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Deficiency Records for Greenleaf Health Campus
View the most recent health deficiencies and inspection results for Greenleaf Health Campus. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Greenleaf Health Campus. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-09-26 | 2025-12-19 | 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 | 2025-09-26 | 2025-12-19 | N |
| 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 | 2025-09-26 | 2025-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-26 | 2025-12-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-09-26 | 2025-12-19 | 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 | 2025-09-26 | 2025-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-26 | 2025-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-17 | 2024-10-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-17 | 2024-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-17 | 2024-10-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-17 | 2024-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-17 | 2024-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-17 | 2024-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-17 | 2024-10-17 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-09-17 | 2024-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-17 | 2024-10-17 | 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 | 2024-09-17 | 2024-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-17 | 2024-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-17 | 2024-10-17 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-17 | 2024-10-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-09-17 | 2024-10-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-17 | 2024-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2024-05-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-11-15 | 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 | 2023-10-11 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-08 | Y |
| 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 | 2023-08-09 | 2023-09-08 | Y |