Greystone Health Care Center

In the surveyor’s words

From the most serious findings on record at Greystone Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 31, 2024

  Based on facility policy review, medical record review, police report review, facility investigation review, and interview the facility failed to protect the residents' right to be free from sexual abuse and physical abuse by another resident for 4 of 14 (Resident #11, #17, #18, and #5) sampled residents reviewed for abuse. On 6/25/2024, Resident #9 was observed with his hand on Resident #11's pelvic region and Resident #11 was observed shaking his head no. On 11/26/2023, Resident #18 grabbed Resident #17's arm resulting in a scratch to her finger and Resident #17 scratched Resident #18 on the face when Resident #18 entered Resident #17's room. On 3/15/2024, Resident #6 hit Resident #5 with a soda can in her chest area. […]

• Actual harm, isolatedF600Jan 18, 2023

  Based on facility policy review, medical record review, facility investigation review, and interview, the facility failed to prevent abuse for 1 resident (Resident #1) of 5 residents reviewed for abuse. Resident #1 was sitting in the doorway of her room when Resident #2 wandered to the doorway, placed his right hand on the left side of Resident #1's neck, and grabbed the front of her shirt causing Resident #1 psychosocial distress and harm. The findings included: Review of the facility's abuse policy titled, Abuse, Neglect and Exploitation last reviewed 10/24/2022 showed .It is the policy of this facility to provide protections .that prohibit and prevent abuse .'Abuse' means the willful infliction of injury .with resulting .mental anguish, which can include .resident to resident… […]

• No harm, potential for more than minimal, widespreadF732Oct 30, 2024

  Based on facility policy review, observations, and interviews, the facility failed to ensure daily staff posting information included the resident census, the facility name, and actual number of hours worked by Registered Nurses (RN), Licensed Practical Nurses (LPN), and Certified Nursing Assistants (CNA) on 3 of 3 days reviewed for staff postings. The findings include: Review of the facility policy titled, Facility Required Postings, revised on 1/1/2022, revealed .The facility will post required postings .staffing information . […]

• No harm, potential for more than minimal, widespreadF812Oct 30, 2024

  Based on facility policy review, observations, and interviews, the facility failed to maintain kitchen equipment in a sanitary condition, ensure spices were properly sealed, and failed to discard expired food which had the potential to affect 92 of 95 residents. The findings include: Review of the facility's policy titled, Environment, revised ,d+[DATE], revealed .Dining Services Director will ensure kitchen is maintained in a clean sanitary manner, including floors, walls . Review of the facility's policy titled, Food Storage: Dry Goods, revised ,d+[DATE], revealed .packaged .foods items will be kept .properly sealed . During an observation of the food preparation area on [DATE] at 10:15 AM, with the Certified Dietary Manager (CDM), revealed the following: 1. […]

• No harm, potential for more than minimal, patternF578Oct 30, 2024

  Based on facility document review, medical record review, and interviews, the facility failed to ensure Durable Power of Attorney (POA) documents were entered into the medical record for 2 residents (Residents #23 and #86) and failed to provide education regarding Advance Directives on admission for 6 residents (Residents #7, #8, #18, #37, #342 and #343). The findings include: Medical record review revealed Resident #23 was initially admitted to the facility on [DATE], and was most recently readmitted to the facility on [DATE], with diagnoses including Alzheimer's Disease, Seizures, Dementia, Depression, Bipolar Disorder, Anxiety, and Psychosis. […]