Deficiency Records for Greenbrier Regional Medical Center
Updated as of October 01, 2018
This is not the most recent data for Greenbrier Regional Medical Center. For the most recent information, click here.
A list of the most recent deficiencies for Greenbrier Regional Medical 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-08-24 | 2017-11-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-24 | 2017-10-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-27 | 2017-09-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-27 | 2017-09-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-07-27 | 2017-09-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-27 | 2017-09-06 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-27 | 2017-09-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-07-27 | 2017-09-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-07-27 | 2017-09-06 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-27 | 2017-09-06 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-27 | 2017-09-06 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-07-27 | 2017-09-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-27 | 2017-09-06 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-27 | 2017-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-27 | 2017-09-06 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-27 | 2017-09-06 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-07-27 | 2017-09-06 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-27 | 2017-09-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-06-27 | 2016-08-10 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-06-27 | 2016-08-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-27 | 2016-08-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-27 | 2016-08-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-27 | 2016-08-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-27 | 2016-08-10 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-06-27 | 2016-08-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-27 | 2016-08-10 | N |
| Provide or obtain dental services for each resident. | Health | 2016-06-27 | 2016-08-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-27 | 2016-08-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-27 | 2016-08-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-06-27 | 2016-08-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-27 | 2016-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-27 | 2016-08-10 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-06-27 | 2016-08-10 | Y |
| Keep each resident free from drugs that restrain them, unless needed for medical treatment. | Health | 2016-06-27 | 2016-08-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-27 | 2016-08-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-27 | 2016-08-10 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-27 | 2016-08-10 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-06-27 | 2016-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-27 | 2016-06-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-06-27 | 2016-06-28 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-25 | 2015-12-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-09-25 | 2015-12-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-09-25 | 2015-12-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-25 | 2015-11-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-09-25 | 2015-11-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-09-25 | 2015-11-25 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-09-25 | 2015-11-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-25 | 2015-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-25 | 2015-10-28 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-09-25 | 2015-10-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-09-25 | 2015-10-28 | N |
