GHS GREENVILLE MEMORIAL SUBACUTE UNIT

Nursing Home Inspector

807 NORTH MAIN STREET
TRAVELERS REST, SC 29690
Greenville County
Phone: 864-834-5132
Provider Number: 425383
Last Inspection: 12/20/2016

About the Nursing Home

Number of Beds: 15
Number of Residents: 10
Beds Available: 5
Percent Occupancy: 67%
Insurance Accepted: Medicare
Types of Councils: None
Ownership: Government - State
Within Hospital?: YES

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

 

9

Facility
22

County
22

SC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

9

2016
11

2016
28

2014

Medicare Ratings

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

 

Details by Inspection Date

12/20/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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 1/27/2017
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 1/26/2017
 
Failed To: Dispose of garbage and refuse properly. Isolated : Minimal 3 1/11/2017
 

2/25/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 3/23/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/23/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/23/2016
 

10/29/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 11/28/2014
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 11/11/2014
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 11/25/2014
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern : Minimal 4 11/24/2014
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 11/28/2014
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 11/14/2014
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/14/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/28/2014
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Isolated : Minimal 3 11/10/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg SC State Avg
Number of Residents 10 89.60 89.32
Registered Nurses Not Available 0.92 0.85
Licensed Practical / Vocational Nurses Not Available 0.95 0.95
Certified Nursing Assistants Not Available 2.45 2.40
Total Staff Hours Not Available 4.32 4.20

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% SC State Avg%
of short-stay residents assessed and appropriately given the pneumococcal vaccine 98 6 6
of short-stay residents who had an outpatient emergency department visit 3 94 93
of short-stay residents who made improvements in function 73 95 93
of short-stay residents who newly received an antipsychotic medication 0 3 3
of short-stay residents who self-report moderate to severe pain 44 1 1
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98 8 8
of short-stay residents who were rehospitalized after a nursing home admission 14 30 25
of short-stay residents who were successfully discharged to the community 63 13 14
of short-stay residents with pressure ulcers that are new or worsened 0 4 5