Greenville Nursing & Rehab

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 22, 2024

  Based on observation, interview and record review, the facility failed to ensure resident was supervised to prevent falls and implement effective fall prevention measures for 1 of 3 residents (R60), reviewed for incident/accidents, in the sample of 33. This failure resulted in R60 sustaining a fractured femur (broken leg bone), discomfort and a decline in functional status. Findings include: The Facility's Incident Log documents R60 experienced falls on: 6/4/2024 in the main lobby; 6/6/2024 in her bathroom resulting in a hematoma; two falls on 6/8/2024, both in R60's bedroom, with one resulting in an injury requiring a hospital admission. R60's baseline care plan dated 5/14/2024 documents R60 is at Risk for falls and will not experience any injuries related to falls. […]

• Actual harm, isolatedF689Sep 11, 2023

  Based on observation, interview and record review, the facility failed to assess and determine potential root cause of falls; failed to develop interventions based on this assessment and implement interventions to prevent falls for 4 of 4 residents (R25, R34, R41 and R65) reviewed for supervision to prevent accidents in the sample of 26. This failure resulted in R65 having three falls, the last which occurred on 8/24/23 resulting in a hip fracture. Finding include: 1. On 09/06/23 at 01:20 PM, R65 was lying in bed on his back. R65's reacher was observed to be on the floor at the head of the bed leaning against the wall and he was unable to reach it. R65 was wearing black socks that did not have grippers on the bottom. […]

• Actual harm, isolatedF686May 28, 2021

  Based on interview, observation, and record reviewed the facility failed to provide pressure relief and apply treatments for pressure ulcer prevention for 3 of of 3 residents (R1, R2, R3) reviewed for pressure ulcers in the sample of 8. This failure resulted in R2 sustaining a deep tissue injury bedpan impression and multiple stage 2 pressure ulcers. Findings include: 1. R2's Braden Risk Assessment, dated 05/13/21, documents R2 as moderate risk for developing pressure ulcers. R2's Minimum Data Set (MDS), dated [DATE], documents R2 has moderately impaired cognition, requires extensive assistance with bed mobility, transfer, toilet use, and personal hygiene. […]

• No harm, potential for more than minimal, widespreadF761Sep 11, 2023

  Based on observation, interview, and record review, the facility failed to properly store and label medications. This failure has the potential to affect all 67 residents living at the facility. Findings include: 1.On [DATE] at 09:15 AM, observation of the medication room was done at this time. In the medication room the following was found: - In the refrigerator in the med room was Tuberculosis (TB) solution with an open date of [DATE]. - Levemir insulin with an open date of [DATE], was in the refrigerator. - Humalog insulin with an open date of [DATE], was in the refrigerator. 2.On [DATE] at 10:30 AM, observation the medication cart on the C hallway was completed at this time. […]

• No harm, potential for more than minimal, widespreadF880Aug 8, 2022

  Based on observation, interview, and record review, the facility failed to implement control measures to prevent the transmission of suspected scabies. This failure has the potential to affect all 56 residents. Findings include: Upon entering the facility on 8/4/2022, residents were in the dining room for a meal. No residents were in isolation. No resident's personal items were tied up in plastic bags. There were no signs at residents' doors indicating contact isolation. There were no staff wearing gowns and gloves and they were working multiple halls. 1. On 8/4/2022 at 9:00 AM, R1 was sitting up in geriatric chair and had scabbed areas on bilateral legs. R1's face sheet documents diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]