Greenwood Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF553Dec 5, 2025

  Based on interview and record review, the facility failed to ensure the resident was included in their care planning process for 1 of 1 resident reviewed for care planning. (Resident 110)Findings include: During an interview on 12/1/25 at 1:59 p.m., Resident 110 indicated she had not been invited to her care plan meeting. On 12/5/25 at 11:08 p.m., the clinical record was reviewed. The diagnoses included, but were not limited to, malignant breast cancer and malnutrition. A Significant Change Minimum Data Set (MDS) assessment, dated 10/15/25, indicated Resident 110 had mild cognitive impairment and the care plan completion date was 10/22/25. The clinical record lacked documentation of resident was included in her care planning process. […]

• No harm, potential for more than minimal, isolatedF641Dec 5, 2025

  Based on record review and interview, the facility failed to ensure an accurate assessment for 1 of 25 residents reviewed for MDS (Minimum Data Set) assessment accuracy. (Resident 85)Finding includes:On 12/4/25 at 2:19 p.m., Resident 85's clinical record was reviewed. The diagnoses included, but were not limited to, generalized anxiety disorder, major depressive disorder, and dementia.The notice of PASARR (Preadmission Screening and Resident Review) Level II Outcome, dated 3/6/25, indicated, Final Determination By: .Determination Date: 3/6/25, Level II Outcome: Long Term Approval without Specialized Services.The Annual MDS assessment, dated 11/19/25, did not indicate Resident 85 had a PASARR level II or depression.The MAR (Medication Administration Record) indicated, from 10/31/24 -… […]

• No harm, potential for more than minimal, isolatedF580Sep 23, 2024

  Based on interview and record review, the facility failed to notify a provider of laboratory results that fell outside of clinical reference ranges for 1 of 5 residents reviewed for unnecessary medications. (Resident 105) Findings include: On 9/20/24 at 1:58 p.m., Resident 105's clinical record was reviewed. The diagnoses included, but were not limited to, type 2 diabetes mellitus (DM) with diabetic neuropathy, peripheral vascular disease, and surgical amputation of the right leg (below the knee). A review of the current, September, 2024, physician's orders indicated: On 7/4/24, the resident was ordered insulin aspart U-100 (medication used to treat DM) per sliding scale, at bedtime, 8:00 p.m. The order specified to contact the MD (medical doctor) if blood sugar was great than 400. […]

• No harm, potential for more than minimal, isolatedF692Sep 23, 2024

  Based on observation, interview and record review, the facility failed to monitor weights and implement interventions for a resident with assessed significant weight loss for 1 of 4 residents reviewed for nutrition. (Resident 27) Findings include: On 9/19/24 at 10:18 am, Resident 27 was observed in her bed. Her wrists were small with bony prominence's, and her face showed indications of emaciation with sunken cheeks and hollow eye sockets. On 9/19/24 at 10:40 am, Resident 27's clinical record was reviewed. The diagnoses included, but were not limited to, dementia, hypothyroidism, and vitamin D deficiency. The quarterly review Minimum Data Set assessment, dated 6/3/24, indicated the resident was severely cognitively impaired. […]

• No harm, potential for more than minimal, isolatedF800Sep 23, 2024

  Based on interview and record review, the facility failed to ensure a resident with a diagnosis of type 2 diabetes mellitus (chronic high blood sugar which could be controlled with diet, exercise, and some medications) received a therapeutic diet for 1 of 7 residents reviewed for food. (Resident 283) Findings include: During an interview on 9/18/24 at 11:34 a.m., Resident 283 indicated she was a diabetic and was getting cakes with frosting and doughnuts. She should not be getting those desserts because she was a diabetic. On 9/20/24 at 10:25 a.m., Resident 283's clinical record was reviewed. The diagnoses included, but were not limited to, left femur fracture and type 2 diabetes mellitus with diabetic neuropathy (pain and numbness in hands and feet). […]