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Complaint Investigation

Greenfield Healthcare And Rehabilitation Center

Inspection Date: November 21, 2025
Total Violations 1
Facility ID 395262
Location ERIE, PA
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Inspection Findings

F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Based on review of facility policy and documentation, clinical records, and staff interview, it was determined that the facility failed to have complete and accurate documentation regarding showers on four of four residents reviewed (Residents Resident R1, Resident R2, Resident R3, and Resident R4).Findings include: Review of facility policy entitled Resident Showers dated 11/1/24, indicated .to assist residents with bathing to maintain proper hygiene., Partial baths may be given between regular shower schedules. and Document resident shower in Point of Care (an area where nursing assistants document in the clinical record). Review of facility shower schedule revealed resident room numbers and the day of the week that the residents in that room number are scheduled to receive a shower. Review of Resident Resident R1's clinical record revealed an admission date of 9/19/25, with diagnoses that included diabetes (a health condition that is caused by the body's inability to produce enough insulin), and hypertension (high blood pressure). Review of Resident Resident R1's shower sheets (a sheet of paper that the nursing assistants document showers on) lacked a shower sheet for 9/22/25, 9/26/25, 9/29/25, 10/6/25, and 10/10/25. Review Resident Resident R1's task (an area in point of care where the nursing assistants document showers) revealed no task identified for showers. Review of Resident Resident R2's clinical record revealed an admission date of 9/17/25, with diagnoses that included diabetes and hypertension. Review of Resident Resident R2's shower sheets lacked a shower sheet for 9/18/25, 9/21/25, 9/25/25, 9/28/25, 10/9/25 and 10/12/25. Review Resident Resident R2's task revealed no task identified for showers. Review of Resident Resident R3's clinical record revealed an admission date of 9/26/25, with diagnoses that included hypothyroidism (a condition when the thyroid produces low amounts of thyroid hormones), and hypertension. Review of shower sheets for Resident Resident R3 revealed no shower sheets were completed.

Review Resident Resident R2's task revealed no task identified for showers. Review of Resident Resident R4's clinical record revealed an admission date of 10/8/25, with diagnoses that included chronic respiratory failure with hypoxia (a condition where your lungs don't exchange air properly), and obstructive Sleep Apnea (a condition when

a person repeatedly stops and starts breathing when they are sleeping). Review of shower sheets for Resident Resident R4 revealed no shower sheets were completed. Review Resident Resident R4's task revealed no task identified for showers. During an interview on 10/16/25, at 1:25 p.m. the Director of Nursing confirmed that Resident's Resident R1, Resident R2, Resident R3, and Resident R4's clinical record did not have complete documentation regarding showers and also confirmed that showers should be done per the shower schedule and documented in the clinical record. 28 Pa. Code 211.5(f)(ix) Medical records28 Pa. Code 211.12(d)(1)(5) Nursing services

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

GREENFIELD HEALTHCARE AND REHABILITATION CENTER in ERIE, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 ERIE, PA, (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 GREENFIELD HEALTHCARE AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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