Greenup Rehab and Nursing

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Sep 25, 2024

  Based on observation, interview, and record review the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours per day, seven days a week. This failure has the potential to affect all 36 residents in the facility. Findings Include: The September 2024 Nurse Schedule documents no Registered Nurse coverage on 9/7/24, 9/8/24, 9/21/24, and 9/22/24. On 9/22/24 at 7:55 AM, upon the entrance of the facility's Annual Certification Survey there was no Registered Nurse on duty. On 9/24/24 at 3:18 PM V2 Director of Nurses confirmed the facility only employs two Registered Nurses. V2 stated there are some weekends that the facility does not have eight hours of consecutive Registered Nurse coverage. […]

• No harm, potential for more than minimal, widespreadF801Sep 25, 2024

  Based on interview and record review, the facility failed to employ a qualified Director of Food and Nutrition Services. This failure has the potential to affect all 36 residents residing in the facility. Findings include: On 9/23/24 at 8:40 am V9, (Dietary Manager) was actively supervising dietary operations with residents' food preparation in the facility kitchen. V9 stated she does not have dietary management certification. V9 also stated she has a high school diploma but no further education. […]

• No harm, potential for more than minimal, widespreadF802Sep 25, 2024

  Based on observation, interview, and record review, the facility failed to employ dietary support/staff with the appropriate competencies to carry out the functions of the food and nutrition service. This failure has the potential to affect all 36 residents residing in the facility. Findings include: On 9/23/24 at 8:40 am V9, (uncertified Dietary Manager) was actively supervising dietary operations in the facility kitchen. V9 stated she does not have a Food Handlers certification nor Food Sanitation certification. On 9/23/24 at 11:45 am V1, Administrator stated V9, (uncertified Dietary Manager) does not have a Food Handlers certification or Dietary Sanitization certification. On 9/24/24 at 8:10 am V23, [NAME] was actively plating residents' food in the facility kitchen. […]

• No harm, potential for more than minimal, widespreadF806Sep 25, 2024

  Based on observations, interviews, and record review the facility failed to provide a substitute menu, honor resident's preferences, and provide appropriate condiments. These failures have the potential to affect all 36 residents residing in the facility. Findings include: 1.) On 09/22/24 at 10:15 am, R30 stated last night the facility served beef and noodles that had a one-inch-thick layer of grease on top. The only substitute available was a bologna sandwich. Sometimes they have turkey sandwiches as a substitute but those and peanut butter and jelly, are their only substitutes. On 9/22/24 at 12:35 pm V1, Administrator stated We don't have a substitute menu. (new facility company) does have an always available menu, but that has not been an option in this facility yet. […]

• No harm, potential for more than minimal, widespreadF809Sep 25, 2024

  Based on observation, interview, and record review the facility failed to provide residents breakfast meal in a timely manner. This failure affected all 36 residents residing in the facility. Findings include: On 9/24/24 at 8:05 am the main dining room of the facility was full of residents waiting for their breakfast meal to be served. Each resident had beverages, but none of the residents had been served food. R30 stated The facility has not served anybody. We have no idea what is going on. We have been out here for over an hour waiting. Breakfast is supposed to be served at 7:15 am. […]