Greenway Manor

In the surveyor’s words

From the most serious findings on record at Greenway Manor, in the surveyor’s own words.

• Actual harm, isolatedF580May 10, 2023

  Based on interview and record review, the facility did not consult with resident's physician or extender when 1 of 3 residents (R1) had a significant change in her medical condition. R1 was receiving an anticoagulant medication and experienced a change in condition when RN C (Registered Nurse) used a Q-tip to remove hard wax from R1's ears. R1's ears began to bleed, and RN C did not contact R1's Medical Doctor (MD) or an on-call MD when R1 had this change in condition. RN H also did not contact R1's MD or an on-call MD regarding uncontrolled bleeding when she became aware. All of this resulted in R1 being sent to the emergency room where she received medical intervention to control bleeding. […]

• Actual harm, isolatedF684May 10, 2023

  Based on interview and medical record review, facility staff did not provide care and treatment in accordance with professional standards of practice for 1 of 3 sampled residents (R1) R1 was receiving an anticoagulant medication and experienced a change in condition when RN C used a Q-tip to remove hard wax from R1's ears and R1's ears began to bleed. RN C (Registered Nurse) did not stop when R1 verbally expressed pain and said Stop, did not complete an RN assessment after an injury was noted, did not contact R1's Medical Doctor (MD) or an on-call MD. […]

• No harm, potential for more than minimal, patternF607Oct 3, 2024

  Based on interview, record review, and policy review, the facility failed to implement the facility's Abuse policy that prohibits staff to resident abuse for 1 of 1 resident (R46) reviewed for abuse in the sample of 14. Specifically, the facility did not protect R46 and other residents during the abuse investigation and failed to conduct a thorough investigation into the allegation of physical abuse as instructed in the facility's Abuse policy. This failure had the potential to negatively impact all 46 residents currently residing at the facility. […]

• No harm, potential for more than minimal, isolatedF677Feb 25, 2026

  Based on observation, interview, and record review, the facility did not ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain good grooming and personal hygiene for 1 (R20) of 12 reviewed for ADLs (Activities of Daily Living). Surveyor observed R20 not being shaved on 2/23/26, 2/24/26, and the morning of 2/25/26. R20's care plan, wife, and R20 indicated he needs assistance with personal hygiene and grooming. Evidenced by:The facility policy, Nursing Care, Activities of Daily Living, dated 10/25, states, in part;.A program of activities of daily living is provided to residents to preserve ADL function, promote independence, self-esteem and dignity and achieve maximum level of function.Staff assist is provided as needed to… […]

• No harm, potential for more than minimal, isolatedF699Feb 25, 2026

  Based on record review and interview, the facility did not ensure 2 of 3 residents (R6 & R32) who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for resident's experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident. R6 has a diagnosis of PTSD (Post Traumatic Stress Disorder) and does not have a complete trauma assessment or a care plan addressing triggers, resident specific approaches, or interventions. The facility did not care plan R32's post-traumatic stress disorder and failed to include triggers and interventions to best support R32. […]