Gretna Health And Rehabilitation Center
GRETNA HEALTH AND REHABILITATION CENTER in GRETNA, VA — inspection on April 30, 2026.
Found 1 citation. 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
the right pinky finger.
The MP recalled he saw Resident #94's bandaged finger at the facility and it
On 4/30/26 at 8:56 AM, the Wound Care Nurse (WCN) was interviewed and stated she was not
care/treatment of a fractured finger, the WCN stated she would ask the medical provider for orders about a splint and/or treatment of a fractured finger.
On 4/30/26 at 9:14 AM, the Interim Director of Nursing (IDON) was interviewed and stated she did not recall a splint being on Resident #94's fractured right pinky finger. A nursing progress note dated 5/29/26 written by the IDON was reviewed and the IDON stated she did not recall documenting the information.
When asked what the protocol is for an admission with a fractured finger, the IDON stated the protocol would be to notify the medical provider to make them aware and to wait for an order.
On 4/30/26 at 10:34 AM, the TCU (transitional care unit) UM (Unit Manager) was interviewed and stated she looked at Resident #94's picture in the clinical record but could not recall the resident.
When asked what the protocol was if a new admission entered the facility with a fractured finger, the UM stated she would review the admission paperwork and look for any recommendations from ortho and would look for any follow-up ortho appointments related to the fracture.
The UM stated she would call ortho if it was not clear for a treatment plan to make sure the fracture was treated/cared for appropriately.
Four other nurses who were identified that cared for Resident #94 were no longer employed at the facility and were not available for interviews.
This concern was discussed at the end of day meeting on 04/29/26 at 5:00 PM with the Interim Administrator, Assistant Administrator, Interim Director of Nursing, Regional Director of Clinical Services, and the Regional [NAME] President of Operations.
Requested and received a facility policy titled, Physician's Orders with an effective date of 1/29/24 which read in part, .admission Physician's Orders must be provided for every patient at the time of admission.to activate a medical plan of care.1.
Upon every patient's admission.a licensed nurse will notify the physician requesting.physician's orders.2.b. admission orders should include.10.
Other orders as indicated by patient's condition with specific directions.
No further information was provided prior to exit on 4/30/26.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.