Corewell Health Greenville Hospital Rehabilitation

In the surveyor’s words

From the most serious findings on record at Corewell Health Greenville Hospital Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF689Apr 7, 2023

  This citation has two DPS's. DPS #1 Based on interview and record review, the facility failed to follow care guide instructions during the transfer of one resident (Resident #13), resulting in a fall. Resident #13 (R13) Review of a Face Sheet revealed R13 was a [AGE] year old female, originally admitted to the facility on [DATE], with pertinent diagnoses of dementia, seizure disorder, muscle weakness, at risk for falls, and gait abnormalities. Review of a Care Plan for R13 related to mobility and required assistance .interventions .extensive assist of 2 for transfers. Review of an Incident/Accident Report for R13, dated 03/17/23, reflected .(R13) is a two-person transfer. […]

• No harm, potential for more than minimal, patternF812Jun 3, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 06/01/2026 at 8:33AM, observed that the seal, on the door of the freezer, was cracked and separating. Dietary Supervisor (DS) G observed the cracked seal and stated that there was a replacement seal available. According to the 2022 FDA Food Code section 4-501.11 Good Repair and Proper Adjustment. (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. […]

• No harm, potential for more than minimal, patternF550Apr 17, 2025

  Based on observation, interview, and record review, the facility failed to provide dignified care for three residents (R8, R4, R30) of four residents reviewed for dignity. Findings include: Resident #8 (R8) Review of the Minimum Data Set (MDS) dated [DATE] reflected R8 was admitted to the facility 1/14/22 and had a history of stroke and hemiplegia (weakness to one side of the body). The MDS reflected R8 required maximum assist with chair and toilet transfers. The MDS reflected R8 was frequently incontinent of urine but always continent of stool. The MDS reflected a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated R8 was cognitively intact. On 4/15/25 at 9:14 AM an interview was conducted with R8 in his room. […]

• No harm, potential for more than minimal, patternF658Apr 17, 2025

  Based on interview and record review, the facility failed to administer antibiotics according to the provider's order for one resident (R88) of two residents reviewed for antibiotic use. Findings: Review of the medical record reflected R88 admitted to the facility on [DATE] with pertinent diagnoses that included Complicated Urinary Tract Infection and Chronic Indwelling Foley Catheter. On 4/15/25 at 12:39 PM a review of the Electronic Medical Record (EMR) for R88 reflected a Doctor's Order (DO) for cefdinir 300 milligrams (mg) (a cephalosporin antibiotic) to be administered 2 times daily. The DO reflected Product Instructions. Take at least 2 hours before or 2 hours after antacids or iron supplements (including those found in multivitamins) with a start date of 4/9/25. […]

• No harm, potential for more than minimal, patternF761Apr 7, 2023

  Based on observation, interview, and record review the facility failed to operationalize the facility Medication Management policy when a medication cart was left unlocked and unattended, resulting in prescription medications readily accessible, and controlled substances not double locked resulting in the potential for diversion of medication, and inadvertent self-administration of medication by cognitively impaired residents. Findings: The policy provided by the facility titled Medication Management effective 1/19/23 was reviewed. Section 4.5 Storage and Security of Medications reflected, The following principles apply to the storage and security of medications: and included 4.5.5. […]