Greene County Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Greene County Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF658Jul 24, 2025

  Based on interviews, record review, and facility policy review, the facility failed to ensure that medications were administered in accordance with accepted standards of nursing practice and professional guidelines for one (1) of four (4) sampled residents (Resident #1) as evidenced by Licensed Practical Nurse (LPN) #1 failed to verify the resident's identity before administering medications and pre-pulled medications without immediate administration, resulting in Resident #1 receiving another resident's medications. […]

• Actual harm, isolatedF760Jul 24, 2025

  Based on interview, record review, and facility policy review, the facility failed to ensure that a resident was free from a significant medication error for one (1) of four (4) sampled residents, as evidenced by Resident #1 received another resident's medications, which caused a change in mental status requiring hospital evaluation, overnight observation, and treatment, including intravenous (IV) fluids, potassium replacement, and oxygen therapy. Findings include:A review of the facility's policy titled, Administering Medications, revised April 2019, revealed, .Medications are administered in a safe and timely manner, and as prescribed .9. […]

• No harm, potential for more than minimal, widespreadF812Jan 22, 2026

  Based on observation, interview, and facility policy review, the facility failed to maintain safe food handling and storage practices by not removing expired food items from the refrigerator and freezer and by not dating and labeling opened and repackaged food items for one (1) of three (3) days of survey.Findings include:A review of the facility's policy, Food Receiving and Storage, revised 11/2022, revealed, Foods shall be received and stored in a manner that complies with safe food practices.Refrigerated/Frozen Storge 1. All foods stored in the refrigerator or freezer are covered, labeled and dated ( use by date).7. […]

• No harm, potential for more than minimal, isolatedF550Jan 22, 2026

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure a resident's right to dignity by not covering a urinary catheter drainage bag for one (1) of (18) sampled residents, Resident #13.Findings include:A review of the facility's policy, Catheter Care (undated) revealed, .It is the policy of this facility to ensure that residents with indwelling catheters receive appropriate catheter care and maintain their dignity and privacy when indwelling catheters are in use.Policy Explanations.2. Privacy bags will be available and catheter drainage bags will be covered at all times while in use.A review of the facility's policy, Resident Rights, dated 02/2021, revealed, .Employees shall treat all residents with.dignity. […]

• No harm, potential for more than minimal, isolatedF628Jan 22, 2026

  Based on interview, record review, and facility policy review, the facility failed to provide written notification of a resident transfer that included the specific reason for the transfer in a language and manner the resident's representative could understand for one (1) of two (2) residents sampled for hospitalization. Resident #49. Findings include:A review of the facility's policy, Transfer and Discharge (including AMA - Against Medical Advice (AMA), revised 2025, revealed, .Definitions: . 'Transfer and Discharge' includes movement of a resident to a bed outside of the certified facility whether that bed is in the same physical place or not. Policy Explanation and Compliance Guidelines: . 3. […]