Greenwood Health and Living Community

In the surveyor’s words

From the most serious findings on record at Greenwood Health and Living Community, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure foods were served in a sanitary and safe manner for 3 of 3 kitchen observations. Staff hair was not covered while in the kitchen food preparation area and while serving the meal. (Dietary Aide 2 and Dietary Aide 3) Finding includes:1. During the initial kitchen observation with [NAME] 4 on 4/12/26 from 9:10 a.m. to 9:20 a.m., the following was observed: - Dietary Aide 2 was observed walking through the kitchen area. Dietary Aide 2 was observed to have facial hair, above and below the lip area and along the jaw line, that was approximately one fourth inch in length. The facial hair was observed to not be covered.- Dietary Aide 3 was observed walking through the kitchen area. […]

• No harm, potential for more than minimal, patternF602May 23, 2025

  Based on interview and record review, the facility failed to protect the resident's rights to be free from misappropriation of property for 5 of 5 residents reviewed for misappropriation of property. Narcotic medications were missing. (Resident B, Resident C, Resident D, Resident E, Resident F) Findings include: 1. On 5/20/25 at 12:02 p.m., Resident B's clinical record was reviewed. The diagnoses included, but were not limited to, hypertensive chronic kidney disease and osteomyelitis of vertebra (inflammation of bone caused by infection of a spinal disc). The Annual MDS (Minimum Data Set) assessment, dated 4/7/25, indicated Resident B was cognitively intact. […]

• No harm, potential for more than minimal, patternF656May 23, 2025

  Based on observation, interview, and record review, the facility failed to develop care plans for 5 of 19 residents reviewed. Care plans were not developed for skin conditions, use of an electric wheelchair, and non-compliance. (Resident F, Resident 28, Resident 73, Resident 56, Resident 74) Finding includes: 1. On 5/20/25 at 8:30 a.m., observed Resident F in the hallway. Resident F was observed sitting in his manual wheelchair in the hall way. Resident F was wearing short pants. Multiple dried scabs were noted on his bilateral lower extremities. […]

• No harm, potential for more than minimal, patternF656Sep 20, 2023

  Based on observation, interview, and record review, the facility failed to implement the plan of care for 4 out of 5 residents reviewed for falls. Call lights were not within reach. (Resident B, Resident C, Resident D, Resident E) Finding includes: 1. On 9/19/23 at 9:07 a.m., observed Resident B sitting in his wheelchair, in his room, watching television. Resident B's call light was observed attached to Resident B's pillow, on the bed, approximately 4 feet from Resident B. At that time, Resident B indicated if he needed assistance he would use the call light, but he could not reach the call light. Resident B was not able to propel his wheelchair on his own nor transfer and get to the bathroom without assistance because his leg was amputated. […]

• No harm, potential for more than minimal, isolatedF554Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure a self- administration medication assessment was completed for residents with medications left at bedside for 1 of 32 residents rooms observed. (Resident 30) Finding includes: During initial tour on 4/12/26 at 9:22 a.m., observed Resident 30's room. Resident 30 was sitting up in the wheelchair. Resident 30 had an overbed table. A handheld Albuterol (a medication used to treat asthma and chronic obstructive pulmonary disorder symptoms) inhaler 90 mcg (micrograms). No staff were observed to be in the room or in hallway. On 4/13/26 at 8:31 a.m., Resident 30 sitting up in the wheelchair and indicated that his Albuterol inhaler was in his top drawer of his nightstand. […]