Heartland Health Care Center - Greenville East

Based on observation, interview, and policy review, the facility failed to store, prepare, and serve food under accepted sanitary conditions due to lack of regular cleaning of the food preparation area, placement of non-resident food items in the walk-in cooler and removal of expired items from the food supply. The deficient practice had the potential to affect 119 of 122 residents receiving oral diets.Findings include:Review of the facility policy titled, Sanitization, with a revision date of November 2022, revealed Policy Statement - The food service area is maintained in a clean and sanitary manner. Policy Interpretation and Implementation All kitchens, kitchen areas and dining areas are kept clean, free from garbage and debris and protected from rodents and insects.All utensils, counters, shelves and equipment are kept clean, maintained in good repair and are free from breaks, corrosions, open seams, cracks and chipped areas that may affect their use or proper cleaning. Seals, hinges and fasteners are kept in good repair.All equipment, food contact surfaces and utensils are…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and policy review, the facility failed to maintain the operation of the walk-in freezer in a manner to prevent accumulation of ice buildup along the walls and on the food stored within. The deficient practice had the potential to affect 119 of 122 residents receiving oral diets.Findings include:A review of the 2022 Food Code published by the U.S. Food and Drug Administration found: Chapter 4. Equipment, Utensils, and Linens . 4-501.11 Good Repair and Proper Adjustment. Proper maintenance of equipment to manufacturer specifications helps ensure that it will continue to operate as designed. Failure to properly maintain equipment could lead to violations of the associated requirements of the Code that place the health of the consumer at risk. For example, refrigeration units in disrepair may no longer be capable of properly cooling or holding time/temperature control for safety foods at safe temperatures.Observation and interview during the initial tour of the kitchen on 06/17/26 at 11:10 AM with the Dietary Director (DD) revealed the freezer, which was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interviews, and policy review, the facility failed to ensure each resident's needs were met by failing to ensure an appropriate usable call light was in reach and available for use for one of one sampled resident who needed a soft touch call light instead of the regular push button call light, Resident (R)13.Findings include:Review of an undated facility policy titled, Signal System Policy, found: Guideline: 1. Be sure the call light is plugged in at all times. 2. Call light shall be placed within the reach of the resident. 3. Any call light not working appropriately will be reported immediately to supervisor. 4. Call lights will be answered as soon as possible. 5. For residents unable to utilize the call light, staff will monitor these residents frequently by making rounds. 6. If call light system becomes inoperable at any time, bells will be distributed to each resident for use to signal staff of needed assistance. For residents unable to utilize the call bell, staff will monitor these residents frequently by making rounds.On 06/16/26 at 12:15 PM, R13's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility policy, the facility failed to ensure the facility Code Book was updated to accurately reflect the resident's current code status of Full Code after the physician's order was changed from Do Not Resuscitate (DNR) to Full Code. The Code Book was identified by staff as a primary resource used to determine code status during an emergency. This affected one of 24 sampled residents reviewed (Resident (R) 14).Findings include:Review of the facility's policy titled, Emergency Procedure - Cardiopulmonary Resuscitation and Basic Life Support, dated 2001, noted: Policy Statement [:] Personnel are certified in cardiopulmonary resuscitation (CPR) for healthcare providers and basic life support (BLS), including defibrillation for victims of sudden cardiac arrest. General Guidelines [:] 1. If an individual (resident, visitor, or staff member) is found unresponsive and not breathing normally, a staff member who is certified in CPR for healthcare providers/BLS will…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and staff interviews, the facility failed to ensure a resident who was fed by enteral means, received the appropriate treatment and services to ensure adequate nutrition to prevent complications such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities and nasal-pharyngeal ulcers for one of one resident reviewed whoreceived nutrition via a percutaneous endoscopic gastrostomy tube (G-tube), (Resident (R) 13).Findings include:On 06/17/26 at 10:09 AM, during an interview with the Director of Nursing (DON), she stated the facility did not have a policy regarding the labeling of tube feeding formula.On 06/16/26 at 12:40 PM, while touring the room of R13, a container of tube feeding formula was observed on a pole beside the bed. The container had a manufacturer's label that identified it as Jevity 1.5. The formula was connected to a G-tube in the abdomen of R13. The formula was infusing via a feeding pump at 70 milliliters (ml) per hour (hr) with water flushes to infuse at 175 ml every four hours. The label on the front of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, staff interviews, and review of facility policy, the facility failed to ensure that residents who required oxygen received care in accordance with professional standards of practice and physician orders for two of two residents, Resident (R) 13 and R49, sampled for oxygen therapy. Findings include: Review of an undated facility policy, titled, Oxygen Administration, revealed the policy did not address the administration of oxygen via a tracheostomy mask. The policy addressed the administration of oxygen via an oxygen mask over the nose and mouth, a nasal cannula or a nasal catheter. Review of an undated facility policy, titled, Departmental (Respiratory), noted: Purpose: 1. Review the resident's care plan to assess for any special circumstances or precautions related to the resident. 2. Assemble the equipment and supplies needed. 1. [sic] Check water level of any pre-filled reservoir every day, if ordered. 2. Change pre-filled humidifier bottle, if ordered every seven (7)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, review of narcotic records, staff interview, and review of facility policy, the facility failed to establish a system of records of disposition of an injectable multi-dose vial of a Schedule III Controlled Drug in sufficient detail to enable an accurate reconciliation when passing responsibility of controlled drugs from one nurse to another. Findings include:Review of an undated facility policy, titled, Narcotics, Controlled Substances, and Preventing Drug Diversion, revealed: All medications are stored in a secure manner, as outline in other policies. Special storage and security procedures will be followed to protect controlled substances (narcotics, etc) and to help prevent drug diversion. Procedure: .2. A Narcotic Count Sheet will be maintained for all narcotic medications. a. When a narcotic is received in the community, it is counted by two staff members and added to the narcotic sheet with the current medication count reflected in the amount on hand. b. Each time a resident receives assistance with self-administration of a narcotic, this is documented…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, interviews, and policy review, facility staff failed to implement infection control procedures when delivering a meal tray to a resident on isolation precautions, specifically for Resident (R)3.Findings include:Review of the facility's policy titled, Isolation - Transmission-Based Precautions & Enhanced Barrier Precautions, revised September 2022, revealed, Policy Statement - Transmission-based precautions are initiated when a resident develops signs and symptoms of a transmissible infection; arrives for admission with symptoms of an infection; or has a laboratory confirmed infection; and is at risk of transmitting the infection to other residents . 5. When a resident is placed on transmission-based precautions, appropriate notification is placed on the room entrance door and on the front of the chart so that personnel and visitors are aware of the need for and the type of precaution. The signage informs the staff of the type of CDC [Centers for Disease Control and Prevention] precaution(s), instructions for use of PPE [personal protective equipment], and/or…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on review of the facility policy, observation, and interview, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for 124 out of 124 residents. Findings include: Review of the facility's Food Storage: Dry Goods policy and procedure revised in 02/2023, revealed, 1. All items will be stored on shelves at least 6 inches above the floor. Review of the facility's Food Storage: Cold Foods policy and procedure revised in 02/2023 revealed, 5. All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. During a tour of the kitchen on 04/08/25 at approximately 7:45 AM, a box of cereal and a box of thickened sweet tea were stored on the floor. Dented cans of black-eyed peas and chili were found in the storeroom stored with ready to use cans of food. A plastic container with what appeared to be egg salad was not labeled or dated. In a reach-in refrigerator, a container of pureed fruit was not labeled and had no date. A plastic zip lock bag with a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that binding arbitration agreements were only entered into by residents who had the cognitive ability to understand the information being presented and make an informed decision about whether to enter the binding arbitration agreement, prior to signing their consent. Two (Resident (R) 207 and 209) of three residents reviewed for binding arbitration agreements had cognitive impairment which limited their ability to understand the information being presented and, in response, make an informed decision as to whether they wished to enter into the agreement. This failure creates the potential for residents to lose legal rights to take action against the facility. Findings include: 1. Review of the admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/16/23 revealed R207 was admitted to the facility on [DATE] with diagnoses that included sepsis, moderate protein-calorie malnutrition, metabolic encephalopathy, and urinary tract…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and review of facility policy and manufacturer's instructions, the facility failed to ensure staff implemented infection control measures during medication pass. Staff failed to sanitize a glucometer before and after use for one (Resident (R) 93) resident during medication administration observation. In addition, staff failed to perform hand hygiene during medication administration. These failures had the potential to create cross contamination and/or spread infection. Findings include: Observation on 05/30/23 at 4:23 PM revealed Registered Nurse (RN)1 took a glucometer from the medication cart. RN1 failed to clean the glucometer and failed to perform hand hygiene before entering R93's room to perform a blood glucose check. RN1 then proceeded to perform a fingerstick blood glucose check without performing hand hygiene or donning gloves. At 4:26 PM, after performing the blood glucose check, RN1 then placed the glucometer back in the medication cart without cleaning the glucometer and without performing hand hygiene. At 4:28 PM, RN1…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.