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Deficiency Records for Greenbrier Health Center
View the most recent health deficiencies and inspection results for Greenbrier Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Greenbrier Health Center. Stay informed about quality of care issues.
| 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 | 2025-10-08 | 2025-11-04 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-10-08 | 2025-11-04 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-10-08 | 2025-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-08 | 2025-11-04 | 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 | 2025-10-08 | 2025-11-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-10-08 | 2025-11-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-10-08 | 2025-11-04 | N |
| Provide or obtain dental services for each resident. | Health | 2025-10-08 | 2025-11-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-10-08 | 2025-11-04 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-10-08 | 2025-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-10-08 | 2025-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-10-08 | 2025-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-08 | 2025-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-08 | 2025-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-10-08 | 2025-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-08 | 2025-11-04 | 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 | 2025-10-08 | 2025-11-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-10-08 | 2025-11-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-10-08 | 2025-11-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-08 | 2025-11-04 | 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 | 2025-10-08 | 2025-11-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-10-08 | 2025-11-04 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-10-08 | 2025-11-04 | 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 | 2025-10-08 | 2025-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-10-08 | 2025-11-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-07 | 2025-03-13 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-02-11 | 2025-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-17 | 2024-08-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-02 | 2024-08-15 | 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 | 2024-08-02 | 2024-08-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-02 | 2024-08-15 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-04-24 | 2024-04-30 | 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 | 2024-02-26 | 2024-03-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-26 | 2024-03-12 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-02-26 | 2024-03-12 | Y |
| 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 | 2024-02-26 | 2024-03-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-26 | 2024-03-12 | 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 | 2024-02-26 | 2024-03-12 | Y |
| 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 | 2024-02-26 | 2024-03-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-26 | 2024-03-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-26 | 2024-03-12 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-02-26 | 2024-03-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-26 | 2024-03-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-26 | 2024-03-12 | Y |
| 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 | 2023-10-26 | 2023-11-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-26 | 2023-11-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-26 | 2023-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-11-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-26 | 2023-11-13 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-11-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-26 | 2023-11-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-13 | 2020-03-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Develop a communication plan. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Establish methods for sharing information. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-13 | 2020-03-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-02-13 | 2020-03-13 | N |