Heartland Living & Rehab At The Moses H Cone Memor
Heartland Living & Rehab at the Moses H Cone Memor in Greensboro, NC — inspection on April 30, 2026.
Found 2 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.
Inspection Findings
staff to discard catheter bags per facility policy.
345391 04/30/2026
Heartland Living & Rehab at the Moses H Cone Memor 1131 North Church Street Greensboro, NC 27401
flow rate for Resident #35 was 2 liters per minute but needed to check.
She stated the nurse was
the oxygen flow rate was for Resident #35 and she would check with the nurse.
On 4/27/26 at 2:27 PM the physician orders for oxygen administration for Resident #35 were reviewed with MA #1 and Nurse #4 present.
Nurse #4 indicated she was Resident #35's assigned nurse that day and confirmed Resident #35's oxygen flow rate was 3 liters per minute.
Nurse #4 and MA #1 were accompanied to Resident's #35's room.
Nurse #4 and MA #1 observed the oxygen concentrator for Resident #35 and stated the oxygen flow rate was on 2 liters per minute.
Nurse #4 changed the flow rate to 3 liters per minute.
Nurse #4 stated she did not know why the rate was on 2 liters and did not recall when she last checked it that shift.
An interview with Nurse Aide (NA) #6 on 04/30/26 at 9:25 AM revealed she was often assigned to Resident #35. NA #6 stated the resident was unable to reach over and down towards the oxygen concentrator without falling out of bed and was unable to sit up without staff assistance.
She did not believe that Resident #35 was physically able to change the oxygen flow meter. NA #6 revealed she never changed Resident #35's oxygen flow rate.
An interview was conducted with Nurse #7 on 04/30/26 at 10:00 AM who was the assigned nurse that day and stated she was familiar with Resident #35 as she was regularly assigned to care for her.
Nurse #7 stated it was the nurse's responsibility to monitor the oxygen flow rate and monitor the respiratory status of all residents receiving oxygen.
She stated the nurse should observe at the beginning of the shift to confirm the oxygen flow rate matched the physician order and the resident receiving it was not in respiratory distress.
She further stated the oxygen flow rate would be changed only by the nurse.
An interview was conducted with the Nurse Practitioner (NP) on 04/29/26 at 10:00 AM during which she stated the oxygen order for Resident #35 should be followed.
The NP stated Resident #35's oxygen level set at 2 liters per minute could cause respiratory distress for the resident.
The NP indicated if Resident #35 required a different level of oxygen, then she would expect staff to notify her and there to be an order to change it.
An interview with the Director of Nursing on 04/30/26 at 11:45 AM revealed the nurse was responsible for setting and monitoring the oxygen flow rate and it should match the physician order.
She reviewed Resident #35's record and stated the resident's oxygen concentrator should be set at 3 liters per minute.
An interview with the Administrator on 04/30/26 at 4:30 PM revealed she expected Resident #35's oxygen order to be followed.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.