Greenbrier Nursing & Rehabilitation Center of Pale

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF908Sep 20, 2023

  Based on observation, interview and record review the facility failed to maintain all mechanical, electrical, and patient care equipment, in safe operating condition for 1 of 1 stove in the kitchen reviewed for food service. 1. The facility failed to ensure the gas stove, in the kitchen, was in proper working order. 2. The facility failed to ensure three of six gas burners, on the stove, lit automatically, when the knob was turned (front on left, middle back, and right back). 3. The facility failed to ensure the pilot lights on the burners would stay lit and the Director of Food and Nutrition Service, had to use a striker, (a lighter with a long barrel), to light the burners. These failures could place residents at risk for injury and under cooked food. […]

• No harm, potential for more than minimal, widespreadF812Aug 3, 2022

  Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and distributed under sanitary conditions in the kitchen. The facility failed to store, prepare, and distribute foods according to facility policy. The dish machine tested at 25 ppm, and the DA didn't know the reading was too low to sanitize the dishes per manufactures recommendations. There was unlabeled and undated food in the refrigerator and freezer. This failure could place the residents who eat meals prepared in the kitchen at risk for food borne illness. […]

• No harm, potential for more than minimal, widespreadF812May 26, 2021

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food under sanitary conditions in 1of 1 kitchen. The facility did not ensure stored food items were properly labeled with the food item or the date the item was opened. The facility did not ensure the milk machine was clean and sanitized prior to usage. This failure could place residents who received meals prepared in the kitchen and who received milk from the milk machine at risk of foodborne illness. Findings included: During an observation on [DATE] at 9:50 a.m., the following items were noted in the kitchen: A plate of eggs, lettuce, tomatoes, and cheese was in the refrigerator with no label to identify the item or date of when it was prepared. […]

• No harm, potential for more than minimal, patternF880Jan 29, 2026

  Based on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 5 residents (Residents #8, #21 and #57) and of 4 of 6 staff (CNA A, CNA B, CNA C and CNA D) reviewed for infection control. 1.The facility failed to ensure CNA B and CNA D washed or sanitized their hands and failed to remove the dirty brief prior to place a new brief during incontinent care provided to Resident #8 on 1/28/2026.2. […]

• No harm, potential for more than minimal, patternF755Aug 3, 2022

  Based on interview, and record review the facility failed to provide pharmaceutical services including procedures that assure the accurate administering, ordering and reconciliation of all drugs to meet the needs of residents reviewed for pharmacy services and to ensure medications were destroyed in accordance with State and Federal laws or rules of the Drug Enforcement Administration for 4 of 12 months reviewed for drug destruction. (November 2021, March, April and June 2022) The facility did not have a licensed pharmacist and facility staff correctly witness and initial the pages of the drug destruction logs during each drug destruction occurrence and maintain receipt of delivery of controlled drugs for destruction at a receiving medical waste management service. […]