Greenwood Center for Nursing and Rehab

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 27, 2022

  Based on a review of clinical records, select facility policy, current CDC (Centers for Disease Control and Prevention) and PAHAN (Pennsylvania Health Alert Network) infection control guidance and infection control consultation documentation, observations and staff interview, it was determined that the facility failed to timely initiate necessary infection control precautions for cohorting residents positive for COVID-19 to prevent the spread of the [CONDITION(S)]-CoV-2 virus to uninfected residents. […]

• Immediate jeopardy, isolatedF689Jul 1, 2026

  Based on observations, review of clinical records, facility policies, facility investigative documentation, video surveillance, and resident and staff interviews, it was determined that the facility failed to ensure the environment remained as free of accident hazards as possible by failing to provide adequate supervision and implement effective interventions to prevent an avoidable elopement for one of 12 residents reviewed (Resident CR1). This deficient practice placed Resident CR1 and other residents (Resident 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, & 12) identified by the facility as being at risk for elopement in Immediate Jeopardy due to the likelihood of serious injury, serious harm, impairment, or death.Findings include: A review of the facility policy titled Elopement, last reviewed… […]

• Actual harm, isolatedF684Oct 16, 2024

  Based on review of clinical records and staff interviews it was determined the facility failed to provide nursing services consistent with professional standards of quality to ensure that licensed staff properly evaluated and provided nursing care for one resident (Resident CR1) out of 5 residents reviewed. Findings include: According to the Pennsylvania Code, Title 49, Professional and Vocational Standards, State Board of Nursing, 21.11 (a)(1)(2)(4) indicates that the registered nurse was to collect complete ongoing data to determine nursing care needs, analyze the health status of individuals and compare the data with the norm when determining nursing care needs, and carry out nursing care actions that promote, maintain, and restore the well-being of individuals. […]

• Actual harm, isolatedF689Aug 25, 2023

  Based on a review of clinical records and select investigation reports and staff interview, it was determined that the facility failed to implement effective safety interventions including necessary staff supervision of resident with known behaviors that increased the resident's risk for falls to prevent a fall with serious injury, a fractured hip, to one resident out of four sampled (Resident 27). Findings include: Clinical record revealed that Resident 27 was admitted to the facility on [DATE], with diagnoses of dementia, protein calorie malnutrition and a history of falls with fracture at home. […]

• Actual harm, isolatedF600Jun 29, 2023

  Based on a review of the facility's abuse prohibition policy, select investigative reports and clinical records, and interview with staff it was determined that the facility neglected to provide the care and services necessary to avoid physical harm and maintain physical health for one resident out of five residents sampled (Resident 1) resulting in serious injury, a fractured arm. Findings include: The facility's policy entitled Abuse Policy dated as reviewed by the facility in September 2022, revealed that the resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. […]