Inspection Reports for
Greenhurst Nursing Center
226 Skyler Drive, Charleston, AR, 72933
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 2
Date: Jul 24, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to notification of Medicaid/Medicare coverage and financial liability, and medication storage and security in the nursing facility.
Findings
The facility failed to ensure an Advanced Beneficiary Notice (ABN) was provided within two business days prior to discharge for one resident, and failed to secure medications properly as medication carts were left unattended with medications on top for two medication carts. Both deficiencies were determined to cause minimal harm or potential for actual harm.
Deficiencies (2)
Failed to ensure an Advanced Beneficiary Notice (ABN) was provided within two business days and notification of financial liability after Medicare coverage was discontinued for one resident.
Did not ensure medications were stored securely while medication carts were left unattended with medications on top for two medication carts.
Report Facts
Residents reviewed for ABN notices: 3
Medication carts observed: 4
Medication carts left unattended with medications on top: 2
Med Pass Observation Report date: Jul 18, 2025
In-service training date: May 12, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing | Responsible for notifying residents or legal representatives of discharge and completing ABN; interviewed regarding ABN notification |
| Director of Nursing | Director of Nursing | Verified ABN completion requirements and medication storage policies; interviewed regarding findings |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Left medication cart unattended with medications on top; trained on medication administration and storage |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Left medication cart unattended with medications on top; trained on medication administration and storage |
| Medical Director | Medical Director | Verified facility notification expectations for discharge and medication storage |
| Administrator | Administrator | Confirmed facility expectations for discharge notification and medication storage policies |
Inspection Report
Routine
Deficiencies: 3
Date: Apr 15, 2024
Visit Reason
The inspection was conducted to assess compliance with medication storage and labeling, staffing payroll data submission to CMS, and infection prevention and control practices at Greenhurst Nursing Center.
Findings
The facility was found deficient in proper medication storage and labeling, failing to ensure expired medications were removed and labeled correctly. The facility also failed to submit mandatory staffing payroll data to CMS in the required uniform format. Additionally, staff failed to perform proper hand hygiene when handling clean linens, risking contamination and infection spread.
Deficiencies (3)
Failed to ensure drugs and biologicals were stored and labeled according to accepted professional principles, including administration of expired medications.
Failed to provide mandatory staffing payroll data in a uniform format to CMS as required.
Failed to ensure staff performed hand hygiene before handling clean laundry/linens, risking contamination and infection spread.
Report Facts
Expired Covid tests: 13
Expired nonsteroidal anti-inflammatory cream: 1
Expired eye drops: 1
Medication pen usage timeframe: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON) | Interviewed regarding medication storage and labeling practices and infection control. | |
| LPN #4 | Interviewed about frequency of checking medication cart for expired drugs. | |
| Administrator | Confirmed responsibility for submitting staffing reports to CMS and acknowledged failure to save validation report. | |
| Laundry Aide #1 | Observed and interviewed regarding hand hygiene and clean laundry handling. | |
| Laundry Aide #2 | Observed and interviewed regarding hand hygiene and clean laundry handling. | |
| Assistant Director of Nursing (ADON)/Infection Control Nurse | Interviewed about infection control policies and hand hygiene requirements. |
Inspection Report
Annual Inspection
Census: 58
Deficiencies: 5
Date: Mar 16, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for Greenhurst Nursing Center, including review of resident assessments, care practices, medication administration, and facility policies.
Findings
The facility was found deficient in several areas including inaccurate Minimum Data Set (MDS) assessments, failure to refer a resident for Level II PASARR evaluation, improper feeding tube placement checks, inadequate respiratory care and nebulizer equipment storage, and improper medication storage and labeling. These deficiencies were associated with minimal harm or potential for actual harm to residents.
Deficiencies (5)
Failed to accurately record the Minimum Data Set (MDS) assessment for 2 residents, including omission of pressure alarms in MDS documentation.
Failed to refer a resident with a newly evident serious mental illness to the appropriate state-designated authority for Level II PASARR evaluation.
Failed to ensure proper placement of gastrostomy tube was checked prior to water flush and medication administration.
Failed to provide specialized respiratory care and proper storage of nebulizer equipment for a resident self-administering nebulizer treatments.
Failed to ensure medications were stored and labeled properly, including a medication left unattended on a medication cart and unlabeled throat lozenges at a resident's bedside.
Report Facts
Residents affected: 2
Residents affected: 13
Residents affected: 3
Residents affected: 58
Medication cart bottle volume: 17.9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Provided explanations regarding PASARR referrals, feeding tube placement, nebulizer therapy, and medication storage policies. | |
| Licensed Practical Nurse #1 | Administered medications and feeding tube flush without checking tube placement; acknowledged policy and practice. | |
| Licensed Practical Nurse #2 | Answered questions about medication administration records and resident self-administration. | |
| Administrator | Provided facility policies and explanations regarding PASARR and medication storage. | |
| Medical Technician (MT) | Confirmed that medication should not be left unattended on medication cart. |
Viewing
Loading inspection reports...
