Gretna Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Gretna Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF919Jul 27, 2023

  Based on observations, interviews, and facility document review, the facility staff failed to ensure 1. the resident communication system relayed calls directly to a staff person or to a centralized staff work area from all residents' rooms and 2 of 2 bathing areas, and 2. call light pull cords were in working order in 2 of 2 bathing areas. The findings were: 1. The residents' call button/bell communication system was not connected to any centralized staff work area or directly to any staff person. […]

• No harm, potential for more than minimal, patternF755Oct 21, 2021

  Based on staff interview, clinical record review and facility document review the facility staff failed to provide routine drugs by not ensuring medications were available for administration for 5 of 26 Residents, #44, #54, #22, #28, and #73. A facility document entitled Unavailable Medications was reviewed and read in part, Policy: The facility must make every effort to ensure that medications are available to meet the needs of each resident. The findings included: 1. For Resident # 44 the facility staff failed to ensure that the supplement Prostat was available for administration. […]

• No harm, potential for more than minimal, patternF886Oct 21, 2021

  Based on staff interview and clinical record review, the facility staff failed to consistently document the results of COVID-19 tests in the (EHR) electronic health record for 23 of 26 residents. Resident's #6, #11, #16, #18, #19, #22, #24, #28, #34, #37, #42, #44, #45, #46, #51, #54, #61, #67, #71, #73, #75, #77, and #79. The findings included: The facility staff failed to consistently document the result of COVID-19 testing in the resident's EHR's. During the record reviews, the surveyors were unable to locate all of the results of recent COVID-19 tests in the resident's EHR's. […]

• No harm, potential for more than minimal, isolatedF684Apr 30, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to follow the provider orders for wound care and failed to obtain provider orders for a fracture for 1 of 5 closed record reviews, Resident #94. Findings included:1. The facility staff failed to complete provider ordered treatments for a hematoma on Resident #94's left calf. Resident #94 experienced a fall prior to admission to the facility. A hematoma is a localized collection of blood outside blood vessels, usually caused by injury or trauma, which can lead to swelling, pain, and discoloration. Resident #94's diagnoses included contusion of lower leg, Parkinson's disease, and muscle weakness. […]

• No harm, potential for more than minimal, isolatedF684Mar 12, 2026

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to ensure resident treatment and care in accordance with professional standards of practice for (1) one of (4) four sampled residents, Resident #1. The findings included:For Resident #1, the facility staff failed to follow a medical provider order to discontinue the medication polyethylene glycol powder (MiraLAX) after a bowel movement. Resident #1's diagnosis list indicated diagnoses, which included, but not limited to, chronic kidney disease, vascular dementia-mild with agitation, left femur fracture, and difficulty walking. […]