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Complaint Investigation

Greenbrier Nursing & Rehabilitation Center Of Pale

September 10, 2025 · Palestine, TX · 2404 Hwy 155
Citations 2
CMS Rating 4/5
Beds 120
Provider ID 675816
Healthcare Facility
Greenbrier Nursing & Rehabilitation Center Of Pale
Palestine, TX  ·  View full profile →
Inspection Summary

GREENBRIER NURSING & REHABILITATION CENTER OF PALE in PALESTINE, TX — inspection on September 10, 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.

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Inspection Findings

FF0690
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During an interview on 9/10/25 at 9:10 a.m., LVN D said CNAs were expected to check on every resident at least every 2 hours.

She said CNAs should be checking to see if residents need peri care and providing it.

She said CNAs should be checking for wet or soiled linens and changing them.

She said if a resident refused care the CNA should report it to the nurse so they can assist.

During an interview on 9/10/25 at 9:30 a.m., the DON said she was ultimately responsible for supervising nursing staff.

The DON said CNAs were expected to round every 2 hours and should be checking for and addressing any resident needs including incontinent care and wet or soiled linens.

During an interview on 9/10/25 at 9:40 a.m., the ADM said the DON was responsible for supervision of the nursing staff.

The ADM said CNAs were expected to round a minimum of every 2 hours, and they should be checking for incontinent care needs and changing soiled linens as part of their regular rounding.

Review of the facility's policy titled Perineal Care dated 5/11/22 revealed the following .An incontinent resident of urine and/or bowl (sic) should be identified, assessed, and provided appropriate treatment and services.

Skin problems associated with moisture can range from irritation to increased risk of skin breakdown.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/10/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Greenbrier Nursing & Rehabilitation Center of Pale

2404 Hwy 155 Palestine, TX 75803

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited GREENBRIER NURSING & REHABILITATION CENTER OF PALE in PALESTINE, TX for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-09-10.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of GREENBRIER NURSING & REHABILITATION CENTER OF PALE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-11.

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 PALESTINE, TX, (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 GREENBRIER NURSING & REHABILITATION CENTER OF PALE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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