Deficiency Records for Greenbrier Health Care Center
Updated as of March 01, 2018
This is not the most recent data for Greenbrier Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Greenbrier Health Care 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? |
|---|---|---|---|---|
| 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 | 2017-12-20 | 2018-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-20 | 2018-02-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-12-20 | 2018-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-12-22 | 2018-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-22 | 2018-01-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-22 | 2018-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-12-20 | 2018-01-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-21 | 2017-08-18 | Y |
| 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 | 2017-02-07 | 2017-03-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-02-07 | 2017-03-13 | 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 | 2017-02-07 | 2017-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-07 | 2017-03-13 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-11 | 2017-03-13 | N |
| 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 | 2017-02-11 | 2017-03-13 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-11 | 2017-03-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-11 | 2017-03-13 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-02-11 | 2017-03-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-11 | 2017-03-13 | 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 | 2017-02-11 | 2017-03-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-11 | 2017-03-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-11 | 2017-03-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-11 | 2017-03-13 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-02-11 | 2017-03-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-07-07 | 2016-08-05 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-21 | 2016-07-22 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-21 | 2016-07-22 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-23 | 2016-05-07 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-23 | 2016-05-07 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-23 | 2016-05-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-03-25 | 2016-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-25 | 2016-04-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-25 | 2016-04-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-03-25 | 2016-04-29 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-03-25 | 2016-04-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-25 | 2016-04-29 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-05-11 | 2015-06-16 | 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 | 2015-05-11 | 2015-06-16 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-05-11 | 2015-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-11 | 2015-06-16 | Y |
