Greystone Nursing and Rehab, LLC

In the surveyor’s words

From the most serious findings on record at Greystone Nursing and Rehab, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 20, 2024

  Based on observation, record review, and interview the facility failed to ensure cross contamination did not occur during the serving of lunch trays and beard coverings were worn at all times in the kitchen. These are our findings: On 06/18/2024 at 11:40 AM, the Surveyor observed two Dietary Aides making the House Supplement. Dietary Aide # 4 was scooping ice cream into the mixer, while Dietary Aide #5 added a nutritional supplement and half and half into the mixer. Dietary Aide #5 had a full beard, including a mustache, that appeared two to three inches long and was preparing food for the residents without the use of a beard covering. […]

• No harm, potential for more than minimal, widespreadF812Apr 21, 2023

  Based on observation and record review, the facility failed to ensure dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practice had the potential to affect 67 residents who received meals from the kitchen (total census:68), as documented on a list provided by the Dietary Supervisor on 04/20/23 at PM. The findings are: 1. On 04/19/23 at 8:46 AM, Dietary Employee (DE) #1 picked up the water hose with his bare hand, used it to spray off leftover food items from the dishes, contaminating his hands. He placed dishes in the dirty racks and pushed them into the dish washing machine to wash. […]

• No harm, potential for more than minimal, patternF558Jun 20, 2024

  Based on observation, record review and interview, the facility failed to ensure call lights were answered in a timely manner for 2 (Resident #33 and #16) of 2 sample mix residents. The findings are: 1. On 06/18/2024 at 9:30 AM, observed Resident #33's call light turned on. a. Resident #33's Care Plan dated 05/25/2022 revealed the resident had an Activity of Daily Living (ADL) self-care performance deficit and was to be encouraged to use the bell to call for assistance. b. On 06/18/2024 at 9:38 AM, observed Licensed Practical Nurse (LPN) #1 sitting at the nurse's station. Certified Nursing Assistant (CNAs) were observed on the hallway. c. On 06/18/2024 at 9:42 AM, the Surveyor was asked by another resident for assistance to turn off a beeping noise. […]

• No harm, potential for more than minimal, patternF677Apr 21, 2023

  Based on observation, interview, and record review, the facility failed to provide nail care for 2 (Residents #16 and #18) of 10 (Residents #1, #4, #14, #16, #17, #18, #20, #53, #57 and #165) sampled residents who required assistance with Activities of Daily Living (ADL) as documented on a list provided by the Director of Nursing (DON) on 04/20/23 at 3:13 PM. The findings are: 1. Resident #16 had diagnoses of Multiple Sclerosis, Unspecified, Osteoarthritis, and Hidradenitis Suppurativa (skin condition). […]

• No harm, potential for more than minimal, isolatedF695Apr 21, 2023

  Based on observation, and interview, the facility failed to store nebulizer masks in a manner that would prevent contamination for 1 (Resident #54) of 8 (Residents #10, #16, #20, #23, #51, #53, #54 and #165) sampled residents who utilized nebulizers to receive medication in the facility as documented on a list provided by the Director of Nursing (DON) on 04/20/23 at 2:20 PM. The findings are: 1. Resident #54 had diagnoses of Dysphagia, Pharyngoesophageal Phase, Esophageal Obstruction, and Gastrostomy. […]