CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Greendale Park Nursing and Rehab
View the most recent health deficiencies and inspection results for Greendale Park Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Greendale Park Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-27 | 2026-03-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-01-27 | 2026-03-02 | N |
| 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 | 2026-01-27 | 2026-03-02 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-27 | 2026-03-02 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-27 | 2026-03-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-27 | 2026-03-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-27 | 2026-03-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-27 | 2026-03-02 | 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 | 2026-01-27 | 2026-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-27 | 2026-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-27 | 2026-03-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-27 | 2026-03-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-01-27 | 2026-03-02 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-01-27 | 2026-03-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-27 | 2026-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-27 | 2026-03-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-27 | 2026-03-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2026-01-27 | 2026-03-02 | 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 | 2026-01-27 | 2026-03-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2026-01-27 | 2026-02-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-27 | 2026-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-27 | 2026-02-18 | 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 | 2025-12-03 | 2025-12-04 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-12-03 | 2025-12-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-12-03 | 2025-12-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-03 | 2025-12-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-12 | 2025-09-10 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-08-12 | 2025-09-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-08-12 | 2025-09-10 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-12 | 2025-09-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-12 | 2025-09-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-12 | 2025-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-19 | 2025-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-19 | 2025-04-11 | 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 | 2025-03-19 | 2025-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-08 | 2025-02-13 | 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 | 2025-01-08 | 2025-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-08 | 2025-02-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-08 | 2024-12-13 | 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 | 2024-10-08 | 2024-11-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-10-08 | 2024-11-07 | 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 | 2024-10-08 | 2024-11-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-08 | 2024-11-07 | 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 | 2024-10-08 | 2024-11-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-10-08 | 2024-11-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-08 | 2024-11-07 | 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 | 2024-10-08 | 2024-11-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-08 | 2024-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-18 | 2024-08-30 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-18 | 2024-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-08-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-18 | 2024-08-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-18 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-18 | 2024-08-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-07-18 | 2024-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-18 | 2024-08-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-18 | 2024-08-30 | Y |
| 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 | 2024-07-18 | 2024-08-30 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-18 | 2024-08-30 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-18 | 2024-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-18 | 2024-08-30 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-07-25 | 2024-08-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-09 | 2024-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-09 | 2024-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-06 | 2024-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-06 | 2024-01-31 | 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 | 2024-01-17 | 2024-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-01-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-17 | 2024-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-19 | 2023-08-29 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-06-19 | 2023-08-14 | 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 | 2023-06-19 | 2023-07-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-19 | 2023-07-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-19 | 2023-07-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-19 | 2023-07-20 | 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 | 2023-06-19 | 2023-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-19 | 2023-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-19 | 2023-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-19 | 2023-07-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-19 | 2023-07-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-19 | 2023-07-20 | Y |
| 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 | 2023-06-19 | 2023-07-20 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-06-19 | 2023-07-20 | 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 | 2023-06-19 | 2023-07-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-19 | 2023-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-19 | 2023-07-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-19 | 2023-07-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-19 | 2023-07-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-19 | 2023-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-19 | 2023-07-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-19 | 2023-07-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-19 | 2023-07-20 | 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 | 2023-06-19 | 2023-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-19 | 2023-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-19 | 2023-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-19 | 2023-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-19 | 2023-07-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-19 | 2023-07-20 | N |