Blumenthal Health And Rehabilitation Center

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0582 during a standard health inspection conducted on 2025-09-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

correction was found to be incomplete due to a lack of information regarding who was going to be

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

Review of the social service note dated 3/7/25 revealed Resident #178 as well as the former Social Worker spoke with the physician from mental health via a telehealth visit due to the incident where Resident #178 was

345006 09/13/2025

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

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: No revisit needed.

The facility reported correction as of 2025-11-11.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0637 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident when there is a significant change in condition

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: No revisit needed.

The facility reported correction as of 2025-10-20.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0640 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: No revisit needed.

The facility reported correction as of 2025-10-20.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

observation, and he reported a NA had brought him one washcloth “a while ago” and told

soap, or a towel to wash.

NA #10 was interviewed when she returned to Resident #85's room on 9/10/25 at 11:24 AM. NA #10 reported she had been assigned to Resident #85 “a few times” and she had left Resident #85 with one washcloth to protect his privacy while he was using the urinal. NA #10 reported she had planned to return to Resident #85's room to assist him with a bath.

When asked about his facial hair and his fingernails, NA #10 agreed that both were long and needed trimming.

When asked if she had offered to provide shaving and nail care to Resident #85, NA #10 reported that she had never offered him shaving or nail trimming. Resident #85 was observed again on 9/10/25 at 3:39 PM. Resident #85's facial hair had been shaved, but his fingernails remained in the same condition as the observations on 8/8/25 and 9/9/25.

Regarding the status of Resident #85's nails, which remained untrimmed and the debris from under the free edge of the nail uncleaned, Resident #85 reported in an interview, “She (NA #10) left and said she would try to do it later.” NA #10 was interviewed again on 9/10/25 at 3:45 PM and she reported she would cut Resident #85's fingernails “later, after dinner.” Nurse #6 was interviewed 9/10/25 at 3:53 PM at Resident #85's bedside and she agreed that Resident #85's nails were too long and should have been trimmed.

Unit Manager (UM) #1 was interviewed on 9/11/25 at 3:24 PM and she reported she had not noticed Resident #85's facial hair or long nails. UM #1 explained that she did daily rounds to check on residents, but she was not checking to ensure that care and ADLs, including facial shaving and nail care, were being completed. UM #1 reported she was mostly concerned with residents being clean, dry, and fed.

The Director of Nursing (DON) was interviewed by phone on 9/12/25 at 4:58 PM.

The DON reported he was not aware Resident #85 had facial hair was greater than ¼ inch in length, and the free edge of his fingernails were greater than ¼ inch past the tips of his fingers or there was dark material noted under the nails.

The DON explained that agency staff were providing care, and the facility had been working with the agency staff to improve the quality of care.

The DON reported he expected ADL care to be provided to residents, including shaving and nail care.

345006 09/13/2025

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

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-09-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

During the interview, the Unit Manager was asked again if she could recall the name of the nurse that she told to follow up with Resident #8 after her unwitnessed fall of 8/21/25.

The Unit Manager stated she could not recall for certain who it was.An interview was conducted on 9/12/25 at 7:20 AM with Nurse #1.

Nurse #1 was identified by the nursing staff schedule on 8/21/25 and 9/11/25 as the nurse who was assigned to provide coverage for Resident #8's hall on 8/21/25.

During the interview, the nurse reported she did not recall Resident #8 having an unwitnessed fall on 8/21/25.

When additional details were discussed, the nurse then stated she did remember hearing about the unwitnessed fall.

However, she reported the only time she heard about this fall was when the resident told her about it a couple of days after the fall.

The resident told the nurse that no one came to follow up and check on her after the fall.

The nurse reiterated that she was not made aware of the unwitnessed fall on the day it occurred.

She stated it sounded like it was a communication problem in passing along this information.

When asked, the nurse outlined what she would have done if she had been told of Resident #8 having an unwitnessed fall.

Nurse #1 stated she would have gone in to see the resident and checked her neurological status (including orientation and behaviors), checked her skin (cuts, bruises), and looked at her Medication Administration Record (MAR) to see if she was on an anticoagulant that could cause excessive bleeding.

Neurological checks would have been initiated on the resident, the MD and resident's Responsible Party would have been called, and she would have completed all the necessary documentation, including a fall report.An interview was conducted on 9/11/25 at 1:23 PM with the facility's Director of Nursing (DON).

During the interview, the facility's failure to follow up, monitor, and report Resident #8's unwitnessed fall of 8/21/25 was discussed.

The DON reported he was made aware of the unwitnessed fall and failure to assess the resident after the fall when a Grievance Report was filed by the resident on 8/22/25.

When asked what he would have expected to have been done, the DON stated the first thing that needed to be done was to assess the resident prior to transferring her to the bed, take vital signs, do a full assessment (including skin and pain), start neurological checks, and notify the family and MD. He also noted that the appropriate reports and documentation needed to be completed.

Upon inquiry, the DON stated the facility did not complete a plan of correction related to this incident.

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

During the interview, the Administrator was informed of the observation made of a smoker (who was designated as requiring supervision) smoking in the courtyard without staff supervision.

The Administrator responded by stating that there needed to be supervision.An interview was conducted on 9/11/25 at 1:23 PM with the facility's DON.

During the interview, the DON confirmed he completed all the residents' smoking assessments recently conducted.

The DON reported he was made aware of the error he made on Resident #7's smoking assessment and needed to correct this resident's assessment to indicate he required supervision with smoking and was not an independent smoker. A follow up interview was conducted on 9/11/25 at 4:10 PM with the DON, who was joined by the Activities Director.

When asked if nursing was responsible to schedule staff for smoking supervision in the courtyard, the DON reported the Activities Director would be taking over the scheduling of staff for smoking supervision at this point.

Upon further inquiry, the DON and Activities Director stated the NA assigned to supervise smoking on 9/11/25 worked on the hall when no one was requiring supervision with smoking.

The DON and Activities Director surmised that Resident #7 may have sneaked out there without telling the assigned NA that he was going out to smoke.

They stated Resident #7 should have let the NA know he was going out to smoke so she could have gone with him.

345006 09/13/2025

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

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0694 during a standard health inspection conducted on 2025-09-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

charge of the Medication Aide should have checked the flow rate of the oxygen and corrected the rate

not know why the sign was not posted.

An interview was conducted with Nurse #6 on 9/10/25 at 3:53 PM.

Nurse #6 reported she was responsible for overseeing the Medication Aide and checking the oxygen flow rates for residents.

Nurse #6 reported she was not aware of Resident 13's oxygen flow rate was 3.5 liters per minute.

Nurse #6 was unable to recall if she had checked the oxygen flow rate on 9/8 or 9/10/25 for Resident #13.

The Nurse Practitioner was interviewed on 9/11/25 at 12:20 PM and he reported that while the delivery of oxygen at 3.5 liters per minute had not harmed Resident #13, the nurse should check all oxygen concentrators for the correct oxygen delivery rate and post oxygen cautionary signs on the door to the resident's room.

The Director of Nursing (DON) was interviewed by phone on 9/12/25 at 4:58 PM.

The DON reported that a nurse was assigned to oversee the Medication Aide and part of the nurses' responsibility was checking oxygen flowrates.

The DON reported he expected all nurses to ensure all oxygen flow rates were accurate to the physician orders.

The DON reported any resident using oxygen should have a cautionary oxygen sign on their door, and he did not know why Resident #13 did not have a sign.

The DON reported he expected all residents using oxygen to have a cautionary sign posted.

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

dressing change supplies.

Unit Manager #2 sat down on the floor in front of Resident #136 and laid a

gauze pad.

Nurse #3 stood at the left side of the Resident's wheelchair and elevated Resident #136's

proceeded to remove the existing outer wrap from Resident 136's left leg and foot. Resident #136 grimaced his face and said, oh goodness, that hurts.

The Resident then closed his eyes tightly and grimaced his face again and proceeded to take several deep breaths in quick succession.

Unit Manager #2 continued to remove the outer wrap and then proceeded to remove the old gauze wrap and the fluffed gauze that was on the Resident's left heel.

Neither Nurse #3 nor Unit Manager #2 spoke to Resident #136 or attempted to assess the Resident's pain.

When Unit Manager #2 removed the gauze from the Resident's heel, he said Oh, Oh, that really hurts and grimaced his face again, took several deep breaths in quick succession and attempted to shift his position in the wheelchair.

When the Resident was observed grimacing, breathing deeply and quickly, and attempting to shift his position, the Surveyor asked Nurse #3 if she would consider giving the Resident a dose of his pain medication at that point and Nurse #3 replied yeah, I would probably give him some pain medication at this point but did not stop the dressing change to do so. Resident #136 again began taking deep breaths in quick succession.

Nurse #3 continued to hold Resident 136's left leg in an elevated position and Unit Manager #2 continued to moisten the gauze with the clear solution and clean the Resident's exposed heel wound with the moistened gauze. Resident #136 groaned and said, oh my goodness that really hurts and grimaced his face while breathing deeply and quickly. At that point, the Surveyor intervened and asked Nurse #3 to retrieve pain medication for the Resident before continuing.

Unit Manager #2 said yes, he needs some pain medication.

Nurse #3 then lowered the Resident's left leg back down to the bare floor and said she would get Resident #136 some pain medication and left the room.

Unit Manager #2 placed another piece of moistened gauze to the heel wound and then began re-wrapping the Resident's foot with the gauze wrap.

Unit Manager #2 finished wrapping the Resident's left foot with the gauze wrap prior to Nurse #3 returning with the pain medication.

Upon Nurse #3's return, Nurse #3 asked Resident #136 to rate his pain and he said his pain was an 8 during the dressing change, where on a 0-10 pain scale 0 was no pain at all, and 10 was severe pain.

Nurse #3 then administered the ordered pain medication.

Unit Manager #2 said she had never done wound care before, was not familiar with the orders and had been pulled to assist with wound rounds and dressing changes for the shift because the normal wound nurse was out on a family emergency. In a follow up interview with Nurse #3 on 9/10/25 at 1:30 PM, Nurse #1 stated that she was so focused on the wound and the dressing change, that she did not immediately think to stop the dressing change procedure and get the Resident some pain medication.

Nurse #3 said in hindsight, it would have better to have stopped, I'm sorry. In an interview with the Director of Nursing (DON) on 9/10/25 at 11:20 AM, the DON confirmed that the expectation was that a dressing change would be performed according to physician orders and that a resident should be made as comfortable as possible during a dressing change.

The DON stated not assessing for pain or give pain medication when a resident was in pain during a dressing change was not the expected practice. In an interview with the Administrator on 9/10/25 at 1:30 PM, the Administrator said that she would expect that a resident should not be in pain during a dressing change, that any resident who was in pain during a dressing change should be treated for pain. On 9/10/25 at 1:50 PM, an interview with the Nurse Practitioner was conducted.

The Nurse Practitioner said that all residents should be treated for pain if they were in pain during dressing changes. An interview with the wound care Nurse Practitioner was conducted on 9/10/25 at 2:20 PM.

The wound care Nurse Practitioner said that Resident #136 had a lot of pain during some of his dressing changes, particularly during any attempts to debride, or remove dead tissue from the wound.

The Nurse Practitioner said that he would be given pain medication but at times she would just have to stop the debridement.

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

to her, she couldn't get baths or showers done. NA #10 continued to explain that the shower sheet at

had 40 residents assigned to her was in August, although she was unable to recall the exact day or

08/20/25 at 5:25 PM when she went to perform wound care on Resident #162's her brief and bedding were soaked with urine.

She reported the situation to the DON, and he advised her to complete a grievance form which she did.

She also reported it to Unit Manager #1.

She did not know if anyone at the facility investigated the grievance. A phone interview was conducted on 09/11/25 at 11:00 AM with NA #9.

She verified she was the direct care NA for Resident #162 on 08/20/25.

She stated she had worked at the facility daily for the last 3 months and that they are constantly short staffed leaving the NAs with up to 20-30 residents from 7 AM to 7 PM.

She explained Resident #162 required 2 people for bed mobility and there were no staff members seen in the hall to assist her with performing Resident #162's incontinence care on 08/20/25. NA #9 continued to explain it was impossible to complete her tasks when she had 20 to 30 residents.

Incontinence care was provided however there was normally a delay with completing it. NA #9 confirmed she did one round on Resident #162 after breakfast at approximately 9:45 AM at which time she provided incontinence care, however she did not do another round on her because she did not have any help to safely provide care. NA #9 continued to explain that the facility was not equipped to provide safe and adequate care to residents due to being short staffed all the time. An interview was conducted on 09/11/25 at 11:16 AM with Unit Manager #1.

She stated she recalled the situation when Resident #162 was observed saturated with urine by the Wound Nurse on 08/20/25.

She explained the Wound Nurse notified her Resident #162's brief and sheets were soaked with urine.

Unit Manager #1 then stated she did speak to the NA which told her she had not provided incontinent care to Resident #162 yet because she was behind with her tasks.

Unit Manager #1 continued to explain that the facility did have several call outs on 08/20/25 and it was hard for the NAs to complete their tasks when they had call outs and were short staffed.

The Unit Manager also indicated that the NAs provide the care; however, it was delayed.

She had witnessed the NAs having up to 20 residents a piece on 1st shift. An interview was conducted on 09/11/25 at 4:07 PM with the DON. He stated he did recall the Wound Nurse reporting Resident #162's brief, sheets, and blankets being saturated with urine. He stated he told the nurse to complete a grievance form about what was observed. He then stated he conducted an education in-service to the NAs and disciplinary action was taken against the direct care NA.

345006 09/13/2025

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

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-09-13.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: No revisit needed.

The facility reported correction as of 2025-10-20.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-13.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

During the initial tour of the kitchen on 9/8/25 at 11:20 a.m., Dietary Staff #1 was observed wearing plastic gloves as she scraped the excess food debris and placed the dirty dishware on a dish rack in preparation for cleaning in the dishwashing machine.

The Dietary Staff #1 crossed to the opposite side of the machine and removed a rack of clean glassware without removing the soiled gloves and washing her hands.

She placed the rack of glassware onto a preparation table for use during the lunch tray line service.

Dietary Staff #1 revealed she had been working at the facility for three days and had not received any training on cross-contamination.

She was not aware she was to remove her gloves and wash her hands after handling soiled dishware. On 9/8/25 at 11:30 a.m., the Dietary Manager stated Dietary Staff #1, a new employee, had only been working in the kitchen for three days.

The Dietary Manager had not completed Dietary Staff #1's training because he had been busy trying to ensure residents received their meals on time. 2. On 9/8/25 at 11:40 a.m. a large, pink travel mug was observed on the bottom shelf of a food preparation table in the kitchen.

Dietary [NAME] #1 stated the mug belonged to one of the dietary staff. On 9/8/25 at 11:45 a.m., a dietary staff was observed entering the kitchen and placing a large travel mug on the bottom shelf of a preparation table after sipping from the straw inserted in the mug.

During the meal tray service in the kitchen on 9/8/25 at 12:00 p.m., a small 3-shelf cart was observed next to the trayline service with plate covers stacked on the top shelf, large blue travel mug on the second shelf, one large pink travel mug, one large can of kidney beans, and one bushel of plastic flowers were on the bottom shelf of the cart. 3.

During the tour of the kitchen on 9/8/25 at 11:42 a.m., there was a thick, black grease build-up covering the stove top and dried dark stains on the front and sides of the stove.

The interior of the double convection ovens also contained thick, dark grease buildup.

The interior of the double-sided plate warmer had dried brown/yellow stains.

There were clean plates observed in the warmer. On 9/12/25 at 2:31 p.m., the Dietary Manager stated Sundays were scheduled as the deep cleaning day in the kitchen, including equipment. He revealed he last cleaned the ovens on 8/30/25. 4.

During an observation of the meal service trayline in the kitchen on 9/10/25 at 12:08 p.m., there were seven wet and dirty (dried food particles) divided plates stacked on the meal service trayline.

During an interview on 9/12/25 at 2:31 p.m. the Dietary Manager stated the Registered Dietitian conducted audits of the kitchen every Monday on sanitation, safety, dating and labelling of foods.

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

solution reconstituted 1 gram intravenously every 8 hours.

revealed 2 occurrences indicating the meropenem antibiotic was not administered for the following

An interview was conducted on 09/13/25 at 2:00 PM with Nurse #1.

She verified she worked on 08/17/25.

She stated she did administer Resident #101's IV medication on 08/17/25 at 4:00 PM.

She explained she forgot to sign the MAR.

A phone interview was conducted on 09/11/25 at 10:52 AM with the Wound Nurse.

She verified she worked on 08/22/25 at 12:00 AM.

She stated she knew she administered the IV antibiotic for Resident #101 but that she could not remember why she didn't sign the MAR.

She indicated it was an oversight.

The Physician's Assistant was interviewed on 9/12/25 at 12:50 PM he stated he was aware the MAR was not signed as being administered. He explained medications should have been accurately documented.

The Director of Nursing was interviewed on 9/12/25 at 2:42 PM and stated nurses were supposed to document on the MAR after administering IV antibiotics.

The DON verified he was aware of the missed signatures on the MAR.

• Resident #82 was admitted on [DATE] with diagnoses that included type II diabetes and cognitive

communication deficit.

An active physician's order dated 5/28/25 and renewed on 8/5/25 revealed Resident #82 had an order to receive 8 units of Novolin R (insulin regular human); inject 8 units subcutaneously two times a day related to type II diabetes with hyperglycemia.

Hold if not eating meal; hold for blood glucose less than 150.

The August 2025 Medication Administration Record (MAR) for Resident #82 was reviewed and revealed 5 occurrences indicating Resident #82's blood sugar was not assessed, and the Novolin R insulin was not administered for the following dates: 8/2/25 at 11:30 AM, 8/28/25 at 4:00 PM, and 8/30/25 at 4:00 PM.

On 9/12/25 at 12:00 PM Nurse #1 was interviewed and verified she had worked the dates of 8/2/25, 8/28/25, and 8/30/25.

She stated she did not recall having missed checking Resident #82's blood sugars or giving him insulin on the missing dates, and she was uncertain why her initials were not recorded on the MAR.

The Physician's Assistant was interviewed on 9/12/25 at 12:50 PM and stated medications should have been administered and accurately documented as ordered.

The Director of Nursing was interviewed on 9/12/25 at 2:42 PM and stated nurses were supposed to document on the MAR after checking a resident's blood sugar and administering insulin.

345006 09/13/2025

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

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0850 during a standard health inspection conducted on 2025-09-13.

Category: Administration Deficiencies

The facility was found deficient in the following area: Hire a qualified full-time social worker in a facility with more than 120 beds.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: No revisit needed.

The facility reported correction as of 2025-10-20.

body) then removed a pair of scissors from her pocket to cut the wafer to the correct size and applied

facility's infection prevention and control sub-policy #406 for enhanced barrier precautions entitled

providing high-contact care activities will follow enhanced barrier precautions for patients who meet the criteria. EBPs require the use of gowns and gloves during high-contact patient care activities as defined below: . wound care for chronic wounds.A yellow sign posted on the doorway of Resident #9's room indicated the resident was placed on enhanced barrier precautions.

The signage read staff members were to don personal protective equipment (PPE) consisting of a gown and gloves prior to providing the resident with toileting assistance and wound care.

Nurse #9 did not don a gown prior to beginning wound care for Resident #9.On 9/11/25 at 1:40 PM Nurse #9 washed her hands and donned a pair of clean gloves as she instructed the resident to turn to her right side for wound care.

The nurse removed the soiled dressing from Resident #9's sacral area and disposed of it in the trash.

She removed her gloves and washed her hands before donning a pair of clean gloves.

Nurse #9 washed the resident's wound with cleanser.

Without changing gloves, Nurse #9 reached into the package of gauze and retrieved additional gauze to finish cleaning the wound site.

The nurse removed her gloves and donned another pair of gloves without washing her hands.

She applied collagen sprinkles to Resident #9's wound bed then removed her gloves and discarded them in the trash.

Nurse #9 did not wash her hands before donning another pair of gloves.

She then applied a hydro fiber with silver dressing to the wound bed, removed her gloves and discarded them in the trash.

Nurse #9 donned another pair of gloves without washing her hands and applied a bordered gauze dressing to complete Resident #9's wound care.

Nurse #9 washed her hands and applied clean gloves and removed the trash bag from the resident's room.Following the observation on 9/11/25 Nurse #9 was interviewed at 2:00 PM outside of Resident #9's room.

She stated she was aware Resident #9 was placed on enhanced barrier precautions, but she did not know where the caddy was that contained the PPE.

Nurse #9 stated she should have worn gloves when she applied Resident #9's ostomy appliance to her skin.

The nurse indicated she washed her hands plenty of times while she provided wound care, and she was not aware she did not wash her hands between changing her gloves.

Nurse #9 stated since her scissors did not touch anything dirty, she did not think they needed to be cleaned.

She further stated she did not realize she reached into the package of gauze while wearing gloves, and she threw the remaining gauze in the trash.Unit Manager #1 was interviewed on 9/11/25 at 2:08 PM and stated staff should wear the correct PPE that is recommended on the signage posted for residents on enhanced barrier precautions.

The Unit Manager indicated staff should wash their hands between changing gloves and after removing their PPE.

She stated Nurse #9 should have cleaned the scissors she used while providing ostomy care.The Director of Nursing was interviewed on 9/11/25 at 4:09 PM and stated Nurse #9 should have worn the correct PPE before providing ostomy and wound care for Resident #9.

He stated the nurse should have used a proper barrier for wound care supplies, washed her hands between changing gloves, and worn gloves when changing the ostomy appliance.The Infection Preventionist (IP) was interviewed on 9/12/25 at 12:50 PM and stated Nurse #9 should have worn the correct PPE when she provided ostomy and wound care for Resident #9 because the resident was placed on enhanced barrier precautions.

The IP indicated Nurse #9 should have washed her hands when changing gloves, and she should have never used bare hands to apply an ostomy appliance to the resident's skin.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-09-13.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.

Federal health inspectors cited Blumenthal Health and Rehabilitation Center in Greensboro, NC for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-09-13.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Educate 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 28 deficiencies cited during this inspection of Blumenthal Health and Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-09.