Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Greenbriar Nursing Center during CMS and state inspections, most recent first.
Care plans were not revised to match the current infection control status for two residents with ESBL UTI and VRE UTI. Although the care plans still listed contact isolation interventions such as gloves, gowns, disposable meal service items, and PPE near the room, the order summaries showed no active isolation orders and the MARs documented that the precautions had been discontinued. The Care Plan Nurse, DON, and Administrator confirmed the care plans had not been updated after the isolation orders ended.
A resident with an ADL self-care deficit and documented need for substantial/maximal assistance with bed mobility had a care plan requiring two staff for turning and repositioning in bed. Despite this, a CNA provided in-bed care and performed a linen and brief change alone, during which the resident rolled to assist, rolled too far, and fell from the bed. The CNA reported attempting to prevent the fall as the resident grabbed the bed rail but could not hold herself up. An X-ray confirmed a proximal humeral fracture of the left shoulder, and facility staff later acknowledged that the established two-person bed mobility care plan had not been followed.
A resident who was cognitively intact but required substantial/maximal assistance for rolling in bed, with a documented care plan specifying two-person assistance for turning and repositioning, was being provided an in-bed linen and brief change by a CNA working alone. During the process of rolling the resident and removing soiled linens, the resident rolled too far and fell from the bed despite attempts by both the resident and the CNA to prevent the fall, resulting in a proximal humeral fracture confirmed by X-ray and subsequent hospital transfer.
The facility failed to maintain a clean, comfortable, and homelike environment when ongoing shortages of towels, washcloths, sheets, and bed pads left staff without adequate linens for resident care. Surveyors observed empty linen closets, and CNAs reported repeated morning shortages over several days, leading them to use wipes or pillowcases for hygiene and perineal care, which delayed care. A resident reported daily linen shortages, late bed-making, and lack of bed pads or linens at night. The Housekeeping Supervisor cited limited laundry hours and staffing issues, while the DON and Administrator acknowledged persistent shortages over several weeks, with concerns that staff were discarding heavily soiled linens instead of laundering them and documentation showing closets consistently low during morning inventories.
A CNA did not follow hand hygiene protocols during perineal care for a resident with severe cognitive impairment and dementia. The CNA failed to wash hands after removing gloves, when exiting and reentering the room, and between glove changes, contrary to facility policy. Staff interviews confirmed the lapses and acknowledged the required procedures were not followed.
A resident with severe cognitive impairment was left exposed during perineal care when a CNA exited the room twice without covering the resident, resulting in embarrassment and a lack of privacy. Facility staff and the DON confirmed this was a dignity issue and not in accordance with resident rights policies.
A resident's privacy was compromised when a sign indicating NPO status was posted on the outside of her door, making confidential care information visible to anyone in the hallway. The DON and staff confirmed that neither the resident nor her representative were asked for permission, and that all necessary care information was already accessible to staff through internal systems. The resident had a history of hemiplegia and was receiving enteral feedings, with moderately impaired cognition.
The QAPI Committee failed to maintain effective oversight and monitoring, resulting in a repeat citation for infection control deficiencies, including improper PEG tube and perineal care, as identified through record review, staff interviews, and policy review.
A resident with severe cognitive impairment alleged sexual abuse, but the LTC facility failed to report the allegation within the required two-hour timeframe. The resident exited her room with a bowel movement and blood, stating she was raped. Despite being aware of the allegation, an LPN and two CNAs did not report it to the administration, delaying the investigation and reporting process.
Care plans not updated to reflect discontinued isolation precautions
Penalty
Summary
The facility failed to revise care plans to accurately reflect the infection control status for two residents reviewed for infection control. One resident had an active diagnosis of ESBL UTI, and the care plan included contact isolation interventions such as disposable meal service items, isolation trash disposal, gloves and gown use, and PPE kept near the room. However, the order summary showed no physician order for isolation precautions, while the MAR documented contact precautions for ESBL in urine through 5/8/26, with the precautions starting on 4/28/26. The care plan was not revised after the isolation order was discontinued. Another resident had an active diagnosis of VRE UTI, and the care plan included similar contact isolation interventions, including disposable dishes and utensils, isolation trash disposal, gloves and gown use, and PPE near the room. The order summary showed no isolation precautions order, while the MAR documented contact isolation precautions for VRE in urine for transmission-based precautions for 8 days, beginning on 5/15/26 and ending on an unspecified date. During interview, the Care Plan Nurse stated she was responsible for revising care plans and confirmed the care plans for both residents had not been revised after the isolation orders were discontinued. The DON and Administrator also confirmed the care plans should have been revised and that the care plan nurse was responsible for updating them.
Failure to Follow Two-Person Bed Mobility Care Plan Resulting in Fall and Fracture
Penalty
Summary
The deficiency involved the facility’s failure to implement a comprehensive, person-centered care plan requiring two staff to assist with bed mobility. The resident had an ADL self-care performance deficit care plan initiated on 7/14/25, which specified that bed mobility required assistance from two staff to turn and reposition in bed. A comprehensive MDS with an ARD of 1/29/26 documented that the resident was cognitively intact with a BIMS score of 15 and required substantial/maximal assistance for rolling left and right in bed. Despite these documented needs and the care plan intervention, a CNA provided in-bed care, including linen and brief changes, without the required second staff member. On 2/11/26 at approximately 10:05 PM, while CNA #1 was changing the resident’s bed linens and brief alone, the resident rolled to assist with care and rolled too far, exiting the bed and landing on the floor. CNA #1’s written statement indicated she was pulling the sheet from under the resident when the resident rolled and fell, and that the resident was not able to hold herself up even after grabbing the bed rail. The resident later reported that the CNA was alone while changing the bed linens when the fall occurred. An X-ray of the left shoulder taken the same day documented a proximal humeral fracture. The facility’s records, including interviews with the care plan nurse and DON, confirmed that the resident’s care plan required two staff for bed mobility and that the CNA did not follow this plan of care.
Failure to Follow Two-Person Assist Requirement During Bed Mobility Results in Fall and Fracture
Penalty
Summary
The deficiency involves the facility’s failure to keep a resident free from accident hazards and to provide adequate supervision during bed mobility, resulting in a fall from bed and injury. On the evening in question, CNA #1 performed an in-bed linen and brief change for Resident #1 without the required two-person assistance. During this care, the CNA rolled the resident to her side to remove soiled linens; as the CNA pulled the sheet from under the resident, the resident rolled too far and fell from the bed to the floor. The CNA reported attempting to reach over and keep the resident from falling, and the resident attempted to hold herself up by grabbing the bed rail, but she was unable to maintain her position and continued to fall. Resident #1 had been admitted with diagnoses including hypertension, and later had an additional diagnosis of a displaced fracture of the upper end of the left humerus, subsequent encounter for fracture with routine healing. The most recent MDS assessment showed the resident was cognitively intact with a BIMS score of 15 and required substantial/maximal assistance for rolling left and right in bed. The Kardex in effect at the time specified that the resident required two staff for turning and repositioning in bed. Despite this documented need, CNA #1 provided the linen and brief change alone and stated she was unsure how many staff were required for bed mobility at that time, even though CNAs had access to the Kardex system and were expected to review it daily. Following the fall, an X-ray of the resident’s left shoulder documented a proximal humeral fracture, consistent with the reported history of a shoulder injury from a fall out of bed. Resident #1 later described that during the linen change she was rolled onto her side, began to fall when the bed pad was removed, tried to stop herself, and that the CNA also tried to catch her but she still landed on her left side on the floor. She reported that the CNA then left the room to obtain assistance, after which nursing staff came to assess her and she was transported to the hospital. The DON confirmed in interview that the fall occurred during a linen change when the CNA did not follow the Kardex requirement for two staff during bed mobility.
Ongoing Linen Shortages Compromise Clean and Comfortable Resident Environment
Penalty
Summary
The facility failed to ensure residents had a safe, clean, comfortable, and homelike environment due to ongoing shortages of clean linens and washcloths. Surveyors observed that a linen closet on one hall contained no towels, washcloths, fitted sheets, blankets, or bed pads, with only one item present, and the owner stated closets would be filled once laundry staff made rounds. Multiple CNAs reported that washcloths, towels, and bed sheets were frequently unavailable in the mornings and had been in short supply for several days, leading them to use wipes or pillowcases to wash residents’ faces or provide perineal care after bowel movements, and that these shortages delayed completion of resident care. A resident reported that linen shortages occurred daily, that his bed was often made later in the day or after lunch, and that at night there were no bed pads or linens available. The Housekeeping Supervisor reported that linen closets were refilled three times daily, there was no overnight laundry shift, laundry staff left in the late afternoon, and the department had been short staffed for about two months. The DON acknowledged staff reports of linen shortages and stated that linens were sometimes hidden in resident rooms, and that wipes were implemented due to the shortages. The Administrator confirmed ongoing washcloth and towel shortages for at least six weeks, reported having to come in early in the morning to wash linens because none were available for residents, and believed staff were discarding heavily soiled linens instead of sending them to laundry. Daily linen issue sheets for several consecutive days showed all linen closets were noted to be low on the morning shift at the time of inventory, demonstrating a persistent lack of adequate clean linens for resident care.
Failure to Perform Hand Hygiene During Perineal Care
Penalty
Summary
A Certified Nurse Aide (CNA) failed to perform proper hand hygiene during perineal care for a resident with severe cognitive impairment and a diagnosis of unspecified dementia. The CNA was observed removing gloves and exiting the resident's room without performing hand hygiene, then returning and continuing care without washing hands. Additionally, after completing care, the CNA removed gloves and applied a new pair before putting on a clean brief, again without performing hand hygiene between glove changes. These actions were in direct violation of the facility's Hand Hygiene Policy, which requires hand hygiene before donning gloves, after removing gloves, and when entering or exiting a resident's room. Interviews with facility staff, including a lead CNA, the CNA involved, the Director of Nursing (DON), and the facility's Infection Preventionist, confirmed that the expected protocol was not followed. All staff acknowledged that hand hygiene should have been performed at each indicated step, and the Infection Preventionist confirmed that lapses in hand hygiene could lead to infection in the resident. The deficiency was identified through observation, interviews, and review of facility policy and resident records.
Failure to Maintain Resident Privacy During Perineal Care
Penalty
Summary
The facility failed to maintain privacy and dignity for a resident during the provision of perineal care. During an observation, a CNA left the resident exposed while exiting the room to get assistance, and the resident was seen pulling at her shirt in an attempt to cover her private area. The CNA returned with another CNA, but later left the room again to retrieve additional towels, once again leaving the resident exposed. Both CNAs and the Director of Nursing confirmed that the resident was left exposed and acknowledged this as a dignity issue. The resident involved had been admitted with a diagnosis of unspecified dementia and was noted to have severely impaired cognition according to her most recent MDS assessment. The facility's policy on resident rights, which includes the right to privacy and dignity, was not followed during this incident. The observations and interviews confirmed that the resident was left exposed on two occasions during care, resulting in embarrassment and a lack of privacy.
Failure to Protect Resident Confidentiality by Posting Clinical Information Publicly
Penalty
Summary
The facility failed to protect the privacy and confidentiality of a resident's medical information by posting a sign indicating "NPO" (Nothing by Mouth) on the outside of the resident's door, making this clinical instruction visible to anyone passing by in the hallway. The facility's policy states that residents have the right to personal privacy and confidentiality of their medical records, including medical treatment information. During interviews, the DON acknowledged that the sign was posted for staff awareness but admitted uncertainty about whether the resident or her family had been informed or given permission for the sign to be displayed. The resident herself confirmed she had not been asked for permission, and her representative also stated he was not consulted about the sign placement. Staff interviews revealed that care information, including NPO status, was accessible to staff through the Kardex and electronic health records, making the public posting of the sign unnecessary. The DON further acknowledged that staff from various departments, as well as visitors and family members, could see the sign, which contained confidential care information. The resident involved had been admitted with diagnoses including hemiplegia and hemiparesis following a cerebral infarction and was receiving enteral feedings per physician order. The resident's cognitive status was moderately impaired, as indicated by a BIMS score of 12.
Repeat Infection Control Deficiency Due to Inadequate QAPI Oversight
Penalty
Summary
The facility's Quality Assurance and Performance Improvement (QAPI) Committee failed to sustain corrective actions to prevent recurrence of a previously cited deficiency related to infection control. Specifically, the facility was cited for failing to provide Percutaneous Endoscopic Gastrostomy (PEG) care in a manner that would prevent the possible spread of infection during an annual recertification survey. Despite the existence of a policy outlining a systematic approach to performance improvement, the same deficiency was cited again during the current survey, indicating that ongoing monitoring and oversight were not maintained. Record reviews confirmed that the facility had previously received a citation for F880-Infection Control, which included failures in providing PEG tube and catheter care according to infection prevention standards. During the current survey, it was observed that perineal care was also not provided in a manner to prevent the possible spread of infection. These findings were based on record review, staff interviews, and facility policy review.
Failure to Timely Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to report an allegation of sexual abuse within the required two-hour timeframe. Resident #1, who was admitted with diagnoses including Dementia and Alzheimer's Disease and had a severely impaired cognition, verbalized an allegation of sexual abuse. On 11/01/2024, Resident #1 exited her room with a bowel movement on her body and stated she was raped. Despite this, the allegation was not reported to the Administrator or Director of Nursing (DON) until 11/06/2024, when the Administrator was informed by a hospital case manager that a complaint would be submitted to the State Agency and Attorney General. The investigation revealed that on 11/02/2024, LPN #1 and CNAs #1 and #2 were aware of the allegation but did not report it to the administration. LPN #1 admitted to notifying the Nurse Practitioner about the bleeding but did not inform the Administrator or DON about the rape allegation, believing there was no basis for it. The facility's policy requires such allegations to be reported to the State Agency, local police, and Attorney General within two hours, but this was not done due to the staff's failure to communicate the incident to the administration.
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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 Diberville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Pillars Of Biloxi | 4.6 mi | ★★★★★ | 11 | 0 |
| Ocean Springs Health & Rehabilitation Center | 11.3 mi | ★★★★★ | 11 | 0 |
| Sunplex Sub-acute Center | 11.7 mi | ★★★★★ | 15 | 6 |
| Lakeview Nursing Center | 12.2 mi | ★★★★★ | 3 | 0 |
| Gulfport Care Center | 13.5 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 July 2026) and official state health department websites.