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Complaint Investigation

Blumenthal Health And Rehabilitation Center

January 9, 2025 · Greensboro, NC · 3724 Wireless Drive
Citations 3
CMS Rating 1/5
Beds 134
Provider ID 345006
Healthcare Facility
Blumenthal Health And Rehabilitation Center
Greensboro, NC  ·  View full profile →
Inspection Summary

Blumenthal Health and Rehabilitation Center in Greensboro, NC — inspection on January 9, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF580
ray was not performed 11/18/24 and the Few 11/19/24 was scheduled for 11/26/24. The facility also failed to notify the physician when the resident's pain affected

F-F580: Based on record review and interviews with the Medical Director and staff, the facility failed to notify the physician at the onset of pain and when the x-ray could not be completed stat (immediately) after

jeopardy to resident health or results indicated an acute nondisplaced (the bone does not break completely and there will be a crack on the safety bone) transverse (horizontal and perpendicular to the bone) left femur (thigh bone) fracture.

The physician was not made aware of the fracture until 11/22/24 and was not notified the orthopedic consult ordered on

was not manageable on night shift (11/20/24 and 11/21/24).

Failure to notify the physician delayed orthopedic medical management, care and treatment and put the resident at high risk for complications such as deep vein thrombosis, pneumonia, bed sores, and increased risk for mortality. Resident #1 had an aspiration event (foods, stomach contents, or fluids are breathed into the lungs) while hospitalized which resulted in acute hypoxic respiratory failure (low levels of oxygen in your blood) and IV antibiotics were initiated on 11/24/24.

The resident was prescribed additional oral antibiotics for three days after discharge back to the facility on [DATE].

This deficient practice affected 1 of 5 residents reviewed for notification of change (Resident #1).

F-F684: Based on record review and interviews from the Medical Director, the Nurse Practitioner (NP), Orthopedic Surgeon, Responsible Party (RP) and staff the facility failed to recognize the seriousness of the injury Resident #1 sustained from a fall and identify the need for urgent orthopedic evaluation. Resident #1 reported pain in her left hip on 11/17/24 following a fall. A STAT (with no delay) x-ray was ordered on Sunday 11/17/24, was not completed until 11/18/24, and revealed a nondisplaced (the bone does not break completely and there will be a crack on the bone) transverse (horizontal and perpendicular to the bone) left femur (thigh bone) fracture. On 11/19/24 the NP ordered scheduled opioid medication for increased pain and ordered an orthopedic consultation at the request of Resident #1's RP.

The resident remained in the facility awaiting an orthopedics consultation scheduled for 11/26/24.

The Medical Director was not aware of the fracture until he saw Resident #1 on 11/22/24 at which time he ordered the resident to be sent to the emergency department if she could not be seen by the orthopedist that day. Resident #1 was seen by the orthopedist on 11/22/24 and was sent directly to the hospital and a left femur intramuscular nail surgery was performed on 11/23/24.

While hospitalized , Resident #1 had an aspiration event (foods, stomach contents, or fluids are breathed into the lungs) which resulted in acute hypoxic respiratory failure (low levels of oxygen in your blood) and Intravenous (IV) antibiotics were initiated on 11/24/24.

The resident was prescribed additional oral antibiotics for three days after discharge back to the facility on [DATE].

The Orthopedic Surgeon indicated an injury like Resident #1's required an immediate transfer to the hospital for evaluation by an orthopedic specialist and that the risks of complications increased with the delay of care such as deep vein thrombosis (blood clots in veins deep in the body), pneumonia, and bed sores.

This deficient practice affected 1 of 5 residents reviewed for falls (Resident #1).

345006

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 345006 B.

Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Blumenthal Health and Rehabilitation Center 3724 Wireless Drive Greensboro, NC 27455

The facility failed to immediately notify the medical provider of the new onset of pain.

The medical provider was not called until 2:14 PM and at that time the medical provider gave new orders for a stat x-ray and Tylenol 500mg every 6 hours as needed for pain.

The Tylenol order was not entered until 3:05pm on 11/17/2024.

The stat x-ray was not obtained on 11/17/2024.

The nursing staff failed to notify the medical provider that the stat x-ray could not be obtained on 11/17/2024.

On 11/18/2024 the x-ray of the left hip was obtained at 9:23 am.

The x-ray resulted on 11/18/2024 12:54 pm and the impressions were an acute transverse, nondisplaced intertrochanteric femur fracture.

The resident's RP and NP were informed of the results on 11/18/2024 at 2:59 pm.

345006

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 345006 B.

Wing 01/09/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Blumenthal Health and Rehabilitation Center 3724 Wireless Drive Greensboro, NC 27455

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Greensboro, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Blumenthal Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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