Greenbrier Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 25, 2023

  Based on observation, interview, and record review the facility failed to ensure milk and refrigerated foods were not stored and served to residents beyond the expiration or use by date and food and beverages were served in a sanitary manner to prevent cross contamination for 1 (Resident #51) of 5 (Residents #40, #51, #57, #60 and #61) sampled residents who eat in the 400 Hall Dining Room. The failed practices had the potential to affect 67 residents who received meals from the kitchen (total census: 67) as documented on a list provided by the Administrator on 08/24/23 at 4:15 PM and 10 residents who eat in the 400 Hall Dining Room as documented on a list provided by the Administrator on 08/24/23 at 10:35 AM. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands and changed gloves between dirty and clean tasks and before handling clean equipment and expired food items were promptly removed /discarded on or before the expiration or use by dates to minimize the potential for food borne illnesses in 1 of 1 kitchen. This failed practice had the potential to affect 70 residents who received meal trays according to a list provided by the Director of Nursing (DON) on [DATE]. The findings are 1. On [DATE] at 11:03 AM, Dietary Employee #2 lifted a trash can lid and threw away tissue papers. Contaminated her hands. She pulled gloves from the glove box and placed them on her hands, contaminating the gloves in the process. […]

• No harm, potential for more than minimal, patternF761Sep 12, 2024

  Based on observations, interviews, and facility policy review, it was determined that the facility failed to ensure medication on 2 of 2 medications carts and 1 of 1 treatment cart had medications safely secured and 1 of 1 medication room had medications safely secured for 3 carts and 1 medication room reviewed for medication storage. Findings include: Review of a facility policy titled, Medication Storage in the Facility, revised in January 2018, indicated medications should be stored safely and securely with access limited to licensed personnel and pharmacy staff. During an observation on 09/10/2024 at 4:57 AM, the 500-Hall medication room, located directly behind the nurse's desk, had the door propped open by a trash can in the doorway. […]

• No harm, potential for more than minimal, patternF812Sep 12, 2024

  Based on observation and interview the facility failed to ensure food products were discarded on or before the expiration date, food preparation surfaces are sanitized between use, and staff properly washed hands with soap and water to prevent cross-contamination effecting 74 of 74 residents who reside within the facility and receive foods or services from the kitchen. The findings include: During an observation and interview on 09/09/2024 at 1:00 PM, the Dietary Manager walked outside of the facility to where the dumpsters were located, and she opened the gate for the dumpsters. Upon re-entering the kitchen and without washing her hands, the Dietary Manager opened the ice machine lid and touched parts of the inside of the ice machine. […]

• No harm, potential for more than minimal, patternF880Sep 12, 2024

  Based on observations, interviews, record review, facility document review, facility policy review, it was determined that the facility failed to ensure aseptic technique was maintained during Peripherally Inserted Central Catheter (PICC) line Intravenous (IV) medication administration 1 (Resident #14) of 6 residents observed during medication administration. The facility also failed to initiate and or follow Enhanced Barrier Precautions (EBP) for 3 residents (Resident #14, #24, and #53) of 9 residents reviewed for infection control. Findings include: 1. Review of a facility policy titled, Handwashing/Hand Hygiene, dated 11/22/2017, indicated hand hygiene was the primary means to prevent the spread of infections and should not be replaced with the use of gloves. […]