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Deficiency Records for Greenville Skilled Nursing and Rehabilitation

A list of the most recent deficiencies for Greenville Skilled Nursing and Rehabilitation. 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 Greenville Skilled Nursing and Rehabilitation. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-08 2024-05-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-08 2024-05-30 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-05-08 2024-05-30 Y
Respond appropriately to all alleged violations. Health 2024-05-08 2024-05-30 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-05-08 2024-05-30 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-05-08 2024-05-30 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-05-08 2024-05-30 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-05-08 2024-05-30 Y
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-05-08 2024-05-30 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-05-08 2024-05-30 Y
Provide training in compliance and ethics. Health 2024-05-08 2024-05-30 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2024-05-08 2024-05-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-19 2024-03-20 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-24 2024-02-23 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-24 2024-02-23 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-17 2024-02-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-17 2024-02-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-17 2024-02-15 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 2023-12-21 2024-01-20 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-21 2024-01-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-21 2024-01-20 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 2023-12-21 2024-01-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-21 2024-01-20 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-12-21 2024-01-20 N
Provide and implement an infection prevention and control program. Health 2023-12-21 2024-01-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-12-21 2024-01-20 N
Install an approved automatic sprinkler system. Fire Safety 2023-12-21 2024-01-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-21 2024-01-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-21 2024-01-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-21 2024-01-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-21 2024-01-20 N
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Fire Safety 2023-12-21 2024-01-20 N
Ensure each resident receives an accurate assessment. Health 2023-08-31 2023-09-15 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 2023-08-09 2023-09-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-09 2023-09-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-10 2023-01-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-21 2023-01-21 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-12-21 2023-01-20 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-12-01 2022-12-06 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-01 2022-12-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-01 2022-12-06 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-28 2022-12-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-28 2022-12-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-28 2022-12-04 N
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 2022-10-28 2022-12-04 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-10-28 2022-12-04 N
Ensure medication error rates are not 5 percent or greater. Health 2022-10-28 2022-12-04 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 2022-10-28 2022-12-04 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-10-28 2022-12-04 N
Implement a program that monitors antibiotic use. Health 2022-10-28 2022-12-04 N
Provide and implement an infection prevention and control program. Health 2022-10-28 2022-12-04 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-10-27 2022-12-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-27 2022-12-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-27 2022-12-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-06 2022-09-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-06 2022-09-14 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-07-25 2022-08-04 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-06-29 2022-07-29 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-29 2022-07-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-29 2022-07-29 Y
Provide appropriate foot care. Health 2022-06-29 2022-07-29 Y
Provide and implement an infection prevention and control program. Health 2022-06-29 2022-07-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-26 2022-02-20 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-01-26 2022-02-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-08 2021-11-22 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 2021-07-30 2021-08-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-07-30 2021-08-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-30 2021-08-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-30 2021-08-19 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 2021-07-30 2021-08-19 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-07-29 2021-08-19 N
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 2021-07-30 2021-08-11 N

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