Greenbriar Nursing Center
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
initiated upon evaluation today. Will start with wound gel to soften slough and eschar and for chemical debridement. Resident #75 would benefit from low air loss mattress. Review of the weekly skin assessment for Resident #75 dated 08/11/25 revealed resident has previously identified skin areas/abnormalities.
Review of the weekly skin assessment for Resident #75 dated 08/18/25 revealed has previously identified skin areas/abnormalities with coccyx pressure noted. Review of the weekly wound assessment for Resident #75 dated 08/18/25 revealed resident had pressure ulcer to sacrum classified as unstageable. Wound measurements documented were 7.0 cm x 4.0 cm x 0. Wound description was documented as resident was admitted from the hospital with DTI, unstageable to coccyx, 100 percent slough with no drainage noted. Wound status was stable, treatment plan documented for cleanse with soap and water, pat dry, apply wound gel and dry dressing daily. Review of the wound NP visit notes for Resident #75 dated 08/18/25 revealed coccyx wound pressure and staged as unstageable. Coccyx wound measures 7.4 cm x 4.0 cm x 0.1 cm. Wound had scant amount of serous drainage. Adherent slough (dead non viable tissue) present on wound was documented as covering 100 percent of wound. Treatment plan documented for wound gel and bordered foam dressing everyday and as needed. Recommendations documented included continue wound gel to help soften slough and promote debridement. Air mattress was ordered per nursing. Review of the weekly wound assessment for Resident #75 dated 08/25/25 revealed resident had pressure ulcer to sacrum classified as unstageable. Wound measurements documented were 7.0 cm x 4.0 cm x 0. Review of
the physician orders for Resident #75 revealed an order dated 08/12/25 to area on coccyx, cleanse with soap and water, pat dry, apply wound gel, cover with dry dressing, change daily and as needed for soiling and dislodgement. An order for moon boots to bilateral feet when in bed every day and night initiated on 08/11/25. Review of the monthly medication administration record (MAR) and treatment administration
record (TAR) for July 2025 for Resident #75 was silent for any wound treatment orders to the coccyx/sacrum. Review of the MAR and TAR record for August 2025 for Resident #75 revealed an treatment order dated 08/11/25 was documented to area on coccyx, cleanse with soap and water, pat dry and apply calcium alginate cover with dry dressing and change everyday. Order was discontinued on 08/12/25. An order dated 08/12/25 was initiated for area to coccyx cleanse with soap and water, pat dry, apply wound gel, cover with dry dressing and change every day. Interview on 09/30/25 at 3:05 P.M. with Licensed Practical Nurse (LPN) #101 revealed that monitoring skin treatments and rounding with Wound NP verified the facility did not have any documentation that the stated barrier cream which was documented
on the weekly skin assessment on 08/01/25 was being applied as ordered. LPN #101 verified July and August 2025 MAR/TAR did not contain any orders for coccyx/sacrum wound care until 08/12/25. LPN #101 further stated the orders for Resident #75's skin breakdown were just missed. This deficiency represents non-compliance investigated under Complaint Number OH002593689.
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GREENBRIAR NURSING CENTER in EATON, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 EATON, OH, (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 GREENBRIAR NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.