The Greens at Viewmont

In the surveyor’s words

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

• Immediate jeopardy, patternF606Mar 8, 2024

  Based on record review, staff, and Health Care Personnel Investigator (HCPI) interviews the facility failed to terminate and allowed Nurse Aide (NA) #1 to continue to work after becoming aware that she had substantiated findings of misappropriation of resident property which occurred while NA #1 was employed in a nursing facility and had a substantiated finding of fraud against a resident which occurred while NA #1 was employed in a nursing facility on the North Carolina Nurse Aide Registry on 08/15/23. NA #1 was terminated on 12/21/23 following an investigation of misappropriation of Resident #27's property that allegedly occurred in the facility on 12/13/23. This deficient practice of allowing NA #1 to continue to work had the high likelihood to affect other residents. […]

• Immediate jeopardy, patternF607Mar 8, 2024

  Based on record review and staff interviews the facility failed to implement their abuse policy by failing to separate employment of Nurse Aide (NA) #1 on 08/15/23 when the facility became aware that she had substantiated findings of misappropriation of resident property and fraud against a resident that occurred while the individual was employed in a nursing facility. NA #1 continued her employment with the facility until 12/21/23 when she was terminated following an allegation of misappropriation of resident property. This deficient practice affected 1 of 3 residents (Resident #27) reviewed for abuse, neglect, and misappropriation of resident property and had the high likelihood to affect other residents in the facility. […]

• Immediate jeopardy, isolatedF689Apr 20, 2026

  Based on observations, record reviews, and staff, Resident Representative, emergency responders, Nurse Practitioner (NP), Medical Director, hospital staff, Program of All-Inclusive Care for the Elderly (PACE) staff interviews, the facility failed to supervise a moderately cognitively impaired resident (Resident #1) who obtained a cigarette lighter and ignited herself and her bedding on fire. On 4/09/26 at 4:39 PM the fire alarm at the facility sounded. Staff responded to Resident #1's room and noted smoke coming from under the closed door. When Nurse #1 opened the door, he found Resident #1 in flames on the top portion of her body. Nurse #1 and Nurse #2 grabbed bedding from the foot of the bed and began patting out the flames. […]

• Immediate jeopardy, isolatedF600Jan 4, 2023

  Based on record reviews and family, nurse practitioner (NP), x-ray company representative and staff interviews, the facility neglected to provide necessary care and services after a resident complained of left lower pain during therapy on 11/22/22 and was assessed by the Physical Therapist who recommended an x-ray of Resident #1's left lower extremity and spine. The x-ray results reported on 11/23/22 noted an acute, transverse, displaced sub capital fracture of the femoral neck (a transverse break is usually associated with major force, displaced fracture typically required surgical intervention for repair, sub-capital meaning it occurred in the neck of the thigh bone). No facility staff followed up on or acknowledged the x-ray results. […]

• Immediate jeopardy, isolatedF684Jan 4, 2023

  Based on record reviews, and family, Nurse Practitioner, x-ray company representative, and staff interviews, the facility failed to provide comprehensive assessments for a resident when the Unit Manager and Nurse Practitioner were made aware the resident had complaints of lower left extremity pain on 11/22/2022 and was noted to have shortening of his left leg by therapy. An x-ray was ordered on 11/22/22 with results reported to the facility on [DATE], which noted an acute, transverse, displaced left femoral neck fracture (a transverse break is usually associated with major force, displaced fracture typically required surgical intervention for repair, sub-capital meaning it occurred in the neck of the thigh bone). […]