Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Georgetown Nursing And Transitional Care during CMS and state inspections, most recent first.
Food storage practices were not followed in one kitchen when surveyors found expired milk in the reach-in fridge, expired dessert syrup in dry storage, a dented can of pineapple with no identifiable date, and an undated bulk container of wild rice. The Dietary Mgr and CK A stated damaged cans were kept in the Mgr's office for return, and CK A said she was responsible for labeling and dating items, but no one checked storage areas on her days off.
Improper Dumpster Coverage and Refuse Disposal: Surveyors observed two dumpsters with side doors open, debris and residue on the ground, and one dumpster with trash overflowing from an open side door. Staff interviews showed the dumpsters were checked multiple times daily, but the Dietary Manager acknowledged ongoing difficulty keeping the tops and sides closed and sweeping the area, and the Administrator stated dumpster lids should be closed for pest control purposes.
A resident with a history of falls and severe cognitive impairment fell and sustained significant injuries, including fractures and a laceration. The facility failed to conduct required neurological assessments and vital sign checks upon the resident's return from the hospital, as outlined in her care plan. Nursing staff acknowledged the importance of these assessments but did not perform them, citing reasons such as forgetting or being unaware of the requirement. This lack of action and documentation placed the resident at risk of not receiving necessary medical care.
A resident with COPD and aspiration pneumonia was found to have a nebulizer mask improperly stored with brown spots resembling vomit, indicating a lapse in infection control. Despite protocols for storing oxygen equipment, staff interviews revealed that the mask was not bagged after use, posing an infection risk. The facility's policy emphasized proper storage to prevent contamination, but recent training was not effectively implemented.
A resident with severe cognitive impairment and sensory limitations was subjected to verbal abuse by a CNA, who repeatedly yelled her name and made disparaging comments. The resident, who was distressed and fearful, had a history of dementia and Alzheimer's, requiring substantial assistance. The incident was captured on surveillance footage, highlighting a deficiency in protecting the resident's right to be free from abuse.
A CNA in a LTC facility involuntarily secluded a resident by pushing her in a wheelchair into her room, closing the door, and holding it shut while the resident yelled to be let out. The resident, who had severe cognitive impairment and dementia, was distressed and continued to ring a bell for assistance. The incident was captured on video, showing the CNA's failure to adhere to the facility's policies on resident rights and abuse prevention.
Food Storage Deficiencies in Kitchen
Penalty
Summary
The facility failed to store food in accordance with professional standards for food safety in one kitchen reviewed. During observation of the kitchen, surveyors found a gallon of milk in the reach-in refrigerator with an expiration date of 6/21/2026, a bottle of dessert syrup in the dry storage room with a best-by date of 3/14/2026, and a dented can of pineapple in the dry storage room with an unidentifiable date. Surveyors also observed an updated bulk container of wild rice in the dry storage room that was not dated. During interviews, the Dietary Manager stated dented cans were kept in his office, and CK A stated the dented pineapple can needed to be placed in the Dietary Manager's office because damaged cans were returned. CK A stated she checked the cans on Tuesdays and had just missed it, and that there was no date on the wild rice even though it should have been dated. CK A also stated she was responsible for making sure everything was labeled and dated, and that on her days off no one checked the storage areas. The Dietary Manager stated items were labeled and dated when delivered and that everything should have a label and a date, while the Administrator stated all food items needed to be labeled, dated, and discarded when they expired.
Improper Dumpster Coverage and Refuse Disposal
Penalty
Summary
The facility failed to dispose of garbage and refuse properly for two dumpsters that were observed during survey. On 6/22/2026 at 11:00 A.M., surveyors observed two dumpsters, with the dumpster on the right having both side doors open. The ground near the dumpster on the left had a dark residue near the base and debris on the ground, including a plastic straw, a plastic lid, a condiment packet, plastic waste, and paper waste. On 6/23/2026 at 12:12 PM, the plastic and paper trash seen the day before were gone, but the condiment packet remained on the ground. At that time, the dumpster on the left had one side door open, and the dumpster on the right had one side door open with a bag of trash overflowing from the opened side door. During interviews, CK A stated that the dumpster should be clean and covered and that dishwashers were responsible for keeping it clean and covered, while also stating that everyone uses the dumpster and that nursing staff used it but cooks did not. DW B stated that he checked the dumpsters every morning around 9:00 A.M. and again around 1:00 PM, and that the evening dishwasher checked them at 4:00 PM and 8:00 PM daily. The Dietary Manager stated that the struggle was keeping the tops and sides closed and sweeping around the dumpsters, and that there had been nursing trash around the dumpster that morning. The Administrator stated that dumpster lids should be closed when not in use for pest control purposes, and that not keeping dumpsters clean and covered increased the risk for pests.
Failure to Conduct Post-Fall Assessments and Monitoring
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices following a fall. The resident, who had a history of falls and severe cognitive impairment, fell and sustained significant injuries, including an orbital floor fracture, a lip laceration, a hematoma, and a maxillary sinus fracture. Despite these injuries, the facility did not implement the necessary assessments and neurological checks upon the resident's return from the emergency room, as required by the care plan. Interviews and record reviews revealed that the nursing staff did not perform the required neurological assessments and vital sign checks on the resident after her return from the hospital. The resident's care plan specified that staff should conduct neurological checks for 72 hours following a fall, but these were not documented or performed. The nursing staff, including LVN A and RN D, acknowledged the importance of these assessments but failed to initiate them, citing reasons such as forgetting or being unaware of the requirement. This lack of action was compounded by the absence of documentation in the resident's electronic health records, which should have reflected the assessments and vital sign checks. The deficiency was further highlighted by the inconsistent accounts of the incident and the lack of communication among the facility's staff. Interviews with various staff members, including the Infection Preventionist, LVN A, and the NP, indicated a lack of clarity and adherence to protocols for post-fall assessments. The DON and ADM were also unable to provide documentation of the required assessments, and there was no evidence that the facility staff monitored the resident for changes in condition as expected. This failure to follow established protocols and document care placed the resident at risk of not receiving necessary medical care and potentially exacerbated her injuries.
Improper Storage of Nebulizer Mask Leads to Infection Control Deficiency
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident, specifically in the storage and maintenance of a nebulizer mask. The resident, who was cognitively intact and had a history of chronic obstructive pulmonary disease (COPD) and aspiration pneumonia, was found to have a nebulizer mask with thick, brown spots resembling vomit on it, left on the dresser and not stored properly. This observation was made when the resident was not in the room, indicating a lapse in infection control practices. Interviews with the facility's staff, including the Infection Preventionist, LVN A, LVN B, the Director of Nursing (DON), and the Administrator (ADM), revealed that there were established protocols for storing nebulizer masks and oxygen equipment when not in use. These protocols included rinsing, air drying, and bagging the equipment to prevent contamination and infection. However, it was noted that LVN A, who was responsible for the resident's care on the day of the observation, admitted to forgetting to bag the nebulizer mask after its use that morning. The facility's policy on oxygen therapy administration emphasized the importance of storing oxygen equipment properly to prevent infection and potential hazards. Despite recent in-service training on oxygen use and storage, the staff failed to adhere to these guidelines, as evidenced by the improper storage of the nebulizer mask. This deficiency in practice could place residents at risk of infection, highlighting a significant lapse in the facility's infection control measures.
Verbal Abuse Incident Involving a Resident with Cognitive Impairment
Penalty
Summary
The facility failed to protect a resident from verbal abuse by a CNA on the evening of February 3, 2025. The resident, who had severe cognitive impairment and was hard of hearing and nearly blind, was subjected to inappropriate verbal interactions by the CNA. The CNA repeatedly yelled her name into the resident's ear and made disparaging comments about the resident's behavior, which was captured on surveillance footage. The resident was visibly distressed and expressed fear about her safety at the facility. The resident's medical history included dementia, Alzheimer's disease, and anxiety disorder, which contributed to her vulnerability. The resident required substantial assistance for transfers and had impaired vision and hearing, making her dependent on staff for care and communication. Despite these needs, the CNA failed to communicate effectively and respectfully, exacerbating the resident's distress and fear. The incident was identified as past noncompliance, with the facility having addressed the issue before the survey began. However, during the incident, the CNA's actions were not aligned with the facility's policies on resident rights and abuse prevention, leading to a deficiency in ensuring the resident's right to be free from abuse.
Involuntary Seclusion of a Resident by CNA
Penalty
Summary
The facility failed to ensure that a resident was free from involuntary seclusion and any physical restraint not required to treat the resident's medical symptoms. On the evening in question, a CNA pushed a resident, who was sitting in a wheelchair, into her room, closed the door, and held it shut while the resident was heard yelling to be let out. This incident was identified as past noncompliance, and the facility had corrected the issue before the survey began. The resident involved was an elderly female with severe cognitive impairment, dementia, Alzheimer's disease, and other medical conditions. She required substantial assistance for transfers and standing but could propel her wheelchair independently. The resident's care plan indicated that loud noises could cause her to react negatively, and she needed assistance to maintain involvement in social activities due to her cognitive impairment. The incident was captured on video, showing the CNA repeatedly asking the resident how she could help, despite the resident's requests to know the CNA's name. The CNA eventually pushed the resident back into her room, closed the door, and held it shut, preventing the resident from leaving. The resident was distressed and continued to ring a bell for assistance. The facility's policies on resident rights and abuse prevention were not adhered to in this situation, leading to the deficiency finding.
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Illustrative
What surveyors actually found near you
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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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Georgetown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Park Place Care Center | 3.2 mi | ★★★★★ | 15 | 2 |
| Bel Air At Teravista | 7.5 mi | ★★★★★ | 11 | 0 |
| San Gabriel Rehabilitation And Care Center | 10.3 mi | ★★★★★ | 3 | 0 |
| Park Valley Inn Health Center | 11.2 mi | ★★★★★ | 16 | 1 |
| Hearthstone Nursing And Rehabilitation | 11.2 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.