Green Acres Nursing and Rehab

In the surveyor’s words

From the most serious findings on record at Green Acres Nursing and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Apr 21, 2021

  Based on medical record review and interview it was determined that the facility failed to provide adequate supervision to prevent accidents as evidenced by failure to provide stand by assist and contact guard assist as indicated by the Physical Therapist (PT) for a resident with a newly acquired merry walker. The staff allowed the resident to utilize the merry walker without assistance prior to the physical therapist's (PT) final determination of the appropriateness of the use of the device vs other Assistive devices and in the absence of a physician order for the use of this device. This was found to be evident for 1 out of 23 residents (Resident #20) reviewed during the survey. […]

• No harm, potential for more than minimal, widespreadF812Jan 20, 2026

  Based on observations and staff interviews it was determined the facility failed to store food in accordance with professional standards for food safety and failed to ensure that the facility dishwasher provided safe heat sanitization. The findings include the following: 1. An initial tour of the facility kitchen was completed on 01/14/2026 at 08:05 AM with staff #4 the following items were found to be missing an expiration date on the product: a) One 36 OZ Lemon Meringue Pieb) One large bag of chicken tendersc) Several spice containers of spices d) Several 4 OZ Orange Juice containerse) One platter containing slices of tomatoes and cucumbers f) Two 1-gallon containers of Heavy-Duty Mayonnaise During the tour interview on 01/14/2026 at 08:05 AM with staff #4 he/she confirmed and stated… […]

• No harm, potential for more than minimal, patternF578Aug 22, 2024

  Based on clinical record review and staff interview it was determined that the facility staff failed to ensure a resident had an Advance Directive or was offered the opportunity to create one. This was evident for 5 residents (#21, #98, # 286, # 287, and # 296) out of 52 in the survey sample. The findings include: 1. A review of Resident #21's clinical record on 8/6/24 revealed the resident did not have a copy of an Advance Directive in either the current electronic health record or the previous record used by the former nursing home company. A progress note dated 7/21/23 listed, Patient states POA [Power of Attorney] is in progress of being completed. No evidence of follow up to this request. The DON and Administrator were interviewed on 8/16/24 at 1:20 PM. […]

• No harm, potential for more than minimal, patternF600Aug 22, 2024

  Based on facility investigations, record reviews, interviews and observations, the facility failed to protect residents from abuse and neglect. This was found to be evident for 5 (# 7, # 27, # 50, # 62, # 82) out of 38 residents investigated during the annual survey for abuse and neglect. The findings include: 1. A review of a facility investigation on 08/14/24 at 3:37 PM for an allegation made by the Responsible Party (RP) for Resident #7 revealed the following. On 9/29/23, the RP arrived at the facility at 11:00 AM. The RP dressed the resident and then placed the resident in bed but on top of the sheets. The RP arrived the next day at 12 noon. The resident was still on top of the bedsheets and still dressed in the clothes from the day before. […]

• No harm, potential for more than minimal, patternF658Apr 21, 2021

  Based on medical record review, and interviews it was determined that the facility staff failed to meet professional standards by documenting the completion of tasks that did not occur as evidenced by: a) documenting oxygen was sent with a resident to [CONDITION(S)] on a day the resident did not go to [CONDITION(S)], b) documenting that assessments had been completed on shifts during which the resident was not physically in the facility due to hospitalization ; and c) failure to document the medication administration times for an as needed medication that was ordered to be given not more than once per 4 hours. This was found to be evident for 1 out of 13 (Resident #22) closed records reviewed during the survey. The findings include: 1. […]