Inspection Reports for Greenville Post Acute
661 RUTHERFORD RD, GREENVILLE, SC, 29609-4696
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
80% worse than South Carolina average
South Carolina average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 8
Date: Apr 24, 2025
Visit Reason
The inspection was conducted to investigate multiple regulatory compliance issues including visitation rights, abuse reporting and investigation, transfer/discharge notification, bed safety, food service quality, and binding arbitration agreement understanding.
Findings
The facility failed to allow unrestricted visitation as per policy, did not timely report and thoroughly investigate allegations of staff-to-resident verbal abuse, failed to provide written transfer/discharge notices to residents or their representatives, had a bed rail safety issue resulting in a resident fall and injury, did not consistently serve proper food portions or maintain food at proper temperature, and failed to ensure residents understood binding arbitration agreements.
Deficiencies (8)
Failed to allow immediate family or other relatives the right to visit at any time for one resident, contrary to facility policy.
Failed to timely report an allegation of staff to resident verbal abuse to the state agency within two hours of knowledge.
Failed to thoroughly investigate an allegation of staff to resident verbal abuse.
Failed to provide written transfer/discharge notices containing all required information to three residents and/or their representatives.
Failed to ensure one siderail was securely attached to the bed for one resident, resulting in a fall and injury.
Failed to ensure menus were followed in regard to serving sizes, resulting in inconsistent portion sizes served.
Failed to provide food that was palatable and at the proper temperature due to broken plate warmers.
Failed to ensure binding arbitration agreements were explained to residents in a manner they understood and to inform them of their right to rescind the agreement within 30 days.
Report Facts
Residents affected: 31
Resident weight: 465.8
BIMS scores: 13
BIMS scores: 12
BIMS scores: 15
BIMS scores: 9
BIMS scores: 10
BIMS scores: 0
Turkey portion sizes: 6
Turkey portion sizes: 4
Turkey portion sizes: 3
Turkey temperature: 94.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Family Member 1 | Reported verbal abuse incident and discussed with Administrator | |
| Family Member 2 | Reported visitation hour difficulties | |
| Social Service Director | SSD | Interviewed about visitation policy enforcement |
| Director of Nursing | DON | Interviewed about visitation, abuse investigation, and bed rail incident |
| Administrator | Interviewed about visitation policy, abuse reporting, and arbitration agreement | |
| Certified Nursing Assistant 3 | CNA3 | Witnessed resident fall due to bed rail failure |
| Certified Nursing Assistant 4 | CNA4 | Alleged to have verbally abused resident's mother |
| Dietary Manager | DM | Interviewed about food portion sizes and equipment issues |
| Registered Dietitian | RD | Interviewed about food temperature and portion control |
| Maintenance Assistant | Interviewed about bed and side rail inspections | |
| Maintenance Director | Interviewed about bed rail pins and resident fall | |
| Unit Manager 2 | UM2 | Interviewed about side rail safety checks |
| Unit Manager 3 | UM3 | Interviewed about side rail safety checks and notification responsibilities |
| Director of Admissions | DA | Interviewed about binding arbitration agreement process |
| Nurse Practitioner | NP | Interviewed about resident injury and hospital transfer |
Inspection Report
Routine
Deficiencies: 5
Date: Aug 4, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, medication administration, and facility policies at Greenville Post Acute.
Findings
The facility was found deficient in multiple areas including failure to implement care plans requiring two-person mechanical lifts, unsecured hazardous items accessible to residents, inadequate monitoring and consent for psychotropic medications, medication errors including crushing medications that should not be crushed, and failure to administer an antibiotic as ordered.
Deficiencies (5)
Failed to implement the Care Plan by not using the proper number of staff during a mechanical lift/transfer for one resident.
Failed to ensure a potential hazard was secured and not accessible to vulnerable residents; scissors were observed unsecured on medication carts.
Failed to ensure medical necessity, informed consent, and accurate behavior tracking for psychotropic medication administration for one resident.
Failed to ensure medication error rate less than 5%; observed 5 errors out of 35 opportunities (14.2% error rate) including crushing medications that should not be crushed and unlabeled medication patch.
Failed to ensure a significant medication error did not occur; an antibiotic order was missed and the medication was never administered as ordered.
Report Facts
Residents reviewed for Care Plans: 40
Residents reviewed for Psychotropic Medication Administration: 5
Residents reviewed for medication administration: 8
Medication error rate: 14.2
Medication opportunities for error: 35
Residents affected by deficiencies: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA1 | Certified Nursing Assistant | Named in deficiency for transferring resident alone despite care plan requiring two-person assistance |
| Director of Nursing | Director of Nursing (DON) | Confirmed care plan requirements and acknowledged missed antibiotic order |
| LPN3 | Licensed Practical Nurse | Observed administering medications incorrectly and removing unsecured scissors |
| Regional Nurse Consultant | Regional Nurse Consultant (RNC) | Provided information about pharmacy change and medication expectations |
| Social Services Director | Social Services Director (SSD) | Interviewed regarding informed consent and behavior tracking for psychotropic medications |
| Administrator | Administrator | Confirmed issues with behavior tracking and informed consent for psychotropic medications |
Inspection Report
Routine
Deficiencies: 6
Date: Nov 10, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, assessments, activities of daily living, respiratory care, medication administration, infection prevention and control, and other care standards.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity by leaving a urinary catheter bag uncovered, delayed completion of quarterly assessments, inconsistent bathing per care plans, lack of backup tracheostomy supplies resulting in immediate jeopardy, delayed antibiotic treatment for a urinary tract infection, and inadequate COVID-19 screening surveillance at facility entrance.
Deficiencies (6)
Leaving a urinary catheter bag uncovered for one of three residents sampled for dignity.
Failure to complete a quarterly review assessment in a timely manner for one of 29 residents sampled.
Failure to ensure one resident received showers/baths consistently per her plan of care.
Failure to have backup tracheostomy supplies readily available for one resident, resulting in immediate jeopardy.
Failure to ensure timely antibiotic treatment for a urinary tract infection for one resident.
Failure to ensure infection prevention and control program included adequate COVID-19 screening surveillance upon entrance.
Report Facts
Residents sampled: 29
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 122
Dates of observations: 2021-11-08 to 2021-11-10
Delay in antibiotic treatment: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant 19 | CNA | Confirmed urinary catheters should have privacy covers |
| Unit Coordinator 11 | UC | Stated expectation for catheter bag to be covered for dignity |
| MDS Manager 7 | MDS Manager | Confirmed late quarterly MDS and facility policy adherence |
| MDS Nurse 8 | MDS Nurse | Confirmed late quarterly MDS |
| Certified Nursing Assistant 18 | CNA | Reported showers not given during COVID outbreak, should have given bed baths |
| Licensed Vocational Nurse 6 | LVN/Unit Manager | Discussed bathing schedule issues and antibiotic treatment delay |
| Director of Nursing | DON | Provided expectations on bathing refusals, antibiotic treatment, and COVID screening |
| Licensed Vocational Nurse 13 | LVN | Day shift nurse for resident with tracheostomy, unable to locate backup supplies |
| Central Supply Clerk 9 | CSC | Described location and access to backup tracheostomy supplies |
| Licensed Vocational Nurse 12 | LVN | Overnight nurse for resident with tracheostomy, unaware of missing backup supplies |
| Admissions Assistant | Did not review COVID screening paperwork for completeness or answers | |
| Admissions Director | Responsible for COVID screening paperwork availability, acknowledged lack of monitoring | |
| Infection Preventionist | IP | Not responsible for COVID screening, confirmed lack of screening monitoring |
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