Inspection Reports for Greenbriar Nursing Center

The State Agency conducted a complaint investigation regarding odors in the facility and activities of daily living (ADLs).

The facility was found to be in compliance with Medicare and Medicaid participation requirements, and no deficiencies were cited.

Complaint MS #2652072 was investigated for odors and ADLs; no deficiencies were found.

The State Agency conducted a complaint investigation at the facility on 12/4/25 regarding odors in the facility and activities of daily living (ADLs).

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, and no deficiencies were cited.

Complaint investigation MS #2652072 regarding odors and activities of daily living; no deficiencies found.

The State Agency conducted a desk review of information related to the annual survey completed on 2025-06-12 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation. The State Agency recommended the facility be placed back in compliance effective 2025-07-09.

The State Agency conducted an Annual Recertification survey and Complaint Investigation related to falls from 6/10/25 through 6/12/25. The complaint investigation resulted in no citation, but the annual recertification survey found the facility not in compliance with Medicare and Medicaid participation requirements.

The facility was cited for deficiencies including failure to maintain resident privacy during perineal care, failure to protect confidentiality of resident care information, failure to sustain corrective actions related to infection control, and failure to perform proper hand hygiene during care, posing infection risks.

Complaint Investigation (CI MS #29250) was related to a facility incident involving falls; no citation was issued related to the complaint investigation.

The State Agency conducted an annual recertification survey and complaint investigation at Greenbriar Nursing Center from June 10, 2025 through June 12, 2025, including investigation of a facility-related incident involving falls.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, with citations related to residents' rights violations including failure to maintain privacy during perineal care and improper posting of clinical information, and infection control violations including failure to perform proper hand hygiene during care.

The complaint investigation (CI) MS #29250 was conducted concurrently with the annual survey. The State Agency investigated MS #29252, a facility-related incident involving falls, but no citation was related to the complaint investigation.

The State Agency conducted a desk review related to the annual survey completed on 2025-06-12 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 2025-07-09.

The survey was conducted to assess the facility's compliance with emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies cited.

The inspection was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code with no deficiencies cited during this survey.

The State Agency conducted two complaint investigations at the facility from 2/5/25 through 2/6/25 related to abuse, injury, resident safety, quality of care, and abuse allegations.

The facility was found to be in compliance with Medicare and Medicaid participation requirements, and no deficiencies were cited during the complaint investigations.

Two complaint investigations (CI MS #27524 and CI MS #27538) were conducted. CI MS #27524 investigated abuse, injury, resident safety, and quality of care. CI MS #27538 investigated abuse. Both complaints were found to be unsubstantiated as no deficiencies were cited.

The State Agency conducted two complaint investigations at the facility from 2025-02-05 through 2025-02-06 related to abuse, injury, resident safety, and quality of care.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.

Two complaint investigations (CI MS #27524 and CI MS #27538) were conducted; CI MS #27524 involved abuse, injury, resident safety, and quality of care, and CI MS #27538 involved abuse. Both complaints resulted in no deficiencies.

The State Agency conducted a desk review related to a complaint survey completed on 2024-11-12 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 2024-12-18.

The visit was related to a complaint survey completed on 2024-11-12. The desk review confirmed corrective measures were taken and compliance was restored.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-11-06 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 2024-12-19.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-11-06 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficiencies and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-12-19.

The State Agency conducted a desk review related to the annual survey completed on 2024-11-06 to verify corrective measures taken by the facility.

The facility provided information confirming corrective actions were implemented to address deficiencies and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-12-19.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-11-06 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 2024-12-19.

The State Agency conducted two complaint investigations at the facility on 11/12/2024 related to resident abuse, resident safety, and quality of life.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

Two complaint investigations (MS #26991 and MS #26997) were conducted regarding resident abuse, safety, and quality of life; the facility was found compliant.

The State Agency conducted two complaint investigations on 11/12/2024 related to allegations of resident abuse, resident safety, and quality of life at the facility.

The facility failed to report an allegation of sexual abuse within the required two-hour timeframe when Resident #1 verbalized she was sexually abused. The investigation revealed that staff were aware of the allegation on 11/02/2024 but did not notify the Administrator or Director of Nursing until 11/06/2024, resulting in delayed reporting to the State Agency and other authorities.

Two complaint investigations (CI's MS #26991 and CI MS #26997) were conducted for resident abuse, resident safety, and quality of life. The allegation involved Resident #1 who reported sexual abuse on 11/02/2024. The facility did not report the allegation to the State Agency, local police, or Attorney General within two hours as required. The facility began investigation on 11/06/2024 and was unable to substantiate the abuse.

The State Agency conducted a complaint investigation (MS #26375) at the facility on 9/30/24 regarding Quality of Care, Accidents, and Neglect.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited during the investigation.

Complaint investigation MS #26375 for Quality of Care, Accidents, and Neglect; no deficiencies cited.

The State Agency conducted a complaint investigation (CI), MS #26375, at the facility on 9/30/24 for Quality of Care, Accidents, and Neglect.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm, and no deficiencies were cited.

Complaint investigation MS #26375 for Quality of Care, Accidents, and Neglect was conducted and found no deficiencies.

The State Agency conducted a desk review of information related to the annual survey completed on 2024-02-08 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to be in compliance based on the information provided, and the State Agency recommended the facility be placed back in compliance effective 2024-03-28.

The State Agency conducted an annual recertification survey at Greenbriar Nursing Center from 02/05/2024 through 02/08/2024 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with residents' rights related to maintaining comfortable room temperatures for residents, and infection control standards related to improper PEG tube and catheter care, posing potential infection risks to residents.

The State Agency conducted an annual recertification survey at the facility from 02/05/2024 through 02/08/2024 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with requirements related to maintaining a safe, clean, and comfortable environment, accuracy of resident assessments, and infection prevention and control practices. Specific deficiencies included failure to maintain comfortable room temperatures for some residents, inaccurate coding of restraints on Minimum Data Set assessments, and improper infection control procedures during PEG tube and catheter care.

The State Agency conducted a desk review of information related to the annual survey completed on 02/08/24 to verify corrective measures and compliance with Medicare and Medicaid requirements.

The facility provided information confirming that corrective measures were implemented to address deficient practices, and the State Agency recommended the facility be placed back in compliance effective 03/28/24.

The survey was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code, and no LSC deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements with no deficiencies cited.

The State Agency conducted a Complaint Investigation at the facility regarding misappropriation of property, resident left wet, and resident not groomed.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint MS #20776 regarding misappropriation of property, resident left wet, and resident not groomed was investigated and found to be unsubstantiated with no deficiencies cited.

The State Agency conducted a complaint investigation regarding misappropriation of property, resident left wet, and resident not groomed.

The facility was found to be in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint MS #20776 regarding misappropriation of property, resident left wet, and resident not groomed was investigated and found unsubstantiated with no deficiencies cited.

A COVID-19 Focused Infection Control Survey was conducted by the State Agency at the facility from 12/29/22 through 12/30/22 to assess compliance with infection control regulations and implementation of CMS and CDC recommended practices for COVID-19.

The facility was found to be in compliance with infection control regulations and has implemented the recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Survey Agency from 12/29/2022 through 12/30/2022.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The State Agency conducted a Complaint Investigation at the facility from 8/8/22 through 8/10/22 regarding allegations including neglect, resident grooming, discharge rights, falls, verbal abuse, misappropriation of property, facility staffing, following physician orders, and resident left soiled/wet.

The facility was found to be in compliance with Mississippi Regulations Minimum Standards for Institutions for the Aged or Infirm, with no deficiencies cited. The complaints investigated were not substantiated.

The State Agency did not substantiate MS #18563 for neglect, resident not groomed, discharge rights, and falls. The State Agency did not substantiate MS #18783 for verbal abuse, misappropriation of property, facility staffing, following physician orders, and resident left soiled/wet.

The State Agency conducted a Complaint Investigation at the facility from 8/8/22 through 8/10/22 based on MS #18563 and MS #18783.

The facility was found to be in compliance with Medicare and Medicaid requirements. The complaints regarding neglect, resident grooming, discharge rights, falls, verbal abuse, misappropriation of property, staffing, following physician orders, and resident hygiene were not substantiated. No deficiencies were cited.

Complaint Investigation MS #18563 and MS #18783 were not substantiated for neglect, resident not groomed, discharge rights, falls, verbal abuse, misappropriation of property, facility staffing, following physician orders, and resident left soiled/wet.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) from 8/8/22 through 8/10/22.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness requirements.

The State Agency conducted a Complaint Investigation at the facility from 8/8/22 through 8/10/22 regarding MS #18563 and MS #18783.

The facility was found to be in compliance with Mississippi Regulations Minimum Standards for Institutions for the Aged or Infirm with no deficiencies cited. The complaints investigated were not substantiated.

The State Agency did not substantiate MS #18563 for neglect, resident not groomed, discharge rights, and falls. The State Agency did not substantiate MS #18783 for verbal abuse, misappropriation of property, facility staffing, following physician orders, and resident left soiled/wet.

The State Agency conducted a complaint investigation at the facility from 08/08/2022 through 08/10/2022 based on complaints MS #18563 and MS #18783.

The facility was found to be in compliance with Medicare and Medicaid requirements. Neither complaint MS #18563 nor MS #18783 was substantiated, and no deficiencies were cited.

Complaint MS #18563 was not substantiated for neglect, resident not groomed, discharge rights, and falls. Complaint MS #18783 was not substantiated for verbal abuse, misappropriation of property, facility staffing, following physician orders, and resident left soiled/wet.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) from 8/8/22 through 8/10/22.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The State Agency conducted a follow-up/revisit survey on 01/04/22 at the facility for the Substandard Quality of Care cited on an annual survey conducted from 11/01/21 through 11/04/21.

The State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid effective 12/26/2021.

The State Agency conducted a follow-up/revisit survey on 01/04/22 at the facility for the Substandard Quality of Care cited on an annual survey conducted from 11/01/21 through 11/04/21.

The State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid effective 12/26/2021.

The State Agency conducted a follow-up/revisit survey on 01/04/2022 at the facility for the Substandard Quality of Care cited on an annual survey conducted from 11/01/2021 through 11/04/2021.

The State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid effective 12/26/2021.

One complaint investigation (CI MS #18359) was conducted by the State Agency on 2022-01-03 regarding alleged verbal abuse of a resident.

The complaint was not substantiated and no deficiencies were cited related to the complaint. However, the facility remains out of compliance due to deficiencies cited in a prior survey on 2021-11-04.

Complaint CI MS #18359 was not substantiated for verbal abuse of a resident.

The State Agency conducted a complaint survey triggered by complaint CI MS #18359 regarding alleged verbal abuse of a resident.

The complaint was not substantiated and no deficiencies were cited during this survey. The facility remains out of compliance due to deficiencies cited in a prior survey on 2021-11-04.

Complaint CI MS #18359 for verbal abuse of a resident was investigated and found unsubstantiated with no deficiencies cited.

The State Agency conducted an annual recertification survey at the facility from 11/01/2021 to 11/04/2021 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with standards related to urinary incontinence care and food preparation. Deficiencies included failure to provide catheter/incontinent care to prevent infection and trauma, and failure to serve food at a palatable and satisfactory temperature to residents.

The State Agency conducted an annual survey at the facility from 11/01/21 through 11/04/21 to determine compliance with Medicare and Medicaid Requirements for Participation.

The facility was found not in compliance with multiple requirements including notice before transfer/discharge, comprehensive care plan development and implementation, catheter and incontinent care, food temperature and palatability, and infection prevention and control.

The facility was surveyed under the Centers for Medicare Medicaid Services (CMS) COVID-19 Emergency Declaration Blanket 1135 Waivers for Health Care Provider to assess compliance with the 2012 Edition of the Life Safety Code (LSC).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA). No Life Safety Code deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited during the survey.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 06/14/2021 to 06/20/2021 as required by regulation, which has the potential to cause more than minimal harm to residents.

A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS).

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #16550) was conducted by the State Agency on 12/9/2020.

The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint investigation was unsubstantiated with no deficiencies cited related to Quality of Care for a fall with fracture.

Complaint investigation CI MS #16550 was unsubstantiated with no deficiencies cited for Quality of Care related to Fall with Fracture.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #16550) was conducted by the State Agency.

The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint investigation was unsubstantiated with no deficiencies cited related to Quality of Care for a Fall with Fracture.

Complaint investigation (CI MS #16550) was unsubstantiated with no deficiencies cited for Quality of Care related to Fall with Fracture.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/9/2020 to assess compliance with emergency preparedness regulations related to COVID-19.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness for COVID-19.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #16550) was conducted by the State Agency on 12/9/2020.

The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint investigation was unsubstantiated with no deficiencies cited related to Quality of Care for a Fall with Fracture.

Complaint investigation CI MS #16550 was unsubstantiated with no deficiencies cited for Quality of Care related to Fall with Fracture.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/9/2020.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

A COVID-19 Focused Infection Control Survey along with a complaint investigation (CI MS #16550) was conducted by the State Agency on 12/9/2020.

The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The complaint investigation was unsubstantiated with no deficiencies cited related to Quality of Care for a fall with fracture.

Complaint investigation CI MS #16550 was unsubstantiated with no deficiencies cited for Quality of Care related to Fall with Fracture.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency on 8/25/20 to assess the facility's compliance with infection control regulations related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 6/24/2020.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

The inspection was conducted as an annual recertification survey to assess compliance with State Licensure requirements.

The facility was found to be in compliance with State Licensure requirements and no deficiencies were cited during the inspection.

A recertification survey was conducted by Healthcare Management Solutions, LLC on behalf of the Mississippi State Department of Health from 3/4/19 to 3/7/19 to assess compliance with Medicare and Medicaid participation requirements.

The facility was found not to be in substantial compliance with requirements, with deficiencies cited related to comprehensive care plan implementation, care plan revision, ADL care including nail care, accident hazards and supervision, and catheter care. The facility also had issues with locked exit doors not releasing upon fire alarm activation.

A complaint investigation was conducted on July 10, 2018, at Greenbriar Nursing Center.

The investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated with no deficiencies cited.

A complaint investigation was conducted on 1/30/18 at Greenbriar Nursing Center.

The investigation was unsubstantiated with no deficiencies cited.

Complaint investigation was unsubstantiated with no deficiencies cited.

A complaint investigation was conducted at Greenbriar Nursing Center on September 12, 2017.

The investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated with no deficiencies cited.

The State Agency conducted a licensure survey at the facility from 6/20/17 to 6/23/17 to determine compliance with State Licensure Regulations for the Aged or Infirm.

The facility was found not in compliance due to failure to perform Foley catheter care properly to prevent possible spread of infection for one of three catheter care observations involving Resident #1. The deficiency was cited at Level 2 severity.

The State Survey Agency conducted an annual recertification survey from 6/20/17 through 6/23/17 to determine compliance with the Centers for Medicare and Medicaid Services Conditions of Participation.

The facility was found not in compliance due to deficiencies related to Foley catheter care and infection control. Specifically, staff failed to follow the care plan and proper catheter care procedures, risking infection spread. The facility implemented corrective actions including staff in-service training and ongoing monitoring.