge nurse and that she conducts periodic spot checks and annual skills training.
Failure to Perform Hand Hygiene During Meal Service
Penalty
Summary
Infection prevention and control practices were not followed during lunch meal service in the dining room. The facility’s policies on Hand Hygiene and Meal Service stated that hand hygiene is the single most important means of preventing the spread of infection, that gloves do not replace hand hygiene, and that associates should wash hands before tray distribution and between tasks and patient contact. During observation, Dietary Aides CC and FF served meal trays to residents after entering the kitchen and touching the kitchen counter and door, but they were not observed performing hand hygiene between tasks. Both aides later confirmed they did not perform hand hygiene while assisting residents with lunch and stated they had not received education on hand hygiene and were still learning the job. Additional observations showed multiple staff members assisting residents with meals without performing hand hygiene between glove changes or between resident contacts. CMA DD assisted one resident, removed gloves, put on another pair, and then assisted another resident without hand hygiene; she also adjusted one resident’s wheelchair before returning to assist another resident without hand hygiene. CMA EE transported a resident into the dining room, assisted one resident with a meal, removed gloves and placed them in her pocket, then put on another pair and assisted another resident without hand hygiene. CMA GG assisted a resident with opening a drink and setting up utensils for another resident, removing gloves and placing them in her pocket between tasks without hand hygiene. The DM also entered the dining room, adjusted a resident’s wheelchair, rubbed the resident’s arm, and then opened a cup and condiment packets for another resident without hand hygiene. The ADON/IP stated she was aware of staff not performing hand hygiene during lunch and that it was an ongoing issue.
Failure to Provide Scheduled Baths/Showers for Dependent Residents
Penalty
Summary
The facility failed to provide showers or baths for two residents who were dependent on staff for activities of daily living (ADLs). Resident R268, who had moderate cognitive impairment and required extensive assistance, was scheduled for baths/showers on Mondays, Wednesdays, and Fridays. However, documentation showed that R268 only received a bath/shower on two occasions in April 2024. The Assistant Director of Nursing (ADON) and Senior Nurse Consultant confirmed the lack of documentation and attributed it to issues with the electronic documentation system, which had no backup in place. Resident RA, who had intact cognition but required substantial assistance, reported inconsistencies in receiving scheduled baths/showers. RA's bath schedule was changed multiple times, and there were numerous instances where RA did not receive a scheduled bath/shower. Interviews with staff revealed confusion about RA's bath schedule and a lack of awareness regarding missed baths. The ADON confirmed that there was no policy related to baths/showers, and scheduling was based on residents' preferences. The facility could not provide adequate documentation to confirm that RA received the necessary care.
Failure to Implement Smoking Policy and Procedures
Penalty
Summary
The facility failed to implement their smoking policy and procedures regarding designated smoking areas for staff. The facility's policy, dated 2019, stated that smoking was only permitted in a designated smoking area to promote safety. However, observations revealed that an LPN was smoking on the front patio, which was not a designated smoking area. The LPN extinguished her cigarette on the ground and disposed of the butt in a trash can containing paper products, which posed a fire hazard. The Administrator confirmed that staff were only permitted to smoke on the back patio, which was equipped with fire safety measures, but acknowledged that an employee was smoking on the front porch when he arrived, although he could not identify the employee due to darkness. A resident reported that night staff, especially on weekends, were not answering call lights and that the facility's front door was constantly slamming shut between 1:00 am and 5:00 am, with cigarette butts found on the porch every morning. The LPN admitted to smoking on the front porch because she felt uncomfortable smoking on the back porch due to hearing coyotes. She also stated she was not familiar with all the facility rules related to smoking. Observations confirmed that the back patio had fire-retardant canisters for cigarette disposal and a fire extinguisher, while the front porch did not have these safety measures.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Gray
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Lane Health And Rehabilitation | 3.2 mi | ★★★★★ | 0 | 0 |
| Pruitthealth - Eastside | 13.2 mi | ★★★★★ | 5 | 0 |
| Bolingreen Health And Rehabilitation | 14.4 mi | ★★★★★ | 2 | 0 |
| Pruitthealth - Lakeside, Llc | 14.4 mi | ★★★★★ | 5 | 0 |
| Macon Rehabilitation And Healthcare | 14.5 mi | ★★★★★ | 8 | 0 |
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