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Deficiency Records for Greenbrier Health Center
A list of the most recent deficiencies for Greenbrier Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Greenbrier Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-17 | 2024-08-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-02 | 2024-08-15 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-02 | 2024-08-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-02 | 2024-08-15 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-04-24 | 2024-04-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-26 | 2024-03-12 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-02-26 | 2024-03-12 | Y |
| 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. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-26 | 2024-03-12 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-26 | 2024-03-12 | Y |
| 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. | Health | 2024-02-26 | 2024-03-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-26 | 2024-03-12 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-02-26 | 2024-03-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-26 | 2023-11-13 | Y |
| 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. | Health | 2023-10-26 | 2023-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-11-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-26 | 2023-11-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-26 | 2023-11-13 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-16 | 2023-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-28 | 2023-04-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-28 | 2023-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-28 | 2023-04-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-10-14 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-29 | 2022-10-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-23 | 2022-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-03-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-23 | 2022-03-14 | Y |
| 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. | Health | 2022-02-23 | 2022-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-11-23 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Develop a communication plan. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Establish methods for sharing information. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| 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. | Health | 2018-12-19 | 2019-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-19 | 2019-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-12-19 | 2019-01-04 | N |
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