Greenbriar Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF680Feb 21, 2024

  Based on record review, review of personnel files, staff interview and review of job descriptions, the facility failed to ensure the services of a qualified Activities Director (AD). This had the potential to affect all residents who resided in the facility with the exception of four (#15, #18, #21, and #52) residents who the facility identified as not participating in activities. The facility census was 57. Findings include: Interview on 02/21/24 at 2:16 P.M. with the AD #154 confirmed she did not have the required certification to be an AD. AD #154 stated she was informed that the facility would provide the education to meet the qualifications to become a Certified AD; however, the facility had not provided the funds to complete the education. Interview on 02/21/24 at 3:07 P.M. […]

• No harm, potential for more than minimal, patternF695Apr 11, 2022

  Based on medical record review, observation, staff interview, review of the manufacturers recommendations and policy review the facility failed to ensure one resident (#95) had an order for [MEDICAL RECORD OR PHYSICIAN ORDER] #31, #36, #94 and #95) of four residents reviewed for oxygen use. The facility census was 47. Findings include: 1. Review of the medical record for Resident #95 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the discharge-return modification admission minimum data set (MDS) assessment dated [DATE] revealed Resident #95 had moderate cognition deficit. The assessment indicated she was administered oxygen. […]

• No harm, potential for more than minimal, patternF842Feb 11, 2021

  Based on resident record review and staff interviews, the facility failed to ensure the medical record contained the documentation of medical treatments on the treatment administration record (TAR) or any where else in the medical record. This affected four (#2, #3, #4, and #5) of four resident records reviews for treatment administration. The census was 32. Findings include: Review of the medical record for Resident #2 revealed the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF865Feb 11, 2021

  Based on resident record review, staff interview, and review of a quality assurance and performance improvement (QAPI) plan, the failed to implement an effective action plan for an identified problem of incomplete treatment administration record (TAR) documentation. This affected four (#2, #3, #4, and #5) of four resident records reviews for treatment administration. The census was 32. Findings include: Review of the medical record for Resident #2 revealed the resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF580May 14, 2026

  Based on medical record review, staff interviews, and policy review, the facility failed to notify the physician for a change in orthostatic blood pressure and failed to notify a resident's family of new physician orders and changes in condition. This affected one (Resident #58) of twelve residents reviewed for change in condition. The facility census was 66.Findings include:Review of the medical record revealed Resident #68 was admitted to the facility on [DATE] and expired in the facility on [DATE]. Diagnoses included pulmonary fibrosis and congestive heart failure (CHF). […]