Deficiency Records for Greensville Health and Rehabilitation Center
Updated as of August 01, 2024
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Deficiency Records for Greensville Health and Rehabilitation Center
A list of the most recent deficiencies for Greensville Health and Rehabilitation 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 Greensville Health and Rehabilitation 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-01 | 2023-09-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-08-01 | 2023-09-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-01 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-01 | 2023-09-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-28 | 2023-09-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-28 | 2023-09-11 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2023-07-28 | 2023-09-11 | 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 | 2023-07-28 | 2023-09-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-28 | 2023-09-11 | 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 | 2023-07-28 | 2023-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-28 | 2023-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-28 | 2023-09-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-28 | 2023-09-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-28 | 2023-09-11 | 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 | 2023-07-28 | 2023-09-11 | 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 | 2023-07-28 | 2023-09-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-09-11 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-28 | 2023-09-11 | N |
| 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 | 2023-07-28 | 2023-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-21 | 2022-08-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-21 | 2022-08-23 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-29 | 2021-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-29 | 2021-06-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-29 | 2021-06-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-29 | 2021-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-29 | 2021-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-04-23 | 2021-05-28 | N |
| Provide or obtain dental services for each resident. | Health | 2021-04-23 | 2021-05-28 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-04 | 2019-04-02 | 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 | 2018-12-04 | 2019-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-04 | 2019-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-04 | 2019-04-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-04 | 2019-04-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-12-04 | 2019-04-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-12-04 | 2019-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-04 | 2019-01-31 | 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 | 2018-10-12 | 2018-12-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-10-12 | 2018-11-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-12 | 2018-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-12 | 2018-11-19 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-12 | 2018-11-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2018-11-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-12 | 2018-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-12 | 2018-11-19 | 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 | 2018-10-12 | 2018-11-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-12 | 2018-11-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-12 | 2018-11-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-12 | 2018-11-19 | N |
| 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 | 2018-10-12 | 2018-11-19 | N |
| 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 | 2018-10-12 | 2018-11-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-12 | 2018-11-19 | N |
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