Inspection Reports for
Greenville Nursing and Rehabilitation

521 GREENE DR., GREENVILLE, KY, 42345

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

36% better than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2024
2025

Occupancy

Latest occupancy rate 80% occupied

Based on a July 2025 inspection.

Occupancy rate over time

63% 72% 81% 90% 99% 108% Jun 2024 Jan 2025 Jan 2025 Jul 2025

Inspection Report

Renewal
Census: 59 Deficiencies: 0 Date: Jul 17, 2025

Visit Reason
A Recertification Survey was conducted from 07/15/2025 to 07/17/2025 to assess compliance with federal regulations for long term care facilities.

Findings
The facility was found to be in compliance with 42 CFR 483.5 - 483.75 - Subpart B, with no deficiencies cited during the survey.

Report Facts
Total census: 59

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jul 17, 2025

Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Greenville Nursing and Rehabilitation.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Complaint Investigation
Census: 52 Deficiencies: 0 Date: Jan 24, 2025

Visit Reason
An abbreviated survey was conducted to investigate complaint KY00044768 from 01/22/2025 through 01/24/2025.

Complaint Details
Complaint KY00044768 was investigated and found to have no deficient practice identified.
Findings
No deficient practice was identified related to complaint KY00044768 during the investigation.

Report Facts
Sample Size: 7

Inspection Report

Complaint Investigation
Census: 54 Deficiencies: 1 Date: Jan 9, 2025

Visit Reason
An Abbreviated Survey investigating complaints KY00044601 and KY00044547 was initiated on 01/08/2025 and concluded on 01/09/2025.

Complaint Details
The complaint investigation involved grievances filed by the guardian of Resident #1 regarding notification and resolution of grievances. The facility failed to provide the guardian with a written grievance decision containing all required information and did not notify the guardian of the grievance status or resolution. The Executive Director did not follow the facility's grievance policy in communicating with the guardian.
Findings
The facility was found not to be in substantial compliance with 42 CFR 483 subpart B. No deficiencies were issued related to the complaints KY00044601 and KY00044547. The highest Scope and Severity cited was a 'D'. The facility failed to ensure its grievance policy was followed regarding resident/guardian notification of grievance status and outcomes for one resident.

Deficiencies (1)
Facility failed to ensure its grievance policy was followed regarding resident/guardian notification of grievance status and outcomes for one resident.
Report Facts
Survey Census: 54 Sample Size: 4 Survey Dates: 01/08/2025 to 01/09/2025

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Jan 9, 2025

Visit Reason
The investigation was conducted due to a grievance filed by the guardian of Resident 1 regarding concerns about the resident being placed in the wrong wheelchair and alleged staff rudeness.

Complaint Details
The grievance was filed by Resident 1's guardian on 11/24/2024 concerning the wrong wheelchair and staff behavior. The grievance officer did not notify the guardian of the grievance status or resolution, which was confirmed during interviews with the guardian, Business Office Manager, and Executive Director.
Findings
The facility failed to follow its grievance policy by not providing Resident 1's guardian with a written grievance decision containing all required information, including the date the grievance was received and the outcome. The Executive Director, acting as the grievance officer, did not notify the guardian of the grievance status or resolution as required.

Deficiencies (1)
F 0585: The facility failed to ensure its grievance policy was followed regarding resident/guardian notification of grievance status and outcomes for Resident 1. The guardian was not provided a written grievance decision with required information including the grievance receipt date and outcome.
Report Facts
Residents Affected: 3

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Jun 20, 2024

Visit Reason
The inspection was conducted as an annual survey to assess compliance with medication administration policies and resident rights regarding medication timing preferences.

Findings
The facility failed to ensure that 3 of 22 sampled residents received their nighttime medications at their preferred times, with medications often administered late at night or after midnight, causing resident discomfort.

Deficiencies (1)
F 0561: The facility failed to honor the resident's right to self-determination by not administering nighttime medications at the residents' preferred times for 3 sampled residents.
Report Facts
Residents sampled: 22 Residents affected: 3

Employees mentioned
NameTitleContext
LPN #16 Licensed Practical Nurse Named in medication administration timing findings
Director of Nursing Services Director of Nursing Services Provided statements regarding medication timing policies and resident preferences

Inspection Report

Annual Inspection
Census: 59 Deficiencies: 4 Date: Jun 20, 2024

Visit Reason
The inspection was conducted as an annual survey to assess compliance with healthcare regulations, including medication administration, staffing postings, and dental services.

Findings
The facility failed to administer nighttime medications at resident-preferred times for 3 of 22 sampled residents, did not post total nurse staffing numbers as required affecting 59 residents, had a medication error rate exceeding 5%, and failed to ensure routine dental services for 1 of 2 residents reviewed for dental care.

Deficiencies (4)
F 0561: The facility failed to ensure 3 of 22 sampled residents received nighttime medications at their preferred times, with medications administered as late as after midnight.
F 0732: The facility failed to include the total number of staff working for each discipline in the posted nurse staffing document, affecting all 59 residents.
F 0759: The facility had a medication error rate of 5.71%, with 2 errors out of 35 opportunities, including incorrect administration of eye drops to one resident.
F 0791: The facility failed to provide routine dental services for 1 of 2 residents reviewed, who had not been seen by the dentist despite having dental care consent and documented dental needs.
Report Facts
Residents affected: 3 Residents affected: 59 Medication errors: 2 Medication error rate: 5.71 Residents reviewed for dental care: 2 Residents not provided routine dental services: 1

Employees mentioned
NameTitleContext
LPN #16 Licensed Practical Nurse Named in findings related to late administration of nighttime medications
QMA #1 Qualified Medication Aide Named in medication error finding related to incorrect eye drop administration
RN #2 Registered Nurse Interviewed regarding medication administration procedures
Director of Nursing Services Director of Nursing Services Provided statements on medication administration and staffing postings
Scheduler Interviewed regarding nurse staffing postings
Executive Director Executive Director Provided statements on staffing postings and medication administration expectations
LPN #5 Licensed Practical Nurse Interviewed regarding dental care and reporting procedures
State Registered Nurse Aide #3 State Registered Nurse Aide Interviewed regarding resident dental complaints
Social Services Director Social Services Director Interviewed regarding dental service consents and referrals
Family Member #4 Provided information about resident dental care needs

Inspection Report

Routine
Deficiencies: 2 Date: May 2, 2019

Visit Reason
The inspection was conducted to assess compliance with professional standards of care, including respiratory care and food service safety, at Greenville Nursing and Rehabilitation.

Findings
The facility failed to provide oxygen therapy as ordered for one resident, administering oxygen at a higher flow rate than prescribed. Additionally, the facility failed to properly label and date food items stored in a resident snack refrigerator and staff did not sanitize hands while delivering meal trays to residents.

Deficiencies (2)
F 0695: The facility failed to provide safe and appropriate respiratory care by administering oxygen at 3.5 LPM instead of the ordered 2 LPM for Resident #254. Nursing staff did not follow physician orders or facility policy regarding oxygen flow rate checks.
F 0812: The facility failed to store and serve food in accordance with professional standards. Three food items in the resident snack refrigerator were not labeled or dated, and a staff member failed to sanitize hands while delivering meal trays to eleven residents.
Report Facts
Residents affected: 1 Residents affected: 11 Food items unlabeled: 3

Employees mentioned
NameTitleContext
Registered Nurse #3 Registered Nurse Interviewed regarding oxygen flow rate discrepancy for Resident #254
Director of Nursing Director of Nursing Interviewed regarding expectations for oxygen level settings and hand sanitizing
Dietary Manager Dietary Manager Interviewed regarding responsibility for refrigerator maintenance and food labeling
Activity Director Activity Director Interviewed regarding refrigerator maintenance and hand sanitizing during meal delivery

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