Blumenthal Health and Rehab: Medication Failures - NC
Federal inspectors visited the facility on September 13, 2025, following a complaint, and reviewed medication administration records for two residents. What they found were unsigned entries, unrecorded blood sugar checks, and doses of insulin and intravenous antibiotics that may or may not have been given, depending on who was asked.
Resident 82, a man with type II diabetes and a cognitive communication deficit, had a physician's order requiring 8 units of Novolin R insulin twice daily, with instructions to hold the dose if he wasn't eating or if his blood glucose fell below 150. The order had been active since May and renewed in early August. His August medication record showed five occurrences where blood sugar checks and insulin doses were not recorded. Three of those gaps fell on the same nurse's shifts, on August 2, August 28, and August 30.
Nurse 1, interviewed on September 12, said she had worked all three of those dates. She said she did not recall missing the blood sugar checks or skipping the insulin, and she could not explain why her initials were absent from the record.
A resident with diabetes and a cognitive communication deficit cannot flag a missed dose. He cannot tell a nurse his blood sugar feels off, or ask why no one has checked it. He depends entirely on the system working.
The physician's assistant, interviewed the same day, said medications should have been administered and accurately documented as ordered. The Director of Nursing said nurses were supposed to sign the MAR after checking blood sugar and giving insulin. Neither offered any account of what had actually happened on those three dates in August.
The second case involved Resident 101, who was receiving meropenem, a powerful intravenous antibiotic, one gram every eight hours. The August record showed two unsigned entries: August 17 at 4:00 PM and August 22 at 12:00 AM.
Nurse 1 said she had worked the August 17 shift and was certain she had given the medication. She said she forgot to sign the record afterward. The wound nurse, reached by phone on September 11, said she had worked the overnight shift on August 22 and believed she had given the antibiotic, but could not remember why she hadn't documented it. She called it an oversight.
The physician's assistant said he had been aware the MAR entries were unsigned. The Director of Nursing confirmed he knew about the missing signatures as well. Neither man indicated that any follow-up had occurred before inspectors arrived.
Meropenem is not a routine medication. It is typically reserved for serious bacterial infections that have not responded to other treatments. When doses are skipped, infections can persist or worsen. When records go unsigned, there is no reliable way to know whether a dose was given or not, and the next nurse coming on shift has no accurate picture of what the patient has received.
The inspection report classified the harm level for both violations as minimal or potential. That classification reflects what inspectors could confirm, not necessarily what the residents experienced during the gaps in their care.
Blumenthal Health and Rehabilitation Center is located at 3724 Wireless Drive in Greensboro. The facility did not respond to a request for comment.
Resident 82's blood sugar was not recorded on three separate days in August. Whether it was ever checked on those days, whether it climbed dangerously high, whether he felt the effects, none of that appears in the record. The record shows only the absence of initials, and a nurse who, weeks later, could not remember what she had or hadn't done.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Blumenthal Health and Rehabilitation Center from 2025-09-13 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
Blumenthal Health and Rehabilitation Center in Greensboro, NC was cited for violations during a health inspection on September 13, 2025.
Federal inspectors visited the facility on September 13, 2025, following a complaint, and reviewed medication administration records for two residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.