Greenville Nursing and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF585Jan 9, 2025

  Based on interview, record review and facility policy review, the facility failed to ensure its grievance policy was followed regarding resident/guardian notification of grievance status and outcomes for one (Resident (R) 1) of three residents reviewed for grievances. R1's guardian caused a grievance to be filed on R1's behalf. The facility failed to provide R1's guardian with a written grievance decision which contained all required information, including, but not limited to, the date the grievance was received and the outcome of the grievance. […]

• No harm, potential for more than minimal, isolatedF561Jun 20, 2024

  Based on interview, record review, and facility policy review, the facility failed to ensure 3 (Residents (R) 30, R38, and R46) of 22 sampled residents received their nighttime medications at a time preferred by the residents. The findings include: Review of the facility's policy titled, Medication Administration, copyright 2024, indicated, Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection. An undated document titled, Medication times provided by the facility revealed evening medication times were from 6:00 PM to 10:00 PM. 1. […]

• No harm, potential for more than minimal, isolatedF759Jun 20, 2024

  Based on observation, interview, record review, and facility policy review the facility failed to ensure the medication error rate was less than 5 percent (%). The facility had 2 medication errors out of 35 opportunities, affecting 1 (Resident (R)14) of 3 residents reviewed during the medication administration task, resulting in a medication error rate of 5.71%. The findings include: Review of the facility's policy titled, Medication Administration, copyright 2024, indicated, Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection. The policy further indicated, 11. […]

• No harm, potential for more than minimal, isolatedF791Jun 20, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure routine dental services were provided for 1 (Resident #12) of 2 residents reviewed for dental care. The findings include: Review of the facility's policy titled, Dental Services, copyright 2024, indicated, It is the policy of this facility to assist residents in obtaining routine (to the extent covered under the State plan) and emergency dental care. Definitions: 'Routine dental services' means an annual inspection of the oral cavity for signs of disease, diagnosis of dental disease, dental radiographs as needed, dental cleaning, fillings (new and repairs), minor partial or full denture adjustments, smoothing of broken teeth, and limited prosthodontic procedures, e.g. […]

• No harm, potential for minimal, widespreadF732Jun 20, 2024

  Based on interview, facility document review, and facility policy review, the facility failed to ensure the posted staffing document included the total number of staff working for each discipline. This had the potential to affect all 59 residents residing in the facility. The findings include: Review of the facility's policy titled, Nurse Staffing Posting Information, copyright 2023, revealed, It is the policy of this facility to make nurse staffing information [sic] readily available in a readable format to residents and visitors at any given time. The policy also indicated, 1. The Nurse Staffing Sheet will be posted on a daily basis and will contain the following information: a. Facility name b. The current date c. Facility's current resident census d. […]