Greenhurst Nursing Center

In the surveyor’s words

From the most serious findings on record at Greenhurst Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Apr 18, 2024

  Based on interview and record review, the facility failed to provide mandatory staffing payroll data in a uniform format to CMS (Center for Medicare and Medicaid Services). The findings include: 1. The data that CMS received from the facility did not include the CASPER (Certification and Survey Provider Enhanced Reporting) PBJ (Payroll Based Journal) mandatory staffing data. According to policy, the failure to not submit the mandatory data within the date range specified to the facility by CMS, constitutes a citation. a. […]

• No harm, potential for more than minimal, widespreadF812Oct 14, 2021

  Based on observation and interview, the facility failed to ensure a utility cart, bulk storage containers, oscillating fans, and the ice machine were maintained in clean condition and clean glasses were allowed to air dry before being used or stored to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 91 residents who received meals from the kitchen (total census: 93), as documented on a list provided by the Dietary Manager on 10/14/2021. The findings are: 1. On 10/10/21 at 9:29 AM during the initial tour of the kitchen, the following observations were made: a. Directly in front of the serving line, there was a tray of stacked glasses with droplets of water in them. […]

• No harm, potential for more than minimal, patternF761Jul 24, 2025

  Based on observation, record review, and interview, it was determined that the facility did not ensure medications were stored securely while the medication cart was left unattended, for two (Hall 100 and Hall 200) of four medication carts. The findings include: During an observation of medication administration on 07/23/2025 at 9:07 AM, Licensed Practical Nurse (LPN) #1 left the medication cart unattended and proceeded up the hall from the 200-hall dining room to the medication storage room at the front of the facility, out of the sight of this surveyor. […]

• No harm, potential for more than minimal, patternF761Apr 18, 2024

  Based on observation, interview and record review, the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles/practices to prevent administration of medicines that had been opened and stored beyond the manufacturer's specified timeframes, and the administration of expired medications in 1 of 1 medication rooms and 2 of 4 medication carts. The findings are: On 04/15/2024 at 11: 30 AM, in Medication Storage room [ROOM NUMBER] the first upper cabinet had 13 Covid tests that all shared the same expiration date of 11/10/2023. […]

• No harm, potential for more than minimal, patternF880Apr 18, 2024

  Based on record review, observation and interview, the facility failed to ensure staff performed hand hygiene to prevent the contamination of clean laundry/linens and further prevent the potential spread of infection. The findings are: Review of a facility policy titled, Infection Control, not dated, specified, [Facility] establishes and maintains an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. Procedure: Infection control is managed not only through basic hygiene but managed through the QA [Quality Assurance] Committee, for review of infection control tracking and trends; quarterly . […]