GREENHAVEN HEALTH AND REHABILITATION CENTER

Nursing Home Inspector

801 GREENHAVEN DRIVE
GREENSBORO, NC 27406
Guilford County
Phone: 336-292-8371
Provider Number: 345132
Last Inspection: 03/17/2017

About the Nursing Home

Number of Beds: 120
Number of Residents: 59
Beds Available: 61
Percent Occupancy: 49%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

48

Facility
17

County
14

NC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

48

2017
22

2016
33

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

3/17/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 4/14/2017
 
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Pattern : Potential 3 4/6/2017
 
Failed To: Try to resolve each resident's complaints quickly. Widespread : Potential 4 4/12/2017
 
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 4/14/2017
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 4/14/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/14/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/14/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 4/14/2017
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Pattern : Minimal 4 4/14/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 7/7/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 7/7/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 7/7/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 7/7/2017
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 7/7/2017
 

3/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/7/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/7/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 4/7/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/7/2016
 
Failed To: Dispose of garbage and refuse properly. Pattern : Minimal 4 4/7/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 4/7/2016
 

6/15/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 7/10/2015
 
Failed To: Hire sufficient dietary support personnel. Pattern : Minimal 4 7/10/2015
 
Failed To: Dispose of garbage and refuse properly. Pattern : Minimal 4 7/10/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated : Immediate 5 7/10/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 7/10/2015
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 7/10/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 7/10/2015
 
Failed To: Keep all essential equipment working safely. Isolated : Immediate 5 7/10/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

7/7/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 8/7/2017
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 8/7/2017
 

5/18/2017 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/7/2017
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated : Minimal 3 7/7/2017
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 59 86.86 84.96
Registered Nurses 0.54 0.66 0.72
Licensed Practical / Vocational Nurses 0.88 0.94 0.87
Certified Nursing Assistants 2.13 2.44 2.33
Total Staff Hours 3.56 4.04 3.91

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
of high risk long-stay residents with pressure ulcers 7 8 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 49 91 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 93 93
of long-stay residents experiencing one or more falls with major injury 3 3 3
of long-stay residents who have depressive symptoms 3 1 2
of long-stay residents who lose too much weight 8 9 8
of long-stay residents who received an antianxiety or hypnotic medication 24 30 29
of long-stay residents who received an antipsychotic medication 16 13 13
of long-stay residents who self-report moderate to severe pain 1 5 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 30 25 23
of long-stay residents whose need for help with daily activities has increased 14 19 18
of long-stay residents with a catheter inserted and left in their bladder 5 2 1
of long-stay residents with a urinary tract infection 1 4 4
of low risk long-stay residents who lose control of their bowels or bladder 34 59 55
of short-stay residents assessed and appropriately given the pneumococcal vaccine 18 78 83
of short-stay residents who made improvements in function 72 10 13
of short-stay residents who newly received an antipsychotic medication 4 65 64
of short-stay residents who self-report moderate to severe pain 9 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 35 14 14
of short-stay residents with pressure ulcers that are new or worsened 0 75 81