Greenhill Villas
GREENHILL VILLAS in MOUNT PLEASANT, TX — inspection on October 30, 2025.
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
signature sheet for the ADHOC QAPI meeting that was held on 10/29/25 indicated the medical director and the IDT team were in attendance.
Record review of the 1:1 in-service provided to the Administrator, DON, and ADON completed on 10/29/25 indicated they were in-serviced over the pressure prevention policy, the skin assessment policy, documentation, notifying change of condition, abuse and neglect, and rounding in the facility.
Record review of the staff in-services related to the IJ provided indicated the staff that had been to work were in-serviced over the pressure prevention policy, the skin assessment policy, documentation, notifying change of condition, abuse and neglect, and rounding in the facility.
The Administrator was informed that the Immediate Jeopardy was removed on 10/30/2025 at 1:57 PM.
The facility remained out of compliance at a severity level of no actual harm with the potential for more than minimal harm that was not Immediate Jeopardy and a scope of isolated due to the facility's need to monitor the implementation of the plan of removal.
Evaluate the effectiveness of the corrective systems that were put into place.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Greenhill Villas
2530 Greenhill Rd Mount Pleasant, TX 75455
SUMMARY STATEMENT OF DEFICIENCIES
term care (LTC) facilities.
Many residents in nursing homes are at increased risk of becoming colonized and developing infections with MDROs.
Enhanced Barrier Precautions (EBP) refer to an infection control intervention designed toreduce transmission of multidrug-resistant organisms that employ targeted gown and glove use during high contact resident care activities.EBP are used in conjunction with standard precautions and expand the use of PPE to donning of gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing. A single set of PPE cannot be used for more than 1 patient. EBP are indicated for residents with any of the following:Colonization with a CDC-targeted MDRO when Contact Precautions do not otherwise apply (see MDRO list on page 3); orWounds and/or indwelling medical devices even if the resident is not known to be infected or colonized with a MDRO.Wounds generally include chronic wounds, not shorter-lasting wounds, such as skin breaks orskin tears covered with an adhesive bandage (e.g., Band-Aid(R)) or similar dressing.
Examples of chronic wounds include, but are not limited to, pressure ulcers, diabetic foot ulcers, unhealed surgical wounds, and venous stasis ulcers.Indwelling medical device examples include central lines, urinary catheters, feeding tubes, andtracheostomies. A peripheral intravenous line (not a peripherally inserted central catheter) is not considered an indwelling medical device for the purpose of EBP.The facility will ensure PPE and alcohol-based hand rub are readily accessible to staff prior to entry to their room .Communication to Staff The facility will utilize postings outside the room and Point Click Care to communicate to staff if a resident requires EBP.
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