Greenville Nursing and Rehab Center

In the surveyor’s words

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

• Immediate jeopardy, patternF726Apr 13, 2023

  Based on observations, staff interviews, review of manufacturer's disinfection guidelines, review of sani-wipe (germicidal disposable wipes) directions, review of nursing training records and policy review, the facility failed to ensure that licensed nurses had appropriate competencies to perform fingerstick blood glucose (sugar) testing to prevent the transmission of blood borne pathogens for 8 of 12 residents who were observed during fingerstick blood glucose monitoring (Residents #2, #4, #5, #6, #8, #10, #11 & #12). […]

• Immediate jeopardy, patternF867Apr 13, 2023

  Based on observations, staff interviews, review of the Quality Assurance and Performance Improvement (QAPI) meeting notes and plans, review of policies and procedure related to blood glucose (sugar) testing, review of manufacturer's disinfection guidelines, and review of corrective actions pursuant to an inspection by The Joint Commission (TJC), the facility failed to fully develop and implement corrective action plans to ensure that nursing staff performed fingerstick blood sugar tests on residents using processes that prevent the transmission of bloodborne pathogens. On 3/30/23, TJC declared an Immediate Threat to Health or Safety regarding single patient use lancet holding devices being used for multiple patients. […]

• Immediate jeopardy, patternF880Apr 13, 2023

  Based on observations, staff interviews, review of manufacturer's disinfection guidelines, review of sani-wipe (germicidal disposable wipes) directions, and review of facility policy and procedures, the facility failed to ensure that licensed nurses performed fingerstick blood glucose (sugar) tests on residents using processes that prevent the transmission of bloodborne pathogens for 8 of 12 residents who were observed during fingerstick blood glucose monitoring (Residents #2, #4, #5, #6, #8, #10, #11 & #12). […]

• No harm, potential for more than minimal, widespreadF835Jun 4, 2025

  Based on interview and record review, the facility failed to ensure proper administration related to use of resources to maintain the highest practicable physical wellbeing of each resident. The findings included: During a Life Safety Code annual survey revisit, the surveyors requested a copy of the facility's most recent Emergency Management Plan submitted to and approved by the [NAME] County Emergency Management Office. The facility's administrator provided the surveyors with a document dated 05/08/25. Upon review of this document and documentation provided previously to the surveyors by the County Emergency Management Director, the surveyors came to find this documentation was falsified. […]

• No harm, potential for more than minimal, widespreadF895Jun 4, 2025

  Based on interview and record review, the facility failed to ensure there was an effective compliance and ethics program in place as evidenced by a falsified Emergency Management Plan approval letter. The findings included: During a Life Safety Code annual survey revisit on 6/3/2025, the surveyors requested a copy of the facility's most recent Emergency Management Plan submitted to and approved by the County. The facility's administrator provided the surveyors with a document dated 05/08/25. Upon review of this document and documentation provided previously to the surveyors by the County Emergency Management Director, the surveyors came to find this documentation was falsified. An interview was conducted with the facility's administrator on 06/05/25 at 2:34 PM. […]