Inspection Reports for
Greenbrier Nursing and Rehabilitation Center
#16 Wilson Farm Road, Greenbrier, AR, 72058
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Sep 12, 2024
Visit Reason
The inspection was conducted as part of the annual survey to assess compliance with regulatory requirements in a nursing home setting.
Findings
The facility was found deficient in multiple areas including failure to maintain resident rights by not providing clean clothes daily, inaccurate Minimum Data Set (MDS) assessments related to tobacco use, incomplete care plans for tobacco use, unsecured medication storage, improper food safety and sanitation practices, and failure to maintain infection prevention protocols including aseptic technique and enhanced barrier precautions for residents with medical devices.
Deficiencies (6)
Failure to provide clean clothes daily and after showering for Resident #45.
Failure to ensure accurate MDS assessment regarding tobacco use for Resident #50.
Failure to develop and implement a complete care plan addressing tobacco use for Resident #50.
Failure to ensure medications were safely secured on medication carts and medication rooms.
Failure to discard expired food, sanitize food preparation surfaces between use, and perform proper hand hygiene in the kitchen.
Failure to maintain aseptic technique during PICC line IV medication administration and failure to initiate or follow Enhanced Barrier Precautions (EBP) for residents with medical devices or wounds.
Report Facts
Residents reviewed for MDS assessment accuracy: 18
Residents reviewed for comprehensive care plan: 18
Residents affected by medication storage deficiencies: 3
Residents affected by food safety deficiencies: 74
Residents reviewed for infection control: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #5 | Licensed Practical Nurse | Named in aseptic technique and medication storage deficiencies |
| LPN #14 | Licensed Practical Nurse | Named in MDS assessment and care plan deficiencies related to tobacco use |
| CNA #10 | Certified Nursing Assistant | Named in resident clothing deficiency |
| CNA #13 | Certified Nursing Assistant | Named in resident clothing and medication storage deficiencies |
| CNA #15 | Certified Nursing Assistant | Named in tobacco use observation |
| MDS Coordinator | Named in MDS assessment and care plan deficiencies related to tobacco use | |
| CP Coordinator | Care Plan Coordinator | Named in care plan deficiencies related to tobacco use |
| Director of Nursing | Director of Nursing | Named in resident clothing, MDS, care plan, and infection control deficiencies |
| Dietary Manager | Named in food safety and sanitation deficiencies | |
| LPN #6 | Licensed Practical Nurse | Named in medication storage deficiencies |
| LPN #7 | Licensed Practical Nurse | Named in medication storage deficiencies |
| LPN #12 | Licensed Practical Nurse | Named in infection control deficiencies |
| CNA #9 | Certified Nursing Assistant | Named in infection control deficiencies |
| Infection Preventionist #8 | Infection Preventionist | Named in infection control deficiencies |
| Administrator | Administrator | Named in infection control and food safety deficiencies |
Inspection Report
Census: 67
Deficiencies: 5
Date: Aug 25, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory standards related to resident care, safety, infection control, and facility operations at Greenbrier Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including cleanliness of resident environment, nail care, oxygen therapy compliance, food storage and serving practices, and infection control related to dental/oral care product storage. Deficiencies were noted to have minimal harm or potential for actual harm affecting few to many residents.
Deficiencies (5)
Failed to ensure floors and bedside tables were clean for Resident #7.
Failed to ensure nail care was regularly provided for Resident #7.
Failed to ensure physician orders for oxygen therapy were followed and oxygen tubing, humidifier bottles, and oxygen bags were dated for Residents #49 and #568.
Failed to ensure milk and refrigerated foods were not stored and served beyond expiration dates and food was served in a sanitary manner affecting Resident #51 and others.
Failed to ensure dental/oral care products were stored in a sanitary manner to prevent infection for Resident #37.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Total census: 67
Milk cartons expired: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurses Aid (NA) #1 | Described cleanliness issues and responsibility for cleaning bedside tables and floors | |
| Director of Nursing (DON) | Provided information on cleaning responsibilities, nail care policy, oxygen therapy procedures, and infection control | |
| Licensed Practical Nurse (LPN) #1 | Observed oxygen therapy equipment and described flow meter checks | |
| Licensed Practical Nurse (LPN) #2 | Assisted with oxygen equipment inspection and described storage procedures for dental supplies | |
| Dietary Employee (DE) #1, #2, #3 | Discussed milk serving process and food expiration date checks | |
| Nurses Aid (NA) #2 | Observed serving food in an unsanitary manner | |
| Certified Nursing Assistant (CNA) #1 | Commented on food serving practices | |
| Certified Nursing Assistant (CNA) #2 | Provided care to Resident #37 and described oral care and storage procedures | |
| Administrator | Provided facility policies and census information |
Inspection Report
Routine
Deficiencies: 4
Date: May 6, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication management, respiratory care, dietary services, and food safety at Greenbrier Nursing and Rehabilitation Center.
Findings
The facility was found deficient in developing comprehensive care plans for residents on psychotropic medications, proper storage of respiratory equipment, preparation of pureed foods to appropriate consistency, and adherence to food safety and hygiene practices in the kitchen. These deficiencies posed minimal harm or potential for actual harm to residents.
Deficiencies (4)
Failure to develop a comprehensive, person-centered care plan addressing psychotropic medication administration and monitoring for Resident #35.
Failure to ensure C-PAP and Trilogy respiratory masks were stored in a bag or closed container to prevent contamination for Residents #1 and #23.
Failure to ensure pureed food items were blended to a smooth, lump-free consistency for residents requiring pureed diets.
Failure to ensure dietary staff washed hands and changed gloves appropriately and to promptly remove expired food items, risking foodborne illness.
Report Facts
Residents affected: 36
Residents affected: 70
Residents affected: 2
Residents affected: 2
Resident sample size: 5
Resident sample size: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse | Named in findings related to care plan development and respiratory equipment storage. |
| Director of Nursing | Director of Nursing | Named in findings related to care plan oversight and respiratory equipment storage policy. |
| Dietary Employee #1 | Dietary Employee | Named in findings related to food safety and hygiene violations. |
| Dietary Employee #2 | Dietary Employee | Named in findings related to food safety and hygiene violations. |
| Dietary Employee #3 | Dietary Employee | Named in findings related to food safety and hygiene violations and pureed food preparation. |
| Dietary Employee #4 | Dietary Employee | Named in findings related to food safety and hygiene violations. |
| Dietary Employee #5 | Dietary Employee | Named in findings related to pureed food preparation and food safety violations. |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Named in findings related to pureed food consistency. |
| Certified Nursing Assistant #19 | Certified Nursing Assistant | Named in findings related to pureed food consistency. |
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