The wheelchairs belonged to Residents #28 and #62. They were among dozens of maintenance and cleanliness violations inspectors documented during a 45-minute environmental tour of the 123-bed facility on September 29.
Housekeeping Director #999 accompanied inspectors and verified each violation as they discovered it.
Light fixtures throughout the hallways contained "noticeable areas of dust, dirt, and dead insects inside the fixtures." In Resident #52's room, the light fixture above the bed was missing a bulb entirely.
Handrails throughout the facility were "noticeably chipped, scuffed, and rough to the touch." The walls in four residents' rooms were "severely scuffed."
Water damage was visible across multiple rooms. Residents #27, #32, #52, #84, and #139 all had water-stained ceiling tiles in their rooms. Privacy curtains in three other residents' rooms were "noticeably stained."
Air conditioning units in two rooms displayed clean filter indicator lights, but the filters were coated with dust. The protective covers to heat pipes in Residents #45 and #64's rooms were completely detached.
Bathroom doors in four residents' rooms were "severely damaged and scraped." The protective wood wall covering in two other rooms had noticeable holes gouged into them.
Resident #123's room had a visible crack in the wall.
Outside Resident #27's room, the cover to a wall telephone line was missing entirely, exposing live telephone wire in the hallway.
The inspection was conducted in response to a complaint filed with state health officials. All 123 residents at the facility had the potential to be affected by the widespread maintenance and cleanliness failures, according to the federal inspection report.
The violations represent what inspectors classified as "minimal harm or potential for actual harm" to residents. Federal regulations require nursing homes to maintain a safe, clean, and comfortable environment for residents, staff, and the public.
The facility's housekeeping director was present throughout the inspection tour and acknowledged each violation as inspectors documented it. The tour lasted from 8:00 a.m. to 8:45 a.m. on September 29, 2025.
Greenbrier Health Center failed to ensure basic maintenance standards were met across resident rooms, hallways, and common areas. The scope of violations suggested systemic problems with the facility's housekeeping and maintenance operations rather than isolated incidents.
The complaint that triggered the inspection was filed under number 2603578 with state health officials. Federal inspectors found the facility in non-compliance with requirements to maintain a sanitary environment.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Greenbrier Health Center from 2025-10-08 including all violations, facility responses, and corrective action plans.