Greenery Center for Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Greenery Center for Rehab and Nursing, in the surveyor’s own words.

• Immediate jeopardy, patternF684Apr 10, 2026

  Based on facility review of policy, manufacturer's instructions, clinical records and staff interviews, the facility failed to notify physicians of elevated or decreased Capillary Blood Glucose (CBG) levels, failed to assess residents for hyperglycemia (high blood glucose) and hypoglycemia (low blood sugar) resulting in immediate jeopardy for 12 of 21 residents (R2, R4, R16, R33, R37, R46, R47, R56, R70, R80, R97, and R116).Findings include: Review of the facility policy Episodic and Narrative Documentation dated 1/6/26, indicated a narrative entry will be made for physician notification. During an interview with the Nursing Home Administrator on 4/8/26, at approximately 10:00 a.m. policies for management of diabetes, hypoglycemia, or hyperglycemia were requested. […]

• Immediate jeopardy, isolatedF689Jan 29, 2025

  Based on review of facility policy and documents, clinical records, and staff interviews, it was determined that the facility failed to make certain each resident received adequate supervision which resulted in an elopement (resident exits to an unsupervised or unauthorized area without the facility's knowledge) for one resident. This failure created an immediate jeopardy situation for one of 15 residents who were identified as high risk for elopement (Resident R1). The facility also failed to make certain that four of 15 residents had appropriate data including pictures and identification of risk for elopement available to staff for review (Resident R2, R3, R4 and R5). […]

• No harm, potential for more than minimal, widespreadF801Apr 10, 2026

  Based on review of employee files, and staff interviews, it was determined that the facility failed to employ a full-time qualified dietary services manager in the absence of a full-time qualified dietitian for 25 of 25 days. (March 16, 2026, through April 10,2026) Findings include: Review of the job description Dietary Manager indicated they oversee all food service operations to ensure residents receive nutritious, safe, and appealing meals that must meet clinical and dietary requirements. […]

• No harm, potential for more than minimal, widespreadF802Apr 10, 2026

  Based on observations, resident interviews, review of facility documents, and staff interviews, it was determined that the facility failed to provide sufficient dietary staff to perform essential kitchen duties. Findings include: Review of the facility document Meal Service Times, indicated the following meal schedules: Main Dining room:Breakfast 730 - 830 a.m. Lunch 11:30 - 12:30 p.m.Dinner 5:15 pm - 6:15 pm. Cart Service:Breakfast 7:45 a.m. - 8:30 a.m.Lunch 11:45 a.m. - 12:30 p.m.Dinner 5:30 p.m. - 6:15 p.m. Review of Food Committee meeting notes from 1/5/26, indicated concerns related to condiments not being on carts, lack of notice about menu changes, and meal delivery being late due to carts of trays not being distributed when brought to the floor. […]

• No harm, potential for more than minimal, widespreadF804Apr 10, 2026

  Based on a review of facility policy, facility documents, resident interviews, staff interviews and observations, it was determined the facility failed to provide the residents with food and drink that is at a safe and appetizing temperatures for five of 21 residents interviewed (R59, R115, R98, R76 and R9), 14 of 14 residents in a confidential group meeting, two of three resident council minutes reviewed (1/5/26 and 3/2/26), and observations of a test tray (4/9/26).Findings include: Review of facility policy Dietary/ Food Handling reviewed 1/5/26, indicated guidelines for the safe preparation, handling, and storage of perishable food. […]