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 88
Perc of occupied beds 88
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties1
Total Number of Penalties1
Ratings Summary: GREENBRIER MANOR
Overall rating 1
1
Nursing Home Staffing 1
1
Registered Nurses only 2
2
Health Inspections 1
1
Quality Measures 2
2
Nursing Home Staffing Info: GREENBRIER MANOR
National AverageWest Virginia AverageGREENBRIER MANOR
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 2
2
Total Number of Residents NA NA 88
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.85 hours 2.93 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.68 hours 1.21 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.41 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.89 hours 0.8 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.16 hours 1.72 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.0 hours
Health Survey: GREENBRIER MANOR
Heath Survey Summary on 2013-01-17
Total Number of Health Deficiencies 14
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2011-02-02
Total Number of Health Deficiencies 18
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2009-05-22
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: GREENBRIER MANOR
Inspection Results: 01/17/2013
Corrected Deficiency Scope and Severity
04/30/2013 Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated/Minimal harm or potential for actual harm
03/20/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
04/30/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
04/30/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
04/30/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
04/30/2013 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
03/20/2013 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/Actual harm
04/30/2013 Ensure 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. Isolated/Actual harm
04/30/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
04/30/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
03/20/2013 Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. Isolated/Minimal harm or potential for actual harm
04/30/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
04/30/2013 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread /Minimal harm or potential for actual harm
04/30/2013 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread /Minimal harm or potential for actual harm
Inspection Results: 02/02/2011
Corrected Deficiency Scope and Severity
03/11/2011 Ensure 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. Isolated/Minimal harm or potential for actual harm
03/11/2011 Provide routine and 24-hour emergency dental care for each resident. Isolated/Minimal harm or potential for actual harm
03/11/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
03/11/2011 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread /Minimal harm or potential for actual harm
03/11/2011 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread/Potential for minimal harm
03/11/2011 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 harm or potential for actual harm
03/11/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
03/11/2011 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
03/11/2011 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
03/11/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
03/11/2011 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
03/11/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
03/11/2011 Conduct initial and periodic assessments of each resident's functional capacity. Pattern/Minimal harm or potential for actual harm
03/11/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
03/11/2011 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
03/11/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
03/11/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
03/11/2011 Give residents a notice of rights, rules, services and charges. Isolated/Minimal harm or potential for actual harm
Inspection Results: 05/22/2009
Corrected Deficiency Scope and Severity
06/25/2009 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
05/22/2009 Give residents a notice of rights, rules, services and charges. Widespread/Potential for minimal harm
06/25/2009 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
06/26/2009 Provide care for each resident in a way that maintains or improves their quality of life. Isolated/Minimal harm or potential for actual harm
06/26/2009 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
06/26/2009 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
06/26/2009 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
06/26/2009 Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Pattern/Minimal harm or potential for actual harm
06/25/2009 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
07/10/2009 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
06/26/2009 Operate and provide services according to Federal, State, and local laws and professional standards. Isolated/Minimal harm or potential for actual harm
06/26/2009 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: GREENBRIER MANOR
Fire Safety Survey Summary on 2013-01-17
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-03-15
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Potential for minimal harm
Fire Safety Survey Summary on 2009-06-04
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: GREENBRIER MANOR
Fire Safety Survey Results: 03/15/2011
Corrected Deficiency Severity
03/16/2011 Properly located and lighted "Exit" signs. Pattern/Potential for minimal harm
03/16/2011 Properly maintained smoke detectors. Pattern/Potential for minimal harm
Fire Safety Survey Results: 06/04/2009
Corrected Deficiency Severity
06/04/2009 Signs that state that exit doors are to be kept closed. Pattern/Potential for minimal harm
06/08/2009 An approved installation, maintenance and testing program for fire alarm systems. Widespread /Minimal harm or potential for actual harm
06/18/2009 Proper medical gas storage and administration areas. Pattern/Potential for minimal harm

Resident Complaints: GREENBRIER MANOR
Date Complaint Substantiated: 07/25/2013
CorrectedCategoryDeficiencySeverity
08/20/2013Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D

Quality Measures: GREENBRIER MANOR
Quality Measures National Average West Virginia Average GREENBRIER MANOR
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 19.1% 28.8%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.9% 21.2%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.6% 3.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 11.3%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 40.4% 57.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 2.3%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.6% 8.1%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 6.8% 9.6%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.5% 4.8%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 4.8% 4.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.9% 85.5%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 94.9% 74.6%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 18.3% 19.8%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.4% 18.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.7% 4.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.6% 73.4%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 81.9% 63.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.3% 0.0%

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