A list of the most recent deficiencies for Greenhills Manor. 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 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 | 2022-12-05 | 2023-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-05 | 2023-01-04 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-12-05 | 2023-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2023-01-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-12-05 | 2022-12-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-10-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-08-09 | 2019-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-09 | 2019-08-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-09 | 2019-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-08-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-09 | 2019-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-15 | 2018-12-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-15 | 2018-12-24 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-15 | 2018-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-15 | 2018-12-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-09 | 2018-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-09 | 2018-09-19 | 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 | 2018-08-09 | 2018-09-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-09 | 2018-09-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-09 | 2018-09-19 | N |
