Greenview Nursing And Rehabilitation

Review of facility's policy titled Comprehensive Care plan revised 05/05/2025 reflected: Policy:It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and services that are identified in the resident's comprehensive assessment and meet professional standards of quality.Definitions:Person-centered care means to focus on the resident as the locus of control and support the resident in making their own choices and having control over their daily lives.Professional standards of quality means that care and all services are provided according to accepted standards of clinical practice.

Standards may apply to care provided by a particular clinical discipline or in a specific clinical situation or setting.

Policy Explanation and Compliance Guidelines:The care planning process will include an assessment of the resident's strengths and needs and will incorporate the resident's personal and cultural preferences in developing goals of care.

All services provided or arranged by the facility, as outlined by the comprehensive care plan, must meet professional standards of quality, and incorporate culturally competent and trauma-informed care as indicated.2.

The comprehensive care plan will be developed within 7 days after the completion of the comprehensive MDS assessment.

All Care Assessment Areas (CAAs) triggered by the MDS will be considered in developing the plan of care.

Other factors identified by the interdisciplinary team, or in accordance with the residents' preferences, will also be addressed in the plan of care.

The facility's rationale for deciding whether to proceed with care planning will be evidenced in the clinical record.3.

The comprehensive care plan will describe, at a minimum, the following:a.

The services that are to be furnished to attain or maintain the resident's highest practicablephysical, mental, and psychosocial well-being.b.

Any services that would otherwise be furnished, but are not provided due to the resident 'sexercise or his or her right to refuse treatment5.

The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive, quarterly MDS assessment and when a resident experiences a status change.6.

The comprehensive care plan will include measurable objectives and timeframes to meet the resident's needs as identified in the resident's comprehensive assessment.

The objectives will be utilized to monitor the resident's progress.

Alternative interventions will be documented, as needed.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Greenview Nursing and Rehabilitation

401 Owen LN Waco, TX 76710

SUMMARY STATEMENT OF DEFICIENCIES

Review of facility's in-services reflected the following:Safe lifting and movement to Residents and Lifting Machine /Mechanical lift dated 05/07/2025-CNA A signedReview of facility's policy titled Lifting Machine, using a Mechanical dated 2018 reflected: Purpose -The purpose of this procedure is to establish the general principles of safe lifting using a mechanical lifting device. It is not a substitute for manufacturer's training or instructions.GuidelinesAt least two (2) nursing assistants are needed to safely move a resident with a mechanical lift. (Note: Review Manufacturer guidelines for specific machine use/directions)Review of facility's policy titled Safe Resident Handling/Transfers revised 05/05/2025 reflected: Policy:It is the policy of this facility to ensure that residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote a safe, secure and comfortable experience for the residents while keeping the employees safe in accordance with current standards and guidelines.Policy Explanation:All residents require safe handling when transferred to prevent or minimize the risk for injury to themselves and the employees that assist them.

While manual lifting techniques may be utilized dependent upon the resident's condition and mobility, the use of mechanical lifts are a safer alternative and should be used.

Compliance Guidelines:3.

Mechanical lifting equipment or other approved transferring aids will be used based on the resident's needs to prevent manual lifting except in medical emergencies.4.

Mechanical lifts may include equipment such as full body lifts, sit-to-stand lifts, or ceiling track mounted liftsTwo staff members must be utilized when transferring residents with a mechanical lift.11.

Staff will be educated on the use of safe handling/transfer practices to include use of mechanical liftdevices upon hire, annually and as the need arises or changes in equipment occur.12.

The staff must demonstrate competency in the use of mechanical lifts prior to use and annually withdocumentation of that competency placed in their education file.13.

Staff members are expected to maintain compliance with safe handling/transfer practices.

Failure tomaintain compliance may lead to disciplinary action up to and including termination of employment.14.

Resident lifting and transferring will be performed according to the resident's individual plan of care.15.

Staff will perform mechanical lifts/transfers according to the manufacturer's instructions for use of the device.

Review of facility's policy titled Accident and Supervision revised 05/16/2025 reflected: Policy:The resident environment will remain as free of accident hazards as is possible.

Each resident will receive adequate supervision and assistive devices to prevent accidents.

This includes:1.

Identifying hazard(s) and risk(s).2.

Evaluating and analyzing hazard(s) and risk(s).3.

Implementing interventions to reduce hazard(s) and risk(s).4.

Monitoring for effectiveness and modifying interventions when necessary.

Definitions:Accident refers to any unexpected or unintentional incident, which results in injury or illness to a resident.Hazards refers to elements of the resident environment that have the potential to cause injury or illness.Supervision/Adequate Supervision refers to intervention and means of mitigating risk of an accident.

Policy Explanation and Compliance Guidelines:The facility shall establish and utilize a systematic approach to address resident risk and environmental hazards to minimize the likelihood of accidents. 5- SupervisionSupervision is an intervention and a means of mitigating accident risk.

The facility will provide adequate supervision to prevent accidents.

Adequacy of supervision:a.

Defined by type and frequencyb.

Based on the individual resident's assessed needs and identified hazards in the resident environment.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

01/29/2026

STREET ADDRESS, CITY, STATE, ZIP CODE

Greenview Nursing and Rehabilitation

401 Owen LN Waco, TX 76710

SUMMARY STATEMENT OF DEFICIENCIES

Review of facility's policy titled Safe and Homelike Environment dated 06/15/2025 reflected: Policy:In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible.

This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility, both inside and outside, maximizes resident independence and does not pose a safety risk.Environment refers to any environment in the facility that is frequented by residents, including (but not limited to) the residents' rooms, bathrooms, hallways, dining areas, lobby, outdoor patios, therapy areas and activity areas.

Facility ID: