Greenbriar Community Care Center

In the surveyor’s words

From the most serious findings on record at Greenbriar Community Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Oct 25, 2023

  Based on observations, interviews, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles for 2 (Med Room a and Med Room b) of 2 (Med Room a and Med Room b) medication storage rooms observed. The facility failed to ensure: 1. Tuberculin multi-dose vial and Influenza Vaccine multi-use vial were labeled with the date opened; and 2. Temperatures were documented for the medication refrigerator in Med Room b. Findings: An observation was made of the medication refrigerator in Med Room b on 10/23/2023 at 10:17 a.m. with S11LPN. […]

• No harm, potential for more than minimal, widespreadF812Oct 25, 2023

  Based on record review, observations, and interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. This had the potential to effect 145 residents who were served meals from the kitchen. Findings: Review of the facility's policy titled Food Preparation and Service revealed the following: Policy Statement: Food and nutrition services employees prepare and serve food in a manner that complies with safe food handling practices. Food Preparation, Cooking and Holding Time/Temperatures: 1. The danger zone for food temperatures is between 41 degrees Fahrenheit and 135 degrees Fahrenheit. An observation was made on [DATE] at 8:45 a.m. of the facility's walk-in pantry with S9FSM. […]

• No harm, potential for more than minimal, patternF656Mar 13, 2025

  52121 Based on interviews and record reviews the facility failed to ensure a resident's comprehensive plan of care was developed and implemented for 1 (#2) of 3 (#1, #2 and #3) residents reviewed for care plans. The facility failed to ensure Resident #2's care plan was developed for wandering behaviors. This deficient practice had the potential to affect the current 28 residents residing on E Hall. Findings: Review of Resident #2's Clinical Record revealed she was admitted to the facility on [DATE] and had diagnoses which included, in part, mild intellectual disabilities. Review of Resident #2's most recent Care Plan did not address or provide interventions for Resident #2's wandering behaviors. An interview was conducted with S7CNA on 03/11/2025 at 12:54 p.m. […]

• No harm, potential for more than minimal, patternF658Sep 16, 2024

  Based on interviews and record review the facility failed to ensure services were provided by the facility to meet quality professional standards. The facility failed to ensure a medication was transcribed properly for 1 (#153) of 33 sampled residents. Findings: Review of Resident #153's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included Depression and Insomnia. Review of Resident #153's Psychoactive Gradual Dose Reduction Report dated 06/11/2024 revealed the following: 1. Trazadone HCl 100mg give one tablet my mouth at bedtime. Further review revealed on 06/13/2024, S11NP selected a dose reduction was appropriate for Resident #153 and wrote a new order for Trazadone 50 mg HS. […]

• No harm, potential for more than minimal, patternF812Sep 16, 2024

  Based on observation, interviews, and record review, the facility failed to store and prepare food under sanitary conditions. The facility failed to ensure: 1. Food was properly stored and labeled in the walk-in freezer of the facility's kitchen; 2. Food was properly stored and labeled in the walk-in refrigerator of the facility's kitchen; and 3. Food was properly stored and labeled in the walk-in food storage room of the facility's kitchen. This deficient practice had the potential to affect 165 residents who were served meals from the facility's kitchen. Findings: Review of the facility's policy titled Food Receiving and Storage dated October 2017 revealed the following: 8. All foods stored in the refrigerator or freezer will be covered, labeled and dated (received and/or open date). […]