General Information: GREENBRIER MANOR
Nursing home name GREENBRIER MANOR
AddressROUTE 2, BOX 159A
LEWISBURG, WV 24901
Phone number (304) 645-3076
Located within a hospital No
Type of ownership Non profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 100
Total number of residents 77
Perc of occupied beds 77
Sprinkler status Data Not Available
Last health survey date 02/02/2011
Fire survey date: 03/15/2011
Ratings Summary: GREENBRIER MANOR
Overall rating 2
2
Nursing Home Staffing 3
3
Registered Nurses only 3
3
Health Inspections 2
2
Quality Measures 2
2
Nursing Home Staffing Info: GREENBRIER MANOR
National AverageGREENBRIER MANOR
Overall staff rating Not Available. 3
3
Registered Nurses only rating Not Available 3
3
Total Number of Residents 88.1 77.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.36 hours
Registered Nurses Hours per Residents per Day 29.0 hours .45 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .91 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .45 hours
Health Inpections: GREENBRIER MANOR
Inspection Results: 02/02/2011
CorrectedCategoryDeficiencySeverity
03/11/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
03/11/2011Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
03/11/2011Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
03/11/2011Quality Care DeficienciesProvide routine and 24-hour emergency dental care for each resident. D
03/11/2011Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
03/11/2011Nutrition and Dietary DeficienciesPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. F
03/11/2011Quality Care DeficienciesHave enough nurses to care for every resident in a way that maximizes the resident's well being. C
03/11/2011Pharmacy Service DeficienciesEnsure 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. D
03/11/2011Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. E
03/11/2011Quality Care DeficienciesEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. D
03/11/2011Quality Care DeficienciesAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
03/11/2011Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
03/11/2011Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. E
03/11/2011Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E
03/11/2011Resident Assessment DeficienciesConduct initial and periodic assessments of each resident's functional capacity. E
03/11/2011Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. E
03/11/2011Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D
03/11/2011Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. D
Inspection Results: 05/22/2009
CorrectedCategoryDeficiencySeverity
06/26/2009Quality Care DeficienciesMake sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. E
06/26/2009Administration DeficienciesOperate and provide services according to Federal, State, and local laws and professional standards. D
07/10/2009Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. E
06/25/2009Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
06/26/2009Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
06/26/2009Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. E
06/26/2009Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
06/26/2009Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
06/26/2009Resident Rights DeficienciesProvide care for each resident in a way that maintains or improves their quality of life. D
06/25/2009Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
05/22/2009Resident Rights DeficienciesGive residents a notice of rights, rules, services and charges. C
06/25/2009Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments. D
Inspection Results: 11/06/2008
CorrectedCategoryDeficiencySeverity
12/22/2008Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
12/22/2008Environmental DeficienciesKeep all essential equipment working safely. C
12/22/2008Administration DeficienciesKeep complete, dated laboratory records in the resident's file. B
12/22/2008Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
12/22/2008Nutrition and Dietary DeficienciesOffer other nutritional food to each resident who will not eat the food served. B
12/22/2008Nutrition and Dietary DeficienciesMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. D
12/22/2008Quality Care DeficienciesProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
12/22/2008Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. D
12/22/2008Quality Care DeficienciesEnsure 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. D
12/22/2008Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
12/22/2008Resident Assessment DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
12/22/2008Quality Care DeficienciesProvide activities to meet the interests and needs of each resident. E
12/22/2008Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident. D
12/22/2008Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
12/22/2008Mistreatment Deficiencies1) 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. D
12/22/2008Resident Rights DeficienciesProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home. D

Fire Safety Inpections: GREENBRIER MANOR
Inspection Results: 03/15/2011
CorrectedCategoryDeficiencySeverity
03/16/2011Fire Alarm Systems DeficienciesProperly maintained smoke detectors. B
03/16/2011Illumination and Emergency Power DeficienciesProperly located and lighted "Exit" signs. B
Inspection Results: 06/04/2009
CorrectedCategoryDeficiencySeverity
06/18/2009Medical Gases and Anesthetizing Areas DeficienciesProper medical gas storage and administration areas. B
06/08/2009Fire Alarm Systems DeficienciesAn approved installation, maintenance and testing program for fire alarm systems. F
06/04/2009Corridor Walls and Doors DeficienciesSigns that state that exit doors are to be kept closed. B

Resident Complaints: GREENBRIER MANOR
Date Complaint Substantiated: 03/30/2011
CorrectedCategoryDeficiencySeverity
04/27/20113Resident Assessment Deficiencies D
Date Complaint Substantiated: 10/14/2010
CorrectedCategoryDeficiencySeverity
10/26/20103Resident Assessment Deficiencies D
Date Complaint Substantiated: 09/03/2010
CorrectedCategoryDeficiencySeverity
10/14/20108Administration Deficiencies J
10/14/20107Environmental Deficiencies J

Quality Measures: GREENBRIER MANOR
Quality MeasuresNational AverageGREENBRIER MANOR
Overall quality rating Not Available 2
2
Long-Stay Residents
Percent of long-stay residents who have depressive symptoms. 16% 7.4000000000000004%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 7.0999999999999996%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 99.299999999999997%
Percent of long-stay residents who received an antipsychotic medication. 31% 23.800000000000001%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 23%
Percent of long-stay high-risk residents with pressure ulcers. 19% 14.4%
Percent of long-stay residents with a urinary tract infection. 16% 8.3000000000000007%
Percent of long-stay residents who lose too much weight. 16% 5.0999999999999996%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 45.200000000000003%
Percent of long-stay residents who were physically restrained. 11% 1.3%
Percent of long-stay residents who self-report moderate to severe pain. 22% 35.299999999999997%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 1.3%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 92.900000000000006%
Short-Stay Residents
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 88.900000000000006%
Percent of short-stay residents who self-report moderate to severe pain. 36% 25%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.1000000000000001%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 0%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 80%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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