Greenwood Center for Rehabilitation and Nursing

In the surveyor’s words

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

• Actual harm, isolatedF684Feb 27, 2025

  Based on clinical record review and staff interview it was determined that the facility failed to provide the highest practicable care regarding physician ordered diagnostic testing for one of three residents reviewed (Resident CR1) and physician ordered medications that resulted in hospitalization for one of three residents reviewed resulting in harm (renal failure and digoxin toxicity) (Resident 1). Findings include: Closed clinical record review for Resident CR1 revealed physician documentation by Employee 2 (physician) dated January 20, 2025, at 12:35 PM that indicated Resident CR1 presented with a cough. The assessment indicated that Resident CR1 had a viral upper respiratory infection (URI, affecting the sinuses and throat). […]

• Actual harm, isolatedF689Aug 4, 2022

  Based on closed clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to thoroughly investigate an incident regarding the use of interventions and appropriately implemented interventions resulting in harm (multiple fractures of her pelvis, a fracture of her upper arm, a possible right hip fracture, and compression fractures of her thoracic spine) for one of seven residents reviewed (Resident CR1). Findings include: The policy entitled Falls-Clinical Policy, provided by the Director of Nursing as the facility's current policy, indicates that staff will document risk factors for falling in the resident's medical record and discuss the resident's fall risk. […]

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on review of select facility policy and procedures, observation, and staff interview, it was determined that the facility failed to store food items in a safe and sanitary manner, maintain equipment in a sanitary condition, and prepare food items in accordance with professional standards in the main kitchen (Main Kitchen of Facility) and maintain equipment in a safe and sanitary condition on one of five nursing units reviewed (400 Nursing Unit).Findings include: Initial tour of the facility's main kitchen with Employee 3, Dietary Manager, on January 5, 2026, at 10:00 AM revealed the following: The parts per million (PPM) test strips used to test for appropriate dishwasher sanitizer concentration that were included in a clean, plastic sheet protector with the dishwasher temperature… […]

• No harm, potential for more than minimal, widespreadF812Mar 31, 2025

  The facility failed to store and prepare food in accordance with professional standards for food safety in the main kitchen and on one of three nursing units (,d+[DATE] solarium pantry). Findings include: The United States Food and Drug Administration (FDA) Cooling Cooked Time/Temperature Control for Safety Foods and the FDA Food Code: for Food Employees stipulates that the FDA Food Code requires a two-step cooling process for cooked food: a two-hour rapid cool from 135 degrees Fahrenheit to 70 degrees Fahrenheit followed by a four-hour window where foods must be cooled to 41 degrees Fahrenheit or less. This means that within two hours, the food must be cooled from cooking temperature (135 degrees Fahrenheit) to 70 degrees Fahrenheit to eliminate risk of pathogen growth. […]

• No harm, potential for more than minimal, widespreadF812Mar 29, 2024

  Based on observation and staff interview, it was determined the facility failed to store food to prevent the potential spread of food borne illness and maintain food service/storage equipment in a sanitary manner in the facility's main kitchen and one of three dining areas nursing units (100/300 dining room). Findings include: An observation of the facility's main kitchen on March 26, 2024, at 9:58 AM revealed the following: A large white bin next to the ice machine contained a white powdery substance. The bin was labeled as flour and dated September 7, 2023, with a use by date of March 7, 2024. An additional white bin next to the flour also contained a white powdery substance and was not labeled or dated. Employee 7, dietary manager, indicated it was thickener in the bin. […]