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Facility profile · CCN 075113

Greentree Manor Nursing And Rehabilitation Center

91 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $127,702.

Abuse Icon Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
91
Total citations
79
Last 3 years
4
Actual harm+
2
Federal penalties
$127,702
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

91 on record
SurveyF-TagViolationSeveritySource
Dec 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 2, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Dec 2, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
Jul 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 8, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Jul 8, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
May 15, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 6, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
May 6, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
May 6, 2025F880Provide and implement an infection prevention and control program.DStandard
May 6, 2025F814Dispose of garbage and refuse properly.EStandard
May 6, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 6, 2025F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
May 6, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
May 6, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
May 6, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
May 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 6, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 6, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
May 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
May 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 6, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.GStandard
May 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 6, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 6, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
May 6, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Mar 24, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Oct 31, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Oct 31, 2024F610Respond appropriately to all alleged violations.DComplaint
Oct 31, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Oct 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Oct 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 28, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Aug 1, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DComplaint
Aug 1, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 19, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Jan 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 18, 2023F880Provide and implement an infection prevention and control program.DComplaint
Jul 18, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 18, 2023F610Respond appropriately to all alleged violations.DComplaint
Jun 23, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jun 23, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jun 23, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 23, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 23, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 25, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
May 25, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 25, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
May 25, 2023F880Provide and implement an infection prevention and control program.EStandard
May 25, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard
May 25, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 25, 2023F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DStandard
May 25, 2023F791Provide or obtain dental services for each resident.DStandard
May 25, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
May 25, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
May 25, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
May 25, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 25, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
May 25, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 25, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 25, 2023F679Provide activities to meet all resident's needs.DStandard
May 25, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 25, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 25, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 25, 2023F641Ensure each resident receives an accurate assessment.DStandard
May 25, 2023F610Respond appropriately to all alleged violations.DStandard
May 25, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 25, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
May 25, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
May 25, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
May 25, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
May 25, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 22, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Feb 10, 2021F880Provide and implement an infection prevention and control program.DStandard
Feb 10, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 10, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 10, 2021F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard
Feb 10, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Feb 10, 2021F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Feb 10, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 10, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Feb 10, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Feb 10, 2021F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Feb 10, 2021F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $127,702 .

DateTypeFinePayment denial
May 25, 2023Fine$108,349
Mar 22, 2023Fine$19,353
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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