East Carolina Health And Rehabilitation Center
East Carolina Health and Rehabilitation Center in Greenville, NC — inspection on September 11, 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.
Inspection Findings
During the interview with the Wound Care Physician on 9/10/25 at 4:32 PM the Wound Care Physician reported Resident # 8's sacral pressure sore had improved, and she did not think a lack of notifying the physician and carrying out wound care orders had resulted in the resident having a negative outcome.
During an interview with the facility Medical Director on 9/11/25 at 11:45 AM, who served as the resident's primary physician, the physician reported the following information.
The NP who had given the hospice order was not available that day. If Resident # 8 was appropriate for hospice services and also a diabetic, then it might be that the wounds would not heal regardless of treatment.
She had not been aware of problems with communication about wound care to the facility's Wound Physician.
345377 09/11/2025
East Carolina Health and Rehabilitation Center 2575 W 5th Street Greenville, NC 27834
During the interview with the Wound Care Physician on 9/10/25 at
having a negative outcome. It was her expectation that the treatment plan be carried out when she
notes to the facility before leaving the parking lot on wound round days.
During an interview with the facility Medical Director on 9/11/25 at 11:45 AM, who served as the resident's primary physician, the physician reported the following information.
The NP who had given the hospice order was not available that day. If Resident # 8 was appropriate for hospice services and also a diabetic, then it might be that the wounds would not heal regardless of treatment.
She had not been aware of problems with communication about wound care.
The Wound Physician could enter her own orders in the electronic system and did not need her (the primary physician's approval).2b.
Review or Resident # 8's quarterly Minimum Data Set assessment, dated 8/10/25, revealed the resident weighed 188 pounds.On 9/9/25 at 10:27 AM Resident # 8's air mattress was observed to be on a setting for an individual that weighed 420 pounds. (The air mattress had settings which correlated to a resident's weight.) On 9/10/25 at 1:30 PM Resident # 8's air mattress was again observed to be on a setting for an individual that weighed 420 pounds.
The Wound Care Nurse was interviewed at the time and reported the setting was incorrect.
She reported that at times the staff might turn the setting higher to make the mattress firmer in order to turn and reposition her easier.
The Wound Care Nurse reported the setting should be at 150 pounds because that was the weight setting closest to the resident's weight.
The Wound Care Nurse was interviewed regarding who was responsible for checking the settings and reported that everyone was accountable to look at it and make sure it was right when they cared for Resident #8.During the interview with the Wound Care Physician on 9/10/25 at 4:32 PM the Wound Care Physician reported that if the air mattress was set for a weight more than what an individual weighed then this meant there would be more pressure on the resident.
345377 09/11/2025
East Carolina Health and Rehabilitation Center 2575 W 5th Street Greenville, NC 27834
hard to say what had occurred with the sling without viewing the sling. It could have been that the
indicated when incidents occur, the facility was welcome to call one of their regional representatives
occurred.The Director of Nursing (DON) was interviewed on 9/8/25 at 7:38 AM and reported the following information.
The lift sling was assessed by the facility after the incident, and it had been broken.
The weight limit for all their slings was 600 pounds and Resident # 3 had not exceeded the weight limit of the sling.
After the incident the Administrator and the Maintenance Director looked at all the lift slings and any old slings were thrown away by them.
New slings were ordered by the Administrator.
Every resident had a lift sling. If a lift sling was sent to laundry for laundering, the laundry personnel checked the sling before it was returned for use.
There were two laundry staff members during the day and then a staff member who worked from 3:00 PM to midnight in the laundry room.
These laundry staff were available to give the lift slings to a Nurse Aide after laundering.
There was an in-service for the laundry room staff incident regarding checking the lift slings after laundering.
The Administrator and the Maintenance Director were interviewed on 9/11/25 at 9:07 AM.
The Administrator reported the following information. He had obtained the broken sling after the 1/7/25 incident and saw that it was ripped at the seam.
The hook itself was not broken. He did not want the sling to ever be used again and therefore he threw it in the dumpster that day.
The sling wasn't very old.
Slings were replaced every six months.
Resident # 3's weight had not been an issue because the sling went up to 600 pounds.
After the incident, maintenance went through every sling in the facility to ensure they were in good condition and did not find other slings in disrepair. He (the Administrator) ordered new slings as well.
Because the slings were seen by laundry the most, the laundry staff were inserviced to check the slings after they went through the laundry each time they were laundered to ensure they remained in good condition after the laundry process.The Administrator presented a corrective action plan which they had implemented on 1/7/25 and completed on 1/8/25.
A review of the corrective action plan revealed it did not include training for the nursing staff regarding the safety of the slings.
Therefore, the corrective action plan was not accepted.
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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.