Deficiency Records for Greenwood Center For Rehabilitation and Nursing
Updated as of April 01, 2024
A list of the most recent deficiencies for Greenwood Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-01-23 | Y |
| Meet other general requirements. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-26 | 2023-06-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-14 | 2023-05-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-14 | 2023-05-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-14 | 2023-05-30 | 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 | 2023-04-14 | 2023-05-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-14 | 2023-05-30 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-04-14 | 2023-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-05-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-14 | 2023-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-14 | 2023-05-30 | 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 | 2023-04-14 | 2023-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-05-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-14 | 2023-05-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-04-14 | 2023-05-30 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-04-14 | 2023-05-30 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-04-14 | 2023-05-30 | 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 | 2023-04-14 | 2023-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-30 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-04-14 | 2023-05-30 | 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 | 2023-04-14 | 2023-05-30 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-14 | 2023-05-30 | 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 | 2023-02-06 | 2023-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-06 | 2023-02-28 | Y |
| Report COVID19 data to residents and families. | Health | 2023-02-06 | 2023-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-12-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-20 | 2022-12-06 | 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 | 2022-10-20 | 2022-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-22 | 2022-05-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-22 | 2022-05-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-22 | 2022-05-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-22 | 2022-05-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-22 | 2022-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-22 | 2022-05-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-22 | 2022-05-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-04-22 | 2022-05-25 | 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 | 2022-04-22 | 2022-05-25 | N |
| Meet other general requirements. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-04 | 2022-05-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-19 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-19 | 2021-06-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-19 | 2021-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-19 | 2021-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-19 | 2021-06-18 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2021-04-02 | 2021-05-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-02 | 2021-05-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-02 | 2021-05-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-02 | 2021-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-02 | 2021-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-02 | 2021-05-11 | N |
| Provide appropriate foot care. | Health | 2021-04-02 | 2021-05-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-02 | 2021-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-02 | 2021-05-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-04-02 | 2021-05-11 | 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 | 2021-04-02 | 2021-05-11 | 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 | 2021-04-02 | 2021-05-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-16 | Not Fixed | Y |
