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Deficiency Records for Greenbriar Center
A list of the most recent deficiencies for Greenbriar 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 Greenbriar 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-05 | 2024-09-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-15 | 2024-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-15 | 2024-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-03-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-02-15 | 2024-03-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-15 | 2024-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-15 | 2024-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2023-12-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-07 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2023-12-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-06 | 2023-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-17 | 2023-08-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-17 | 2023-07-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-05 | 2023-01-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-05 | 2023-01-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-05 | 2023-01-30 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-01-05 | 2023-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-11 | 2022-10-21 | Y |
| Keep all essential equipment working safely. | Health | 2022-09-12 | 2022-09-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-19 | 2022-04-20 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-10 | 2022-03-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-10 | 2022-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-10 | 2022-03-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-10 | 2022-03-07 | 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 | 2022-02-10 | 2022-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-03-07 | N |
| 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 | 2022-02-10 | 2022-03-07 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-10 | 2022-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-10 | 2022-03-07 | 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 | 2022-02-07 | 2022-03-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-02-07 | 2022-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-07 | 2022-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-07 | 2022-03-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-07 | 2022-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-07 | 2022-03-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-28 | 2019-04-24 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-03-28 | 2019-04-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-28 | 2019-04-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-28 | 2019-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-28 | 2019-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-28 | 2019-04-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-28 | 2019-04-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-28 | 2019-04-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
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