The Greens At Hendersonville
The Greens at Hendersonville in Hendersonville, NC — inspection on January 16, 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
During an interview on 01/16/26 at 10:55 AM, the MDS Nurse stated she was not sure why the Dietary Technician coded Resident #4's weight loss as physician-prescribed.
The MDS Nurse explained for a resident taking diuretic medication, the only time she would code weight loss on the MDS assessment as physician-prescribed was if the medication was intentionally being used for weight loss.
During a phone interview on 01/14/26 at 10:11 AM, the Registered Dietician (RD) revealed the Dietary Technician assisted with assessing residents quarterly and had been trained to complete MDS assessments.
The RD stated the Dietary Technician likely got the concept that diuretic medication use was considered a weight loss regimen since Resident #4 was losing weight due to a physician-prescribed medication.
The RD explained even when diuretic medication was prescribed for fluid buildup it could cause weight loss.
The RD stated she would not have coded diuretic medication use a physician-prescribed weight loss regimen on the MDS assessment without verifying the medication was prescribed with the intention for planned weight loss.
During an interview on 01/16/26 at 11:24 AM, the Administrator stated he would expect for MDS assessments to be coded accurately.
The Administrator stated he would expect for the Dietary Technician to notify the RD that Resident #4's weight loss was coded as a physician-prescribed weight loss regimen and then they should have notified the MDS Nurse for her to clarify.
345312 01/16/2026
The Greens at Hendersonville 1870 Pisgah Drive Hendersonville, NC 28791
Review of the medical record revealed there was no documented evidence that a request was submitted for a Level II PASRR evaluation.
During an interview on 01/16/2026 at 11:11 AM the MDS Nurse communicated a new mental health diagnosis would come from psychiatric progress notes.
The MDS Nurse stated if the MDS Nurse enters a new mental health diagnosis they should notify the Social Worker.
The MDS Nurse stated the current process was to email the Social Worker of a new mental health diagnosis.
During an interview on 01/15/2026 at 11:03 AM with the Social Worker, she stated when a resident has a new mental health diagnosis, she would be the person responsible for requesting a Level II PASRR evaluation.
The Social Worker revealed the MDS Nurse would inform her of a significant change.
The Social Worker stated there was no system in place to notify her of new mental health diagnosis, that she was only notified of significant changes.
During an interview with the Administrator on 01/16/2026 at 11:47 AM, he stated that anytime psychiatry communicated a diagnosis change the Social Worker should be informed.
The Administrator stated it was the Social Worker's responsibility to submit requests for PASRR evaluations and the Social Worker attends morning meetings where all new orders and new diagnoses were discussed.