Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greenhurst Nursing Center during CMS and state inspections, most recent first.
Medications were left unsecured on top of medication carts when an LPN left the cart unattended during med pass observations. One LPN left multiple partial blister packs and bottles on the cart while out of sight, and another left a partial bottle of iron on top of the cart while giving meds across the hall. The DON, Medical Director, and Administrator confirmed meds were expected to be stored securely in the cart when unattended.
A resident with vascular dementia, stroke, and other serious diagnoses had moderately impaired cognition, and the facility failed to provide an ABN within the required timeframe after Medicare coverage ended. The ADON said he notified the legal representative by phone before discharge, but there was no documentation, the DON confirmed the ABN was signed the same day as the skilled bed discharge, and the legal representative reported no prior phone or in-person notice before coming to sign the form.
The facility failed to provide mandatory staffing payroll data in a uniform format to CMS. The Administrator admitted responsibility for not saving the PBJ provider validation report after upload, leading to the deficiency.
The facility failed to ensure proper storage and labeling of medications, resulting in expired items in the medication storage room and an improperly labeled diabetes medication pen on a medication cart. The ADON stated that expired medications are recorded and picked up monthly by a pharmacist, but an LPN checks for expired drugs only once weekly.
The facility failed to ensure staff performed proper hand hygiene and covered clean laundry during transport, leading to potential contamination of clean linens and clothing. Observations revealed laundry aides handling clean linens without washing their hands and transporting uncovered laundry carts, contrary to facility policies.
Medications Left Unsecured on Unattended Carts
Penalty
Summary
Medications were not stored securely when medication carts were left unattended during medication administration observations. On 07/23/2025 at 9:07 AM, an LPN left the medication cart unattended and walked out of sight from the 200-hall dining room to the medication storage room, leaving partial blister packs of a beta-blocker, an alpha-blocker, a diuretic, an anti-diabetic medication, a mineral supplement used to lower potassium levels, and a steroid on top of the cart, along with partial bottles of chewable aspirin, a multi-vitamin with minerals, and a probiotic supplement. At 9:12 AM, the LPN returned and stated the medications should have been placed inside the cart and the cart should have been locked before leaving it unattended, and acknowledged the medications were left out because the surveyor was standing there. During another observation on 07/23/2025 at 11:51 AM, a partial bottle of iron was left on top of the medication cart while another LPN left the cart to give medications across the hall and was out of sight of the cart for approximately 81 seconds. The LPN stated they were trained to ensure all medications were stored in the cart and that the cart was to be locked when unattended. Record review showed both LPNs had signed a 05/12/2025 in-service on controlled substances and medication administration, and prior med pass observation reports dated 07/18/2025 indicated medications were not left on top of the cart. The DON, Medical Director, and Administrator each confirmed the expectation that medications be stored securely and not left accessible when the cart is unattended.
Failure to Provide Timely ABN and Financial Liability Notice
Penalty
Summary
The facility failed to ensure an Advanced Beneficiary Notice (ABN) was provided within two business days and that the resident or resident representative was notified of financial liability for services after Medicare coverage was discontinued for one resident. Resident #4 was admitted with diagnoses including vascular dementia with mild anxiety, stroke, prostate cancer, bone cancer, and a history of transient ischemic attack. The resident’s MDS showed a BIMS score of 08, indicating moderately impaired cognition, and the care plan reflected the resident had a stroke and a goal to improve to maximum potential with activities of daily living. Review of the Skilled Nursing Facility Beneficiary Notification Review Forms showed the ABN was signed by the resident’s legal representative on the same day the resident was discharged from the skilled nursing bed. The ADON stated he had notified the legal representative by telephone two days before the planned discharge, but there was no documentation to verify that contact. The DON confirmed the ABN was to be completed at least two days prior to discharge and stated that when notification was made by telephone, a witness would sign the ABN, but no such documentation was available. The resident’s legal representative stated they were not informed by telephone or in person before the discharge and only came to the facility to sign the ABN when informed the resident was being discharged from the skilled nursing bed back to LTC.
Failure to Submit Mandatory Staffing Payroll Data
Penalty
Summary
The facility failed to provide mandatory staffing payroll data in a uniform format to CMS. The data that CMS received from the facility did not include the CASPER PBJ mandatory staffing data. According to CMS regulations, long-term care facilities must electronically submit complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS. The facility must submit this information no less frequently than quarterly. The failure to submit the mandatory data within the specified date range constitutes a citation. On 04/18/2024 at 08:40 AM, the Administrator confirmed being responsible for completing the staffing reports and sending them to CMS. The Administrator explained the process of submitting the PBJ report, which involves receiving two reports (one from the facility and one for ancillary staff), exporting the two files, and creating one zip file to submit. The Administrator admitted that it was her responsibility to check for accuracy and to save the PBJ provider validation report after upload. She acknowledged that she did not save the report and accepted responsibility for the deficiency.
Failure to Properly Store and Label Medications
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored and labeled in accordance with currently accepted professional principles. During an inspection, it was observed that the medication storage room contained expired items, including 13 Covid tests with an expiration date of 11/10/2023, a tube of nonsteroidal anti-inflammatory cream that expired in 06/2019, and a bottle of eye drops that expired in 03/2022. Additionally, a medication cart on the 300 Hall contained a box of medication used to treat Type II diabetes with an opened pen that lacked an open date, despite the manufacturer's instructions that the pen is good for 56 days after opening. The Assistant Director of Nursing (ADON) stated that expired medications are brought to the locked medication storage room and recorded in a blue book for the pharmacist to pick up monthly for destruction. Further investigation revealed that the Licensed Practical Nurse (LPN) responsible for the medication cart on the 300 Hall checks for expired drugs only once weekly. The facility's Medication Storage and Labeling Guidelines clearly state that drugs should not be kept on hand after their expiration date and that outdated, contaminated, or deteriorated drugs should be immediately withdrawn from stock and disposed of according to drug destruction procedures. Despite these guidelines, the facility failed to adhere to proper storage and labeling practices, leading to the presence of expired and improperly labeled medications in the medication storage room and on the medication cart.
Failure to Perform Hand Hygiene and Cover Clean Laundry
Penalty
Summary
The facility failed to ensure staff performed proper hand hygiene to prevent the contamination of clean laundry and linens, potentially spreading infection. During an observation, a laundry aide entered the clean side of the laundry room carrying plastic hangers from residents' closets without sanitizing them or performing hand hygiene. The aide then proceeded to fold clean linens without washing or sanitizing her hands. When questioned, the aide admitted to not performing hand hygiene after entering the laundry room from outside the facility. Another laundry aide was observed putting up clean clothes in a resident's room without using hand hygiene between handling different residents' clothes. Additionally, a laundry cart with clean clothes was observed uncovered during transport to a resident's room, contrary to the facility's policy to keep laundry covered to prevent contamination. Interviews with the Assistant Director of Nursing (ADON) and the laundry aides confirmed that hand hygiene should be performed before handling clean linens to prevent the spread of germs. The ADON also stated that the folding table in the laundry room is sanitized after every load. Despite these policies, the observed actions of the laundry aides did not align with the facility's infection control procedures, leading to potential contamination of clean linens and clothing.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 47 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Charleston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oak Manor Nursing And Rehabilitation Center Inc | 12.3 mi | ★★★★★ | 2 | 0 |
| Pink Bud Home For The Golden Years | 15 mi | ★★★★★ | 0 | 0 |
| Paris Health And Rehabilitation Center | 16.1 mi | ★★★★★ | 6 | 0 |
| Ozark Nursing And Rehab | 16.8 mi | ★★★★★ | 6 | 0 |
| Ashton Place Health And Rehab, Llc | 17.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.