Lifecare Greenbush Manor

In the surveyor’s words

From the most serious findings on record at Lifecare Greenbush Manor, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF600Oct 16, 2025

  Based on interview and document review the facility failed to ensure 1 of 3 residents (R1) were free from physical and verbal abuse during cares when a nurse aid (NA) made derogatory statements and provided rough care during activities of daily living (ADL) services which was witnessed by another employee and had other witnessed incidents of verbal abuse that went unreported due to staff feeling intimidated or fearful of retaliation. Findings Include:R1's quarterly Minimum Data Set (MDS) dated [DATE], identified diagnoses of non-traumatic brain dysfunction. R1 was dependent upon staff for all cares, repositioning, transfers, and frequently incontinent of bowel and bladder. […]

• No harm, potential for more than minimal, isolatedF610Oct 16, 2025

  Based on interview and record review the facility failed to ensure 1 of 3 residents (R1) who were involved in an allegation of rough care/abuse by staff had and initial and ongoing skin and behavioral tracking to monitor for sign of abuse. Findings include:R1's quarterly Minimum Data Set (MDS) dated [DATE], identified serve impaired cognition without behaviors and that she was dependent upon staff for all cares, repositioning, transfers, and frequently incontinent of bowel and bladder. Facility investigation dated 10/13/25, identified on 10/9/25 at 3:00 p.m. NA-B reported she observed NA-A wipe R1 aggressively and rough while providing peri cares. She poked or went deeper than needed and heard NA-A address R1 by stating, God you fucking stinking [sic]. You're no fucking help. […]

• No harm, potential for more than minimal, isolatedF690Mar 6, 2024

  Based on observation, interview and record review the facility failed to ensure an indwelling cathether was secured in a manner to prevent infection for 1 of 1 residents (R26) reviewed for catheter. Findings include: R26's quarterly Minimum Data Set (MDS) dated [DATE], identified R26 had severe cognitive impairment and utilized an indwelling urinary catheter. Diagnoses included heart failure and kidney disease. R26's care plan dated 9/20/23, identified R26 had an indwelling catheter in place due to urinary retention and required extensive assist of one to two for toileting. During an observation on 3/6/24, at 8:00 a.m. R26 was transferred to the wheelchair to go to the dining room for breakfast. […]

• No harm, potential for more than minimal, isolatedF689Apr 13, 2023

  Based on observation, interview and document review the facility failed to comprehensively assess for the use of a mechanical lift chair 1 of 1 resident (R3) observed to use a mechanical lift chair. Findings include: R3's quarterly Minimum Data Set, dated dated dated [DATE], identified R3 had severe cognitive impairment, required assistance with transfers and had functional impairment of range of motion in both lower extremities. R3 had two or more since admission without injury. R3's care plan dated 12/5/22, directed staff to place the mechanical lift chair remote control out of reach, and unplug recliner when occupied. On 4/11/23 at 4:28 p.m., R3's was observed in her mechanical lift chair. The chair was in the reclined position with the foot rest extended straight out. […]

• No harm, potential for more than minimal, isolatedF697Apr 13, 2023

  Based on observation, interview and document review, the facility failed to to act on continued complaints of pain for 1 of 1 residents (R82) reviewed for pain. Findings include: R82's admission Minimum Data Set (MDS) dated [DATE], identified R6 had moderate cognitive impairment. R6 reported frequent and moderate pain. R6 received non-pharmacological pain interventions as well as scheduled and as needed (PRN) pain medications. Diagnoses included a wedge compression fracture (a break in the vertebrae, the bones that make up your spine, caused by force) of the lower spine and low back pain. […]