The Greens at Gastonia

In the surveyor’s words

From the most serious findings on record at The Greens at Gastonia, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 5, 2025

  Based on observations, record reviews, and Nurse Practitioner, resident, and staff interviews, the facility failed to provide effective supervision for Resident #3 who had dementia with severe cognitive impairment, hemiparesis (mild or moderate weakness) of the dominant right side due to a stroke, and a history of smoking. A smoking assessent completed on 12/20/24 noted Resident #3 had limited range of motion and unclear speech response but was determined as having no issues with her ability to smoke safely and was determined to be safe to smoke unsupervised. On 3/19/25, Resident #3 was smoking unsupervised in the designated smoking area and caught her hair on fire. Resident #3 patted her hair with her right hand to put out the fire. […]

• Immediate jeopardy, isolatedF697Jun 26, 2023

  Based on record review, staff, family, Hospice Nurse, Hospice Medical Director, and Nurse Practitioner (NP) interviews, the facility failed to manage the pain of 1 of 1 resident (Resident #1) who complained of pain and exhibited non-verbal cues of pain that included moaning, groaning, and grimacing as staff moved or touched her after returning to the facility from Emergency Department (ED) following a fall that resulted in a cervical one (C-1 - upper vertebrae in the neck) fracture in her neck and left humerus (upper arm) fracture on [DATE]. There was no pain treatment from the time Resident #1 returned from the ED until she was transferred to an inpatient hospice facility approximately 28 hours later. […]

• Actual harm, isolatedF550Jun 25, 2026

  Based on record review, observation, and resident and staff interviews, the facility failed to maintain residents' dignity when staff failed to knock before entering residents' rooms and when staff spoke negatively about a resident in the hall for 3 of 3 residents reviewed for dignity and respect (Resident #47, Resident #48 and Resident #90). The residents stated they felt very frustrated, angry, embarrassed, hurt and not worthy of respect or care. The findings included: a. Resident #47 was admitted on [DATE].Resident #47's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact. […]

• Actual harm, isolatedF602May 5, 2025

  Based on record review, resident, and staff interviews, the facility failed to protect the resident's (Resident #76) right to be free from misappropriation of property when Hospitality Aide #1 used Resident #76's debit card to withdraw cash from an Automatic Teller Machine (ATM) and purchase various items from several stores without Resident #76's permission or knowledge. Hospitality Aide #1 was alleged to have spent approximately $628.75 on November 29, 2024. Resident #76 stated it made me real sad that she took advantage of me. He indicated he trusted Hospitality Aide #1 as she had been kind to him and was upset she stole his money. This deficient practice occurred for 1 of 3 residents (Resident #76) reviewed for abuse, neglect, and misappropriation of resident property. […]

• Actual harm, isolatedF689Oct 3, 2022

  Based on record review and interviews with the Medical Doctor and staff the facility failed to provide care in a safe manner resulting in a resident falling from the bed to the floor and sustaining a fracture to the left ulna (forearm) for 1 of 2 residents reviewed for falls (Resident #315). The findings included: Resident #315 was readmitted to the facility on [DATE] with diagnoses including [CONDITION(S)] and bilateral below the knee amputations. The quarterly Minimum Data Set (MDS) dated [DATE] assessed Resident #315's cognition as intact and his functional status for activities of daily living as needing extensive 2-person assistance with bed mobility and total 2- person assistance with toilet use. One fall was coded with no injury. […]