Deficiency Records for Greenbriar Healthcare Rehabilitation and Nursing C
Updated as of April 01, 2024
A list of the most recent deficiencies for Greenbriar Healthcare Rehabilitation and Nursing C. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-09 | 2023-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-09 | 2023-07-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-08 | 2023-07-08 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-08 | 2023-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-08 | 2023-07-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-08 | 2023-07-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-29 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-03-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-23 | 2021-08-23 | 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 | 2021-07-23 | 2021-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-23 | 2021-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-08-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-21 | 2021-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-21 | 2021-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-21 | 2021-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-21 | 2021-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-07 | 2021-05-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-07 | 2021-05-18 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-04-07 | 2021-05-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-07 | 2021-05-18 | Y |
| 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 | 2021-04-07 | 2021-05-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-07 | 2021-05-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-24 | 2019-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-23 | 2019-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-23 | 2019-11-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-23 | 2019-11-24 | N |
