Below 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 Gardens Of Paulding The during CMS and state inspections, most recent first.
Kitchen Sanitation and Food Storage Deficiencies: Surveyors observed food debris, paper towel pieces, dirt, an unknown yellow substance in the microwave, charred debris on the stove, dried substance and splatters on the refrigerator, and broken plastic pieces and dirt in dry storage. A scoop was also stored inside the flour bin, and the Dietary Director stated the kitchen entry area was only cleaned once per month despite the cleaning checklist showing all items completed.
A cognitively impaired resident, requiring supervision and assistance, was found with a facility-supplied bottle of antifungal powder mixed with water and was observed drinking from it. Staff removed the bottle and reported the incident to an LPN, who did not notify the physician, DON, or family, and disposed of the bottle without further assessment. Neither the resident nor her roommate had an order for the medication, and the source of the powder was unclear. The antifungal product's labeling and MSDS required secure storage and immediate action if ingested, but these protocols were not followed.
Surveyors found that staff did not label or date certain refrigerated foods and observed a dietary staff member preparing food with painted fingernails, wiping hands on clothing, and touching her face after handwashing. These actions were not in accordance with facility policy and FDA guidelines for food safety.
A resident with intact cognition and a history of depression and wound care needs reported being struck on the hand by an LPN during a procedure, with a roommate present who heard the incident. The facility's investigation was incomplete, as it did not include statements from the roommate or other staff, contrary to facility policy.
A resident with physical and cognitive conditions requiring assistance with personal hygiene did not receive adequate help with shaving, resulting in an unkempt and food-soiled mustache over several days. Staff and family confirmed the resident was unable to shave independently, yet grooming needs were not met as documented in care plans and CNA records.
A resident with multiple chronic conditions and a history of fall risk experienced a fall after slipping on a wet towel outside the shower. Although the care plan was updated to include non-slip strips as a preventive measure, observation and LPN interview confirmed that these strips were not present in the bathroom, contrary to facility policy requiring such interventions.
A resident with multiple health conditions and severe cognitive impairment was not provided with a recommended nutritional supplement, as the RD's suggestion for a magic cup supplement twice daily was not implemented or documented by staff, contrary to facility policy.
A resident with multiple chronic conditions had repeated inaccurate documentation in the MAR by an LPN, who recorded that insulin was administered even when the resident's blood sugar was below the physician-ordered threshold. The LPN later confirmed that the insulin was not given as documented and cited unfamiliarity with proper documentation procedures.
A CNA assisted a resident with a groin abscess into bed without donning required PPE, despite the resident being under Enhanced Barrier Precautions. The CNA believed PPE was only necessary for wound care, not for transfers, which was contrary to facility policy and CDC guidelines that mandate gown and glove use for high-contact care activities involving residents with wounds.
Kitchen Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to ensure the kitchen was properly cleaned and maintained in a sanitary manner and failed to ensure food items were stored in a manner to prevent contamination. During observation on 05/20/25 at 8:40 A.M., surveyors found food debris, small pieces of paper and paper towel, and dirt accumulation at the kitchen entryway. The interior of the microwave contained an unknown splattered yellow substance, and the gas stove had loose charred substances in the corners of the burners along with rice-like debris scattered around the burner surfaces. Surveyors also observed an unknown dried substance with visible streaking at the bottom of the stand-up refrigerator, multiple unidentified splatters on the exterior door, and broken orange plastic pieces scattered across the dry storage floor with visible dirt accumulation. A scoop was stored inside the flour bin in the dry storage area. The cleaning checklist dated 05/19/26 showed all items marked completed by the night shift, and the Dietary Director stated the kitchen entry area was only cleaned once per month because there was not enough time in the routine schedule to clean it more frequently. The Dietary Director verified the observations, and facility policy required the kitchen area to be kept clean, free from litter and rubbish, and scoops to be stored in a covered container.
Failure to Secure Medications Results in Cognitively Impaired Resident Accessing Antifungal Powder
Penalty
Summary
A deficiency occurred when a cognitively impaired resident with a BIMS score of 3, indicating significant cognitive impairment, was found in possession of a facility-supplied bottle of antifungal (Miconazole) powder. The resident, who required supervision for eating, bed mobility, transfers, and moderate assistance with toileting hygiene, was observed by a housekeeper and a state tested nursing assistant (STNA) with the bottle up to her mouth, and the bottle appeared to be half empty with water mixed into the powder. The staff immediately removed the bottle from the resident and brought it to an LPN, who reviewed the ingredients and disposed of the bottle without further assessment or notification to other staff or the resident's physician or family. The LPN did not visit the resident's room initially, relying on the information provided by the housekeeper and STNA, and did not observe any powder residue or symptoms in the resident. The incident was not reported to the oncoming nurse, the physician, or the resident's family at the time. The facility's Director of Nursing (DON) only became aware of the incident the following day after being informed by another nurse that the resident's daughter had learned about the ingestion from a housekeeper. An investigation revealed that neither the resident nor her roommate had a physician's order for the antifungal powder, and the source of the bottle in the resident's possession could not be determined. Facility review of the antifungal powder's labeling and the Material Safety Data Sheet (MSDS) indicated that ingestion required immediate medical attention or contact with poison control, and the product was to be stored securely. The failure to ensure that medications and biologicals were appropriately secured and stored resulted in a cognitively impaired resident accessing and potentially ingesting a medication without an order, in violation of accepted professional principles and facility policy.
Failure to Label Refrigerated Foods and Maintain Hand Hygiene During Food Service
Penalty
Summary
Surveyors observed that the facility failed to properly label and date refrigerated food items, including a bag of sliced cheddar cheese, a bag of bologna, and a container of coleslaw, as required by facility policy. The Dietary Manager confirmed these items were unlabeled and undated. Additionally, a staff member was seen pureeing a lunch meal while wearing thick nail polish, wiping her hands on her pants, and scratching her face after washing her hands, all during food preparation. The staff member acknowledged having nail polish on and touching her pants and face during food service. Facility policies and FDA guidelines require proper hand hygiene and prohibit the use of nail polish when handling exposed food unless gloves are worn.
Failure to Conduct Thorough Abuse Investigation
Penalty
Summary
The facility failed to conduct a complete and thorough investigation into an allegation of resident abuse. A resident with intact cognition and multiple medical diagnoses, including depression and an abscess requiring wound care, reported being struck on the hand by an LPN during a wound care procedure. The resident stated she attempted to assist by holding her abdominal fold, after which the LPN allegedly slapped her hand and yelled at her not to touch the area. The resident reported the incident to the administrator the following day. Another resident, who was the roommate and present in the room at the time, confirmed hearing the incident and the LPN's verbal response, although she did not visually witness the event due to a privacy curtain. The facility's investigation into the incident was incomplete. While the facility submitted a Self-Reported Incident (SRI) and interviewed the accused LPN, they failed to obtain a witness statement from the roommate who was present and did not collect statements from any other staff. The facility's own policy requires that all witnesses, including those who heard or were in close contact with the incident, be interviewed as part of the investigation. The Director of Nursing confirmed that these steps were not taken, resulting in a deficient investigation process.
Failure to Provide Assistance with Shaving for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident with early onset cerebellar ataxia, physical debility, and vascular dementia, who was cognitively intact but required supervision or assistance with personal hygiene, did not receive adequate help with shaving. The resident's care plan indicated a self-care deficit and required supervision with personal hygiene. CNA documentation over the past 30 days showed the resident was frequently marked as dependent or needing substantial assistance with personal hygiene tasks. Multiple observations over several days revealed the resident had an unkempt beard and mustache, with the mustache covering the top lip and, at times, containing food remnants. Interviews with the resident's responsible party and a CNA confirmed the resident was unable to shave himself and preferred aides to assist. Despite this, the resident's facial hair remained untrimmed and unclean, indicating a failure to provide necessary assistance with grooming as required by the facility's policy on supporting activities of daily living.
Failure to Implement Fall Prevention Interventions
Penalty
Summary
The facility failed to ensure that fall prevention interventions were in place for a resident identified as being at risk for falls. The resident, who had multiple diagnoses including COPD, dementia, neuromuscular dysfunction of the bladder, hypertension, diabetes with polyneuropathy, major depressive disorder, and carpal tunnel syndrome, was assessed as cognitively intact and had no prior falls since admission. After an unwitnessed fall in which the resident slipped on a wet towel outside the shower, the root cause was determined to be the lack of non-skid strips in front of the shower. Although the care plan was updated to include non-slip strips as an intervention, observation and staff interview confirmed that these strips were not present in the resident's bathroom at the time of review. Facility policy required staff to implement interventions based on identified risks and causes to prevent falls, but this was not followed in this instance.
Failure to Implement Dietitian's Nutritional Supplement Recommendation
Penalty
Summary
A resident with diagnoses including dementia, muscle weakness, depression, altered mental status, and Type II diabetes mellitus was identified as having a nutritional problem or being at risk for nutrition impairment and dehydration. The care plan included interventions such as providing dietary supplements as ordered, monitoring intake, and having a registered dietitian (RD) evaluate and recommend diet changes as needed. On 07/15/25, the RD recommended a trial of a magic cup nutritional supplement twice daily with lunch and dinner for additional nutritional support. Despite this recommendation, a review of the resident's physician orders for July and August 2025 showed no orders for the magic cup supplement. Interviews with the RD and the Director of Nursing (DON) confirmed that the RD's recommendation was not followed up on, and the supplement was not implemented. Facility policy required that RD recommendations be implemented or that reasons for non-implementation be documented in a timely manner, but this was not done in this case.
Inaccurate Medical Record Documentation for Insulin Administration
Penalty
Summary
The facility failed to ensure the accuracy of medical records for a resident with multiple diagnoses, including COPD, dementia, neuromuscular dysfunction of the bladder, hypertension, Type II diabetes with diabetic polyneuropathy, major depressive disorder, and carpal tunnel syndrome. The resident was cognitively intact according to the most recent assessment. A physician order specified that insulin lispro should be administered before meals only if the resident's blood sugar was 150 or higher, with instructions to hold the medication if the blood sugar was below this threshold. Review of the Medication Administration Records (MAR) over several months revealed repeated documentation by an LPN that insulin was administered even when the resident's blood sugar was less than 150, contrary to the physician's order. Upon interview, the LPN confirmed that the insulin was not actually administered as documented and admitted to being unfamiliar with how to document when the blood sugar was outside the prescribed parameters. This resulted in inaccurate medical records for the resident.
Failure to Use PPE During Resident Transfer Under Enhanced Barrier Precautions
Penalty
Summary
A deficiency was identified when a Certified Nursing Assistant (CNA) failed to don appropriate Personal Protective Equipment (PPE), specifically a gown and gloves, prior to assisting a resident with a transfer into bed. The resident in question had an abscess in the right groin and was under Enhanced Barrier Precautions (EBP) as documented in the care plan. The CNA assisted the resident without PPE, despite facility policy and CDC guidelines requiring gown and glove use for high-contact activities such as transferring residents with wounds. The CNA confirmed during an interview that she did not wear PPE for the transfer, stating she believed PPE was only necessary for wound care or dressing changes. Review of the facility's EBP policy and CDC guidance indicated that PPE should be used for all high-contact care activities, including transfers, for residents with wounds. This lapse was observed and verified through medical record review, staff interview, and policy review.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 96 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Paulding
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vancrest Of Payne | 7.5 mi | ★★★★★ | 6 | 0 |
| Vancrest Of Hicksville | 13 mi | ★★★★★ | 0 | 0 |
| Laurels Of Defiance The | 14.8 mi | ★★★★★ | 0 | 0 |
| Brookview Healthcare Center | 15.8 mi | ★★★★★ | 3 | 0 |
| Adams Heritage | 18.5 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Gardens Of Paulding The.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.