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Deficiency Records for Greentree Manor Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Greentree Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Greentree Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| 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 | 2025-12-22 | 2026-02-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-12-02 | 2026-01-13 | 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 | 2025-12-02 | 2026-01-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-07-08 | 2025-08-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-08 | 2025-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-08 | 2025-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-06 | 2025-07-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-06 | 2025-07-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-06 | 2025-07-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-06 | 2025-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-06 | 2025-07-17 | 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 | 2025-05-06 | 2025-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-06 | 2025-07-17 | 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 | 2025-05-06 | 2025-07-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-06 | 2025-07-17 | 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 | 2025-05-06 | 2025-07-17 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2025-05-06 | 2025-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-06 | 2025-07-17 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-06 | 2025-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-06 | 2025-07-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-06 | 2025-07-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-05-06 | 2025-07-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-15 | 2025-06-26 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-06 | 2025-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-06 | 2025-06-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-05-06 | 2025-06-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-05-06 | 2025-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-06 | 2025-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-06 | 2025-06-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-06 | 2025-06-09 | 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 | 2025-03-24 | 2025-05-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-31 | 2024-12-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-31 | 2024-12-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-10-31 | 2024-12-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-17 | 2024-11-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-17 | 2024-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-07 | 2024-11-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-01 | 2024-10-11 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-01 | 2024-10-11 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-08-28 | 2024-10-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-19 | 2024-03-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-19 | 2024-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-03-01 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-19 | 2024-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-18 | 2023-08-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-18 | 2023-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-18 | 2023-08-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-23 | 2023-08-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-23 | 2023-08-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-08-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-23 | 2023-08-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-23 | 2023-08-04 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Develop a communication plan. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-25 | 2023-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-07-06 | 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 | 2023-05-25 | 2023-07-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-25 | 2023-07-06 | 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 | 2023-05-25 | 2023-07-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-25 | 2023-07-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-05-25 | 2023-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-07-06 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-07-06 | 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 | 2023-05-25 | 2023-07-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-25 | 2023-07-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-07-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-25 | 2023-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-07-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-25 | 2023-07-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-25 | 2023-07-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-25 | 2023-07-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-25 | 2023-07-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-25 | 2023-07-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-25 | 2023-07-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-25 | 2023-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-07-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-25 | 2023-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-02-10 | 2021-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-10 | 2021-03-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-10 | 2021-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-03-06 | 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 | 2021-02-10 | 2021-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-10 | 2021-03-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-10 | 2021-03-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-02-10 | 2021-03-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-02-10 | 2021-03-06 | N |