Greensville Health and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF583Jul 16, 2026

  Based on observation, staff interviews, clinical record review, and facility documentation review, the facility staff failed to protect the residents' rights to have secure and confidential personal and medical records for four Residents (Residents #2, #19, #10 and #3) in a survey sample of 26 residents. The findings included:1. For Resident #2 (R2) the facility failed to protect the residents' rights to have secure and confidential personal and medical records by displaying a DNR (Do Not Resuscitate) band on the wall over the head of the bed visible to the public and other residents. On [DATE], during initial rounds R2 was observed in bed, a Do Not Resuscitate (DNR) band was posted on a cork board on the wall over the bed. […]

• No harm, potential for more than minimal, patternF684Jul 16, 2026

  Based on observation, resident and staff interviews, clinical record review and facility document review, the facility staff failed to ensure resident receive a physician ordered wound treatment in accordance with professional standards for one of twenty-six residents in the survey sample (Resident R16.Findings include:The facility staff failed to transcribe and apply the wound care treatment ordered on 6/25/26 by the Wound Specialist Nurse Practitioner to R16's right foot wound.R16 was originally admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses to include but not limited to end stage renal disease, dependence on renal dialysis, anemia, atrial fibrillation, major depressive disorder, diabetic mellitus type 2, dementia congestive heart failure and chronic… […]

• No harm, potential for more than minimal, patternF755Jul 16, 2026

  Based on clinical record review, staff interviews and facility documentation, the facility staff failed to provide routine scheduled medications to three residents in a survey sample of twenty-six residents (R8, R3 and R62).Findings include:The facility staff failed to administer scheduled medications due to medications not being available. 1.R8 was admitted to the facility 2/26/26 with diagnoses to include but not limited osteoarthritis, anemia, wedge compression fracture T7-T8 vertebrae and chronic obstructive pulmonary disease. R8's most recent MDS assessment (Minimum Data Set) with an assessment Reference Date 6/2/26 coded R8 in Section C. […]

• No harm, potential for more than minimal, patternF760Jul 16, 2026

  Based on interview, clinical record review and facility documentation the faciity staff failed to ensure residents were free from significant medication errors for 1 Resident in survey sample of 26 residents.For Resident #76 (R76) the facility staff failed to ensure a resident diagnosed with dementia, did not pull his PICC line out and failed to have the appropriate antibiotics available for administration. R76 was admitted to the facility on [DATE] with diagnoses that included but were not limited to interstitial pulmonary disease, personal history of venous thrombosis and embolism, type 2 diabetes, hypertensive heart disease, atherosclerotic heart disease of coronary artery, old myocardial infarction, UTI with sepsis, obstructive and reflux uropathy. […]

• No harm, potential for more than minimal, patternF571Jul 28, 2023

  Based on staff interview and facility documentation review, the facility staff charged the Resident and deducted from their patient trust account, funds in excess what was due to the facility for three Residents (Resident #17, #37 and #23), in a survey sample of 6 Residents reviewed with trust accounts. This happened on five occasions. The findings included: 1. For Resident #17, the facility staff withdrew $153 in excess of what was due towards the cost of care on two occasions, March 2023, and May 2023. On 7/27/23, Surveyor C received and reviewed the Resident trust account statement for Resident #17 for the year of 2023. During this review it was noted that on March 3, 2023, $1,129 was deducted/withdrawn from the Resident's trust account for Care Cost Auto WDL [automatic withdrawal]. […]