AMS Memorial-Greene

In the surveyor’s words

From the most serious findings on record at AMS Memorial-Greene, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF887Jul 16, 2026

  Based on clinical record review, staff interview, policy review, and CDC guidelines review the facility failed to provide COVID-19 education and vaccinations for 5 of 5 residents (residents #1, #2, #3, #4 and #5) reviewed for immunizations. Additionally, the facility failed to track the immunization status of their staff. The facility reported a census of 5 residents.Findings include: Resident #1's immunization (vaccination) record lacked documentation of the 2025-2026 COVID-19 vaccination. Resident #2's immunization record lacked documentation of the 2025-2026 COVID-19 vaccination. Resident #3's immunization record lacked documentation of the 2025-2026 COVID-19 vaccination. Resident #4's immunization record lacked documentation of the 2025-2026 COVID-19 vaccination. […]

• No harm, potential for more than minimal, widespreadF727Feb 21, 2022

  Based on nursing schedule reviews, and staff interviews, the facility failed to provide the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week. Review of nurse coverage schedules revealed 3 days in a 4 week period were without RN coverage. The facility reported a census of 22. Findings include: The Nursing Schedule 2022 dated 1/23/22 to 2/19/22 the facility did not have an RN working on 2/5/22, 2/6/22 and 2/12/22. On 2/14/22 at 12:30 PM, the Nursing Home Administrator (NHA) stated that the facility used to have a waiver for eight hour RN coverage but the facility no longer had the waiver. […]

• No harm, potential for more than minimal, widespreadF885Feb 21, 2022

  Based on facility email correspondence with families, staff interviews, and policy review the facility failed to document notification to residents. The facility also notify resident representatives and families by 5:00 PM the next calendar day following the occurrence of a single confirmed novel Coronavirus 2019 (COVID-19) staff or resident positive for 7 of 8 positive cases in January 2022. The facility reported a census of 22 residents. Findings include: The undated paper labeled Staff Positive Cases for January 2022 provided by the facility Office Manager documented eight positive cases of COVID-19 for staff for the month of January. The indicated that the following staff tested positive on the following dates: 1. Staff A 1/11/22 2. Staff B 1/17/22 3. Staff C 1/17/22 4. […]

• No harm, potential for more than minimal, isolatedF655Jul 16, 2026

  Based on clinical clinical record review, staff interviews, and facility policy review the facility failed to complete a baseline care plan for 1 out of 5 (Resident #5) residents reviewed for baseline cares. The facility reported a census of 5. Findings include:The facility census documented Resident #5 entered the facility on 7/10/26. Resident #5's medical diagnoses documented dementia (memory loss) and depression (mood disorder). Resident #5's History and Physical (H&P) documented Resident #5 took citalopram (antidepressant medication) and trazodone (sleep aid medication). Resident #5's Brief Interview for Mental Status (BIMS) evaluation listed a score of 10, indicating moderately impaired cognition. […]

• No harm, potential for more than minimal, isolatedF807Jul 16, 2026

  Based on observation and interview, the facility failed to ensure staff offered or served water to residents with or during meals for 2 of 3 meals observed. The facility reported a census of 5 residents. Findings include:On 7/13/26 at 12:10 PM 3 residents sat at the dining room table. Staff didn't offer or serve water to any of the 3 residents with or during the meal. On 7/14/26 at 11:45 AM 5 residents sat at the dining room table. Staff didn't offer or serve water to any of the 5 residents with or during the meal. On 7/15/26 at 9:17 AM Resident #2 stated during an interview Resident #2 didn't have water at meals. On 7/15/26 at 9:30 AM Staff A, Dietary Manager (DM), acknowledged staff didn't serve residents water with meals. […]