Greenwood Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Mar 17, 2022

  Based on observation and interview the facility failed to (1) ensure staff wore the required Personal Protective Equipment (PPE) and (2) conduct COVID-19 screening of a visitor, upon arrival to the facility. Findings include: The facility policy titled Use of Personal Protective Equipment (PPE), undated, indicated the following: * All [NAME] personnel should wear a face mask while they are in the facility and eye protection when providing direct care to residents. * See updated Department of Public Health (DPH) guidance 3/2/22. The facility policy titled Visitor Policy During COVID-19 Pandemic, revised Sept. 2021, indicated the following: 1. All individuals will be screened before entering the building beyond the nurse's station. 2. […]

• No harm, potential for more than minimal, patternF550Aug 7, 2025

  Based on observations and interviews, the facility failed to provide a dignified dining experience for Residents in the facility's dining room. Specifically, the facility to ensure dependent Residents were fed at the same time while sitting together in the dining room.Findings include:Review of the facility policy titled Residents' Rights, undated, indicated the following:- As a Resident of a long-term care facility you have the right: to be treated with dignity and respectReview of the facility policy titled Supervision of Resident Nutrition, undated, indicated:-Residents needing assistance in eating must be promptly assisted upon being served. […]

• No harm, potential for more than minimal, patternF812Aug 7, 2025

  Based on observations and interview, the facility failed to ensure staff members served meals to Residents in the facility's dining room under sanitary conditions with acceptable hand hygiene practices.Findings include:Review of the facility policy titled Feeding Policy, undated, indicated the following:- Feeding Technique: 2. Treat resident with dignity and respect, 3. Wash handsReview of the facility policy titled Hand Hygiene Policy, undated, indicated the following:- After Resident Contact: When? […]

• No harm, potential for more than minimal, patternF883Aug 7, 2025

  Based on record review and interview, the facility failed to document in the medical record that residents above the age of [AGE] years old received Pneumococcal immunizations for 4 out of 5 sampled residents. Specifically, the facility failed to document in the medical record when the residents received the Pneumococcal vaccine, the vaccine name, the lot number, and the expiration date. Findings include: A review of the facility policy titled 'Pneumonia immunization policy' with no revision date indicated the following:-Licensed staff will review immunization consent form and educational materials with resident or responsible party being sure all risks and benefits are understood.-Check for allergies which may preclude vaccination.-Administer vaccine as ordered.-Document on MAR,… […]

• No harm, potential for more than minimal, patternF880Apr 20, 2023

  Based on observation and interview the facility failed to ensure infection control practices were maintained to prevent the spread of infection during 1) medication pass and 2) in the dinning room. Findings include: Review of the facility policy titled Nursing Equipment Cleaning Protocol and dated as revised 3/1/21, indicated that blood pressure (BP) cuffs and rolling BP monitor will be cleaned between residents with bleach germicidal wipes or 70% isopropyl alcohol. 1a. During medication pass on 4/19/23, at 8:11 A.M., the surveyor observed Nurse #1 bring the rolling BP monitor from the hall into a resident's room and without cleaning the BP cuff and the oximeter (used to take the oxygen level in the blood, SpO2) Nurse #1 obtained the BP and SpO2 of the resident. […]