Inspection Reports for The Village at Greenbriar
4244 MEMORIAL HIGHWAY,, DALLAS, PA, 18612
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
82% occupied
Based on a October 2025 inspection.
Census over time
Inspection Report
Renewal
Census: 64
Capacity: 78
Deficiencies: 0
Date: Oct 2, 2025
Visit Reason
The inspection was conducted as a renewal licensing inspection of THE VILLAGE AT GREENBRIAR facility on 10/02/2025.
Findings
No regulatory citations or deficiencies were identified during this unannounced full renewal inspection.
Report Facts
Total Daily Staff: 72
Waking Staff: 54
Residents Served: 64
License Capacity: 78
Current Hospice Residents: 4
Residents Age 60 or Older: 64
Residents with Mobility Need: 8
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 74
Capacity: 78
Deficiencies: 0
Date: May 5, 2025
Visit Reason
The inspection was conducted as a complaint-related incident investigation at THE VILLAGE AT GREENBRIAR.
Complaint Details
The inspection was triggered by an incident and was a partial, unannounced visit. No deficiencies or citations were found.
Findings
No regulatory citations or deficiencies were identified during the inspection.
Report Facts
Total Daily Staff: 83
Waking Staff: 62
Resident Support Staff: 0
License Capacity: 78
Residents Served: 74
Current Hospice Residents: 3
Residents Age 60 or Older: 74
Residents with Mobility Need: 9
Residents with Physical Disability: 1
Inspection Report
Follow-Up
Census: 66
Capacity: 78
Deficiencies: 2
Date: Apr 18, 2025
Visit Reason
The inspection was an unannounced partial inspection conducted due to a complaint and incident involving resident interactions and behaviors.
Complaint Details
The inspection was complaint-related and involved substantiated findings of abuse due to locking a resident's door against their wishes and improper handling of resident behaviors.
Findings
The inspection found a violation related to abuse involving unreasonable confinement of a resident due to behaviors, which was corrected immediately. Additional findings included the need for updated resident assessments due to changes in mobility and transfer assistance requirements. Plans of correction were accepted and implemented.
Deficiencies (2)
A resident was subjected to unreasonable confinement by staff locking their bedroom door to prevent unwanted visits, constituting abuse.
Resident assessment was outdated and did not reflect significant changes in the resident's mobility and transfer assistance needs.
Report Facts
License Capacity: 78
Residents Served: 66
Current Hospice Residents: 3
Residents with Mobility Need: 9
Waking Staff: 56
Total Daily Staff: 75
Plan of Correction Completion Date: May 19, 2025
Inspection Report
Follow-Up
Census: 65
Capacity: 78
Deficiencies: 1
Date: Jan 2, 2025
Visit Reason
The inspection visit on 01/02/2025 was an unannounced partial review triggered by an incident at the facility.
Findings
The submitted plan of correction was determined to be fully implemented. The facility updated the Resident Assessment and Support Plan for a resident with multiple falls, ensuring ongoing monitoring and safety measures are in place.
Deficiencies (1)
Resident had 9 falls, 3 requiring hospital evaluation, with one laceration needing sutures; the Resident Assessment and Support Plan did not identify the resident as a fall risk or specify safety measures.
Report Facts
Falls: 9
Falls resulting in hospital evaluation: 3
Licensed capacity: 78
Residents served: 65
Staffing hours - Total Daily Staff: 69
Staffing hours - Waking Staff: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Wellness nurse | Responsible for updating Resident Assessment and Support Plan as needed | |
| Administrator | Monitors ongoing compliance with plan of correction |
Inspection Report
Follow-Up
Census: 68
Capacity: 78
Deficiencies: 1
Date: Aug 28, 2024
Visit Reason
The inspection visit on 08/28/2024 was a follow-up to verify the implementation of a previously submitted plan of correction related to a complaint and incident.
Complaint Details
The inspection was complaint-related, triggered by a complaint and incident. The plan of correction was accepted and fully implemented.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The deficiency involved a medication error where a resident was given a discontinued medication, and corrective actions included enhanced verification procedures for medication orders.
Deficiencies (1)
Resident 1 was given Clopidrogel 75MG after it was discontinued from 4/9/24 to 4/15/24.
Report Facts
License Capacity: 78
Residents Served: 68
Total Daily Staff: 74
Waking Staff: 56
Residents with Mobility Need: 6
Inspection Report
Renewal
Census: 67
Capacity: 78
Deficiencies: 4
Date: Aug 31, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the facility license for THE VILLAGE AT GREENBRIAR on 08/31/2023.
Findings
The inspection found that the submitted plan of correction was fully implemented. Several deficiencies were noted including breaches in record confidentiality, missing prescriber instructions on sample medications, failure to follow prescriber's orders regarding medication administration, and incomplete records log documentation. All deficiencies had plans of correction accepted and were implemented by 10/30/2023.
Deficiencies (4)
Resident privacy coding document was exposed in a display case near the home's lobby, violating confidentiality requirements.
Resident #1's sample myrbetrig 25mg did not include written instructions from the prescriber.
Resident #2 was administered metoprol tar tablet 50mg despite blood pressure readings indicating the medication should have been withheld.
The record destruction log from 6/10/22 did not include date of birth and record number.
Report Facts
License Capacity: 78
Residents Served: 67
Total Daily Staff: 71
Waking Staff: 53
Residents with Mobility Need: 4
Residents with Physical Disability: 1
Inspection Report
Complaint Investigation
Census: 71
Capacity: 78
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
The inspection was conducted as a complaint investigation with unannounced partial inspections on 08/02/2022 and 08/08/2022.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of the inspection.
Report Facts
Resident Census: 71
Total Licensed Capacity: 78
Staffing: 75
Staffing: 56
Resident Age 60+: 71
Residents with Mobility Need: 2
Residents with Physical Disability: 1
Inspection Report
Renewal
Census: 69
Capacity: 78
Deficiencies: 6
Date: Jul 12, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of THE VILLAGE AT GREENBRIAR facility on 07/12/2022 and 07/13/2022.
Findings
The inspection found multiple deficiencies including failure to report an incident timely, unsigned resident contract, missed monthly fire drills during December 2021, incomplete medical evaluation documentation, improper medication administration record maintenance, and failure to follow prescriber's orders. Plans of correction were accepted and implemented with follow-up dates scheduled.
Deficiencies (6)
Failure to report an incident involving Resident #1 within 24 hours to the Department.
Resident #2's contract was not signed by the resident.
The home did not conduct an unannounced fire drill during December 2021.
Resident #3’s initial medical evaluation lacked the medical professional's name or license number.
Improper maintenance of Medication Administration Record (MAR) due to staff incorrectly transcribing readings for Residents #4 and #5.
Failure to follow prescriber's orders for Resident #5.
Report Facts
License Capacity: 78
Residents Served: 69
Deficiencies cited: 6
Inspection Report
Follow-Up
Census: 66
Capacity: 78
Deficiencies: 1
Date: Oct 25, 2021
Visit Reason
The inspection was a partial, unannounced follow-up visit triggered by an incident to review the submitted plan of correction for the facility.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. The main deficiency involved failure to update a resident's support plan (RASP) after multiple falls, though communication among staff and family was maintained through other means.
Deficiencies (1)
Failure to revise the support plan (RASP) within 30 days after changes in resident's needs, specifically after multiple falls of Resident #1.
Report Facts
Falls documented: 13
License Capacity: 78
Residents Served: 66
Staffing Hours - Resident Support Staff: 66
Staffing Hours - Total Daily Staff: 136
Staffing Hours - Waking Staff: 102
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anne Graziano | Signed letter confirming plan of correction implementation |
Inspection Report
Renewal
Capacity: 78
Deficiencies: 0
Date: Jul 30, 2021
Visit Reason
The document is a renewal license issued in response to the facility's April 6, 2021 renewal application to operate the Personal Care Home. The Department will conduct an onsite inspection within the next twelve months as required by regulation.
Findings
A regular license is being issued to The Village at Greenbriar for operation as a Personal Care Home. The license is valid from July 30, 2021 to July 30, 2022, with no noted deficiencies or enforcement actions in this document.
Report Facts
Maximum capacity: 78
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary | Signed letter regarding license issuance and inspection requirements |
Inspection Report
Renewal
Census: 63
Capacity: 78
Deficiencies: 1
Date: Jun 22, 2021
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements at THE VILLAGE AT GREENBRIAR.
Findings
The submitted plan of correction was found to be fully implemented, with continued compliance required. A deficiency was noted regarding the failure to obtain current licenses, liability insurance, and background checks for home health agency employees providing services to residents.
Deficiencies (1)
The home did not obtain current Home Health agency licenses, liability insurance copies, and background checks on the employees coming into the facility to serve residents.
Report Facts
License Capacity: 78
Residents Served: 63
Total Daily Staff: 69
Waking Staff: 52
Hospice Residents: 2
Residents 60 Years or Older: 63
Residents with Mobility Need: 6
Residents with Physical Disability: 1
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