Deficiency Records for Greentree Manor Nursing and Rehabilitation Center
Updated as of November 01, 2022
This is not the most recent data for Greentree Manor Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Greentree Manor Nursing 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-05 | 2022-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-05 | 2022-11-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-10 | 2022-05-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-28 | 2021-07-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-28 | 2021-07-08 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-02-03 | 2021-04-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 safe and appropriate respiratory care for a resident when needed. | 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 |
| 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 |
| 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 |
| 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 |
| Provide and implement an infection prevention and control program. | 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-25 | 2020-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-27 | 2020-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-27 | 2020-12-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-27 | 2020-12-31 | 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 | 2019-02-07 | 2019-03-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-07 | 2019-03-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-07 | 2019-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-07 | 2019-03-21 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-07 | 2019-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-07 | 2019-03-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-02-07 | 2019-03-21 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-07 | 2019-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-06 | 2019-03-20 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-12 | 2018-01-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-12 | 2018-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-12 | 2018-01-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-12 | 2018-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-12 | 2018-01-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-12 | 2018-01-23 | 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 | 2017-12-12 | 2018-01-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-05 | 2018-01-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2017-12-05 | 2018-01-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-05 | 2018-01-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-05 | 2018-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-05 | 2018-01-16 | N |
