Greene County Nursing Home

In the surveyor’s words

From the most serious findings on record at Greene County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF563Feb 25, 2022

  Based on interviews, resident group meeting, the facility's document titled RESIDENT'S RIGHTS and CMS (Center for Medicare & (and) Medicaid Services) Memorandum (Memo) QSO-20-39-NH, the facility failed to implement visitation for residents of the facility since 11/12/21. This deficient practice had the potential to affect all 36 residents residing in the facility. Findings Include: An undated facility document titled RESIDENT'S RIGHTS documented: . Right to convenient visits and communications with others. A CMS Memorandum QSO-20-29-NH with a revised date of 11/12/21 documented: .Visitation Guidance: CMS is issuing new guidance for visitation in nursing homes during the COVID-19 PHE (Public Health Emergency), . […]

• No harm, potential for more than minimal, widespreadF812Feb 25, 2022

  Based on observation, interview and a facility policy titled Proper Drying and Storage of Tableware the facility failed to ensure pots, pans, and serving utensils were air dried after being washed in the three compartment sink on 2/23/22 during observation of the kitchen. This had the potential to affect all residents receiving meals from the kitchen. Findings Include: A policy titled Proper Drying and Storage of Tableware, dated November 2018 documented: . All dishes, trays, utensils, . will be air dried. After proper machine and/or pot & (and) pan washing, rinsing, and sanitizing, all dishes, trays . will be air dried. On 2/23/22 at 4:52 PM, an observation was made of pots placed on top of serving utensils in the drain rack, stacked together to dry, by the three compartment sink. […]

• No harm, potential for more than minimal, patternF636Feb 25, 2022

  Based on interviews, resident record review, review of the MDS (Minimum Data Set) Coordinator - Job Description, and review of the updated CMS (Centers for Medicare & Medicaid Services) QSO (Quality, Safety & [and] Oversight Group) -21-17-NH (Nursing Home) Memo, the facility failed to ensure Comprehensive MDS assessments were completed in a timely manner after CMS ended the Emergency Blanket MDS waiver on 02/10/2021. This deficient practice affected Resident Identifier #'s 53, 54, 55, 56, 153, 155, 101, 102 and 103, nine of 13 residents whose MDS assessments were reviewed. Findings Include: A review of the updated CMS QSO-21-17-NH Memo, with an update of 02/10/2021, revealed the following: . […]

• No harm, potential for more than minimal, patternF638Feb 25, 2022

  Based on interviews, resident record review, review of the MDS (Minimum Data Set) Coordinator - Job Description, and review of the updated CMS (Centers for Medicare & Medicaid Services) QSO (Quality, Safety & [and] Oversight Group) -21-17-NH (Nursing Home) Memo, the facility failed to ensure Quarterly MDS assessments were completed in a timely manner after CMS ended the Emergency Blanket MDS waiver on 02/10/2021. This deficient practice for Resident Identifier #'s 53, 54, 55, 153, 155, 101, 102, 103, 104 and 105, 10 of 13 residents whose MDS assessments were reviewed. Findings Include: A review of the updated CMS QSO-21-17-NH Memo, with an update of 02/10/2021, revealed the following: . SUBJECT: Updates to Long-Term Care (LTC) Emergency Regulatory Waivers issued in response to COVID-19 . […]

• No harm, potential for more than minimal, isolatedF656Feb 25, 2022

  Based on resident record review, interviews, and a facility policy titled Comprehensive Care Plans the facility failed to to develop a care plan for RI #105 for the use of anticoagulant (AC) medication since 3/6/21. This affected one of 13 sampled residents for whom care plans were reviewed. Findings Include: A review of a policy titled Comprehensive Care Plan with a revision date of 1/30/18 documented: .Purpose: To provide individualized care for each resident. Goal: To attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being . RI #105 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of RI #105's physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]