Greene Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Greene Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Dec 3, 2021

  Based on review of established guidelines for cardiopulmonary resuscitation (CPR), the facility's policies, and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that CPR was provided in accordance with physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Guidelines from the American Heart Association (AHA), dated 2020, revealed that the AHA urged all potential rescuers to initiate CPR unless a valid Do Not Resuscitate (DNR) order was in place; if there were obvious clinical signs of irreversible death present, including rigor mortis (stiffness of the limbs and body that develops 2 to 4 hours after death and may take up to 12 hours to fully develop), dependent lividity (reddish-blue discoloration of the skin… […]

• No harm, potential for more than minimal, patternF677Aug 26, 2026

  Based on review of facility policies, clinical records, observations, shower schedules, as well as staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for two of five residents reviewed (Residents 1 and 4).Findings include: The facility policy for bathing and showering, dated March 2026, indicated that residents are bathed or showered to promote cleanliness, provide comfort to the resident and to observe the condition of the resident's skin. Document if the resident refused the shower/tub bath, the reason why and the intervention taken. Notify the charge nurse if the resident refuses the shower/tub bath. […]

• No harm, potential for more than minimal, patternF684Aug 26, 2026

  Based on clinical record reviews and staff interviews, it was determined that the facility failed to start a medication as recommended by a rheumatology consultation for one of 5 residents reviewed (Resident 3).Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 3, dated August 10, 2026, revealed that the resident was cognitively intact, required staff assistance with daily care needs, and had diagnoses that included multiple sclerosis. A rheumatology consult, dated June 29, 2026, recommended administering 10 grams of Gammaked (a therapy that delivers concentrated antibodies from donated human plasma to help strengthen the immune system) subcutaneously every week. […]

• No harm, potential for more than minimal, patternF551Apr 22, 2026

  Based on review of clinical records and staff interviews, it was determined that the facility failed to ensure that a resident's legal representative (power of attorney) was given the opportunity to make decisions regarding physical/sexual contact between residents for one of 14 residents reviewed (Resident 12).Findings include:A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 12, dated March 18, 2026, indicated that the resident was severely confused, was independent with ambulation, and had diagnoses that included Korsakoff's dementia (a type of brain disorder that causes memory loss, impaired thinking and behaviors). […]

• No harm, potential for more than minimal, patternF679Apr 22, 2026

  Based on a review of facility policy, the facility assessment and clinical records, as well as observations and family and staff interviews, it was determined that the facility failed to provide adequate ongoing activities designed to meet the needs of six of six residents reviewed (Residents 7, 8, 9, 10, 11, 12) who resided in the Memory Impaired Unit (MIU) and had behaviors and/or dementia. Findings include:The facility's policy regarding Dementia Care, dated April 20, 2026 revealed that staff will be trained to provide necessary care and services that are person-centered and reflect the resident's goals, while maximizing the dignity, autonomy, privacy, socialization, independence, choice, and safety of the resident. […]