Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greenwood Meadows during CMS and state inspections, most recent first.
Failure to include a resident in her care planning process. A resident with malignant breast cancer, malnutrition, and mild cognitive impairment stated she was not invited to her care plan meeting, and the clinical record lacked documentation that she was included in the process. The MDS Coordinator and DON both could not find documentation showing the resident was included, despite facility policy stating the resident or representative would be invited to care plan review.
MDS assessment accuracy issue: a resident with dementia, anxiety, and major depressive disorder had an Annual MDS that did not indicate PASARR Level II or depression, despite a PASARR Level II outcome showing long term approval without specialized services and an active mirtazapine order for MDD. The MDS Coordinator said the A1500 and depression items were marked no in error and should have been marked yes; the facility reported it used the RAI tool and did not have an MDS policy.
A facility failed to notify a physician of elevated blood glucose levels for a resident with diabetes, despite having a physician's order to do so. The resident's blood glucose levels exceeded 400 mg/dL on multiple occasions, but the physician was not informed as required by the facility's policy.
A resident experienced significant weight loss, dropping from 95 to 84 pounds over several months, without adequate monitoring or intervention. Despite being at nutritional risk, the resident's dietary supplement was discontinued without replacement, and weight monitoring was inconsistent, violating the facility's policy.
A resident with type 2 diabetes mellitus received inappropriate food items, such as cakes and doughnuts, due to the facility's failure to provide a therapeutic diet. The resident's blood glucose levels were higher than usual, and the facility did not clarify the diet with the doctor upon receiving the discharge summary, which specified a diabetic diet.
Failure to Include Resident in Care Planning Process
Penalty
Summary
The facility failed to ensure a resident was included in her person-centered care planning process for 1 of 1 resident reviewed for care planning. Resident 110 stated during interview that she had not been invited to her care plan meeting. Her clinical record showed diagnoses including malignant breast cancer and malnutrition, and a Significant Change MDS dated 10/15/25 indicated mild cognitive impairment with a care plan completion date of 10/22/25. The record lacked documentation that the resident was included in her care planning process. The MDS Coordinator stated the resident and family would be invited to a care plan meeting after the comprehensive MDS assessment was completed and could not find documentation that Resident 110 had been included in the care plan process after 10/15/25. The DON also stated she could not find documentation that Resident 110 had been included in her care plan process after 10/15/25. The facility policy stated that the resident, resident's representative, or others designated by the resident would be invited to care plan review.
MDS Assessment Did Not Accurately Reflect PASARR and Depression Status
Penalty
Summary
The facility failed to ensure an accurate MDS assessment for 1 of 25 residents reviewed, Resident 85. The resident’s record included diagnoses of generalized anxiety disorder, major depressive disorder, and dementia. The notice of PASARR Level II Outcome dated 3/6/25 showed a Level II outcome of long term approval without specialized services, but the Annual MDS assessment dated 11/19/25 did not indicate the resident had a PASARR Level II or depression. The MAR showed an active order for mirtazapine 7.5 mg from 10/31/24 through 11/27/25, with the medication used to treat major depressive disorder. During interview, the MDS Coordinator stated section A1500 on the 11/19/25 MDS had been marked no in error and should have been marked yes for PASARR Level II, and that the resident had an active diagnosis of major depressive disorder on 11/19/25. The MDS Coordinator also stated the Annual MDS had been marked no in error for depression and should have been marked yes. The facility stated it did not have an MDS policy and used the RAI tool to complete MDS assessments.
Failure to Notify Physician of Elevated Blood Glucose Levels
Penalty
Summary
The facility failed to notify a medical provider of laboratory results that were outside of clinical reference ranges for a resident with type 2 diabetes mellitus, diabetic neuropathy, peripheral vascular disease, and a surgical amputation of the right leg below the knee. The resident had a physician's order for insulin aspart U-100 to be administered per sliding scale at bedtime, with a specific instruction to contact the medical doctor if blood sugar levels exceeded 400 mg/dL. Despite this order, there were multiple instances where the resident's blood glucose levels were recorded above 400 mg/dL, yet the physician was not notified. These instances occurred on several dates, including 9/8/24, 8/29/24, 7/29/24, and 7/28/24, with blood glucose readings ranging from 414 mg/dL to 437 mg/dL. The Director of Nursing indicated that the resident's blood sugar levels were documented in various locations, and staff were expected to call the on-call provider if the blood glucose was out of parameters. However, a review of the resident's progress notes from July to September 2024 did not provide any reason for the lack of physician notification. The facility's policy on Blood Glucose Monitoring, revised in February 2015, required physician notification when blood glucose levels were outside the specified parameters, which was not adhered to in this case.
Failure to Monitor and Address Significant Weight Loss
Penalty
Summary
The facility failed to adequately monitor and address the nutritional needs of a resident, identified as Resident 27, who experienced significant weight loss. Observations on 9/19/24 revealed the resident appeared emaciated, with small wrists and sunken facial features. The resident's clinical records indicated a history of significant weight loss, with a decrease from 95 pounds on 4/3/24 to 84 pounds by 9/3/24, representing a significant weight loss over several months. Despite this, there were gaps in weight monitoring, with no weights recorded between 7/4/24 and 8/1/24, and again between 8/7/24 and 9/3/24. The resident was on a regular diet and had previously been prescribed benecalorie supplements in oatmeal, which was discontinued on 8/15/24 without any further dietary interventions. A dietitian review on 9/9/24 noted the resident was at nutritional risk due to unintentional weight loss, yet no new interventions were implemented after the discontinuation of the supplement. The facility's policy required bi-monthly weight monitoring for residents with significant weight loss, but this was not adhered to in the case of Resident 27, contributing to the deficiency.
Failure to Provide Therapeutic Diet to Diabetic Resident
Penalty
Summary
The facility failed to provide a therapeutic diet to a resident with type 2 diabetes mellitus, leading to the resident receiving inappropriate food items such as cakes with frosting and doughnuts. The resident, identified as having diabetes and diabetic neuropathy, reported receiving regular desserts that were not suitable for her condition. Her blood glucose levels were noted to be higher than usual since her admission to the facility, with an instance of her blood sugar reaching 260 mg/dl after consuming a sugar cream pie. The facility's documentation revealed inconsistencies in the resident's dietary orders. The After Visit Summary and dietary order indicated a regular diet, while the Discharge Summary specified a diabetic diet. The facility did not clarify the diet with the doctor upon receiving the discharge summary. Interviews with the Director of Nursing Services (DON) confirmed that the facility followed the hospital diet upon discharge but failed to document any communication with the doctor regarding the diet specified in the discharge summary.
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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.
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Nursing homes near Greenwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| University Heights Health And Living Community | 1.2 mi | ★★★★★ | 3 | 0 |
| Greenwood Healthcare Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Greenwood Health And Living Community | 1.6 mi | ★★★★★ | 5 | 0 |
| Hawthorne Healthcare Center | 2.4 mi | ★★★★★ | 10 | 0 |
| Majestic Care Of Southport | 2.9 mi | ★★★★★ | 5 | 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 July 2026) and official state health department websites.