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Deficiency Records for Greenbriar Nursing Center
A list of the most recent deficiencies for Greenbriar Nursing 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 Nursing 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 the activities program is directed by a qualified professional. | Health | 2024-02-21 | 2024-02-23 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-05 | 2023-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-29 | 2023-12-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-29 | 2023-12-22 | Y |
| 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 | 2022-04-11 | 2022-05-03 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-11 | 2022-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-11 | 2022-05-03 | 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 | 2022-04-11 | 2022-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-11 | 2022-05-03 | N |
| 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 | 2022-04-11 | 2022-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-11 | 2022-05-03 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-11 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-11 | 2022-05-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-11 | 2022-05-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-04-06 | 2022-05-03 | 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 | 2022-04-06 | 2022-05-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-06 | 2022-05-03 | N |
| 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 | 2019-03-21 | 2019-05-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-21 | 2019-05-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-21 | 2019-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-05-03 | 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 | 2019-03-21 | 2019-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-21 | 2019-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-05-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-21 | 2019-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-21 | 2019-05-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-25 | 2019-05-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-01 | 2018-03-23 | 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 | 2018-02-01 | 2018-03-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-01 | 2018-03-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-02-01 | 2018-03-23 | 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 | 2018-02-01 | 2018-03-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-02-01 | 2018-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-01 | 2018-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-01 | 2018-03-23 | N |
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