Below 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 Ayden Healthcare Of Greenville during CMS and state inspections, most recent first.
Staff did not allow a food processor to air dry after sanitizing before use, placed food in the still-wet processor, and served sandwiches below the required hot holding temperature. Additionally, silverware was handled without gloves, with mouth-contact surfaces touched during tray preparation, contrary to facility policy.
Surveyors found that several opened eye drop bottles and ointments were either missing open dates or being used beyond the recommended four-week period after opening. LPNs confirmed these issues during interviews, and the deficiency affected multiple residents whose medications were stored on the observed medication carts.
A resident was found to have a made bed with a top blanket containing two large, light brown stains. The resident did not know the origin of the stains and expressed not wanting dirty bedding. A CNA confirmed the bed was made with the stained blanket.
A resident who was fully dependent on staff was found with a hematoma and blood on her pillow, and staff were unable to explain the cause of the injury. There were inconsistencies in staff accounts regarding who assisted with the resident's transfer, and the assigned LPN did not immediately assess the injury, deferring to the DON. The facility did not follow its abuse policy, which required immediate assessment and documentation for injuries of unknown origin.
A resident who was dependent on staff for all ADLs and had multiple chronic conditions was found with a hematoma and blood on her pillow, with no explanation for the injury. The incident was documented and reported internally, but the DON confirmed it was not reported to the state agency as required by facility policy.
A resident who was dependent on staff for all ADLs and had multiple medical conditions was found with a head hematoma and bleeding, with staff providing inconsistent accounts of when and how the injury was discovered and whether proper transfer procedures were followed. The facility's investigation was incomplete, missing key witness statements and documentation, and did not adhere to policy requirements for investigating injuries of unknown origin.
A resident with multiple complex medical conditions and dependence on staff for oral hygiene experienced ongoing mouth pain and required dental extractions. Despite documented dental issues and interventions, the facility did not develop a care plan to address the resident's dental needs, pain, or required extractions, as confirmed by staff and record review.
A resident with hemiplegia and muscle weakness, who required staff assistance for ADLs, did not consistently receive oral care twice daily as recommended by a dentist. Documentation and interviews confirmed that oral care was often only provided on shower days, contrary to facility policy and care recommendations.
A resident with multiple chronic conditions and intact cognition was not provided with an activities program that supported their preferences, including not being invited to desired group activities. Documentation showed the resident was frequently marked as unavailable despite being present in the facility, and participation was limited to independent activities, contrary to facility policy requiring individualized activity offerings.
During a meal service, several residents on a puree diet were served food items that did not match the prescribed menu, including regular tomato soup without crackers and cottage cheese instead of pureed cantaloupe. The Dietary Director confirmed these substitutions, which were not supported by a written order as required by facility policy.
Staff did not wear required PPE, specifically gowns, while providing high-contact care to a resident on Enhanced Barrier Precautions due to a stage IV pressure ulcer and indwelling catheter. This occurred despite facility policy and CDC guidance mandating gown use for such care activities.
A resident with cognitive impairment and high dependence on staff was found to have a non-functional call light in their room, which did not activate in the room, hallway, or nursing station. The issue was confirmed by the Maintenance Director, and facility policy required staff to notify maintenance of such problems.
A CNA failed to follow infection control protocols during incontinence care for a resident with multiple chronic conditions, including removing a soiled dressing, using the same wipe on both the anal area and an open wound, and not performing hand hygiene immediately after care. The DON confirmed that these actions were not in line with facility policy and expectations.
Two residents received PRN psychotropic medications without proper documentation of medical indications, re-evaluation dates, or duration of use. Orders for antianxiety and antipsychotic medications were administered over multiple days without required monitoring or justification, and pharmacy recommendations for review were not acted upon in a timely manner.
A resident with severe cognitive impairment and multiple medical conditions had two distinct pressure ulcers, but only one was treated as ordered due to incomplete wound documentation. During wound care, an LPN treated only one wound because records did not specify both ulcers, and the wound care clinician confirmed that assessments combined both wounds into a single measurement, contrary to facility policy.
A resident with multiple medical conditions, including depression and bipolar disorder, did not receive a prescribed dose of Venlafaxine ER 150 mg because the medication was not available during a medication pass. A nurse confirmed the medication could not be found in the medication cart, overflow, or emergency box, contrary to facility policy requiring timely and safe administration of medications.
A resident receiving insulin injections for diabetes was administered doses from two insulin pens that were not dated when opened, contrary to facility policy requiring multi-dose containers to be labeled with the date of first use. The administering RN confirmed the absence of opening dates on both pens.
The facility failed to pay its contracted extermination services, resulting in the cessation of monthly treatments for infestations. This affected a resident whose belongings were infested with bed bugs, as no extermination services were provided to address the issue. The administrator confirmed the non-payment and lack of services since August 2024.
A facility failed to ensure all nurses had active licenses, resulting in an LPN working with an expired license. The issue was discovered during a complaint investigation, and the IDON confirmed the LPN worked post-expiration. An assessment of residents and medication audits showed no issues.
The facility failed to maintain its pest control program due to nonpayment, affecting all 67 residents. Services were discontinued after August 2024, confirmed by the extermination service and the facility's administrator. A resident's belongings were infested with bed bugs, and without extermination services, the facility could not treat them, violating the facility's pest control policy.
A resident with a prosthetic leg was admitted to a facility with a bed bug infestation. The facility failed to treat the prosthetic for bed bugs due to unpaid extermination services, leaving the resident without the prosthetic and impacting therapy sessions. Staff attempts to clean the prosthetic were unsuccessful, and the resident expressed agitation over the missing prosthetic.
A resident with dementia and other conditions was found with a laceration on the right lower leg, and the cause was unknown. Despite finding scissors with apparent blood in the room, the facility did not investigate or report the incident to the state as required by their policy. Staff confirmed the incident was reported internally, but no further action was taken.
A resident with dementia and other conditions was found with a leg laceration of unknown origin. Despite the presence of scissors with apparent blood in the room, the facility did not investigate or report the incident as required by policy. Staff confirmed the incident was reported to the DON, but no further action was taken, leading to non-compliance with regulations.
Failure to Maintain Safe and Sanitary Food Preparation and Handling
Penalty
Summary
Staff failed to prepare and handle food in a safe and sanitary manner, as observed during the preparation of puree diets. A staff member was seen cleaning a food processor in a three-compartment sink, then immediately assembling it and adding sandwiches without allowing the processor to air dry. The staff member confirmed that the inside of the food processor was still wet with sanitizer when food was placed inside. Additionally, ham and cheese sandwiches stored on the steam table were found to be at 125 degrees Fahrenheit, below the required minimum hot holding temperature of 135 degrees Fahrenheit. The staff member verified the temperature was below standard and later checked the sandwiches again, finding them at 132.8 degrees Fahrenheit, still not meeting the minimum requirement. Further observations revealed another staff member placing silverware on residents' lunch trays without wearing gloves and touching the mouth-contact surfaces of other spoons while removing a spoon from an unorganized container. This was confirmed by another staff member, who then reorganized the spoons to prevent contamination. The facility's policy on food preparation and handling requires food to be kept free of harmful organisms and substances, which was not followed in these instances.
Failure to Properly Label and Dispose of Ophthalmic Medications
Penalty
Summary
Surveyors observed that the facility failed to ensure proper labeling and timely disposal of ophthalmic medications, specifically eye drops and ointments, in accordance with professional standards. During inspection of two medication carts, several opened eye drop bottles were found either lacking an open date or being used beyond the recommended four-week period after opening. For example, one resident's artificial tears were open and dated over three months prior, while another resident's latanoprost solution had no open date but was nearly empty. Additional observations revealed other eye drop bottles and ointments with either missing open dates or open dates exceeding the four-week usage guideline. Interviews with LPNs confirmed the absence of open dates on some medications and the use of products past the recommended timeframe. The review of The International Pharmacopoeia guidance indicated that multidose ophthalmic drop preparations should be used for up to four weeks after opening. These findings affected six residents whose medications were stored on the observed carts, and the facility census at the time was 65.
Failure to Ensure Clean Bed Linens for Resident
Penalty
Summary
A deficiency was identified when a resident's bed was observed to have a large, oblong light brown stain, approximately 12 inches by 6 inches, and a second similar stain below it, on the top white blanket. The bed was made with the sides and end of the blanket tucked under the mattress. During an interview, the resident was unable to identify the source of the stain but expressed a desire not to have stained or dirty bedding. A certified nursing assistant confirmed the presence of the stains and that the bed had been made in this condition.
Failure to Follow Abuse Policy for Injury of Unknown Origin
Penalty
Summary
The facility failed to follow its abuse policy in response to an injury of unknown origin involving one resident. The resident, who was dependent on staff for all activities of daily living and had diagnoses including chronic obstructive pulmonary disease, type 2 diabetes mellitus, and hypertension, was found during morning care with a small amount of blood on her pillow and a hematoma on the side of her head. The source of the injury was not observed, and the resident was unable to explain what happened. Staff interviews and witness statements revealed inconsistencies regarding who assisted with the resident's transfer and the sequence of events, with some staff unable to provide details or denying involvement. The nurse assigned to the resident did not immediately assess the injury, stating that the DON was handling the incident. Review of the facility's policy indicated that staff should immediately report all incidents and not move a resident with a suspected injury until assessed by a nurse supervisor. The policy also required documentation of the assessment, physician and representative notification, and treatment provided. In this case, the required immediate assessment and clear documentation were not completed as specified, and the incident was not managed in accordance with the established abuse policy for injuries of unknown origin.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin to the state surveying agency as required by policy. Medical record review showed that a resident with chronic obstructive pulmonary disease, type 2 diabetes mellitus, and hypertension, who was dependent on staff for all activities of daily living, was found with a hematoma and a small amount of blood on her pillow during morning care. The source of the injury was not observed, and the resident was unable to explain what happened. The incident was documented in the facility's incident log, and staff reported the findings to nursing. Despite the facility's policy requiring immediate reporting of all injuries of unknown source to the Administrator or designee and notification of the state agency within two hours if serious bodily injury is identified, the Director of Nursing confirmed that the incident was not reported to the State Surveying Agency. The failure to report was identified through medical record review, incident log review, staff interview, and policy review, and affected one resident out of five reviewed during the survey.
Failure to Thoroughly Investigate Resident Injury of Unknown Origin
Penalty
Summary
The facility failed to conduct a thorough and timely investigation into an injury of unknown source involving a resident who was dependent on staff for all activities of daily living and had significant medical conditions, including chronic obstructive pulmonary disease and type 2 diabetes mellitus. The resident was found with a hematoma and bleeding on her head during morning care, with staff noting blood on her pillow and a bump on her head. The resident was unable to communicate what had happened, and staff provided inconsistent accounts regarding when the injury was first identified, who was present during transfers, and whether proper two-person assistance was provided during mechanical lift transfers. The facility's incident investigation was incomplete and did not adhere to its own policy, which required interviewing all relevant witnesses, including staff from prior shifts and family members who had contact with the resident. Key witness statements were missing, such as from the staff member who assisted with the transfer the previous evening and from the resident's husband, who was present the night before the injury was discovered. Additionally, the investigation did not document important details, such as the placement and condition of the Hoyer lift, or whether there was any blood on the equipment or elsewhere in the room. Staff interviews revealed confusion and lack of clarity about the events leading up to the injury, with some staff unable to confirm who assisted with transfers or whether proper procedures were followed. The facility prematurely concluded that the Hoyer lift bar caused the injury before gathering all necessary statements and evidence. The investigation was not completed within the required timeframe, and documentation was insufficient to determine the cause of the injury, resulting in a deficiency for failure to thoroughly investigate an injury of unknown origin.
Failure to Address Dental Needs in Care Plan
Penalty
Summary
The facility failed to develop and implement a care plan addressing the dental needs of a resident who was dependent on staff for all activities of daily living, including oral hygiene. The resident had multiple diagnoses, including Parkinson's disease, malnutrition, HIV, diabetes, and a history of adult physical abuse. Medical record review showed the resident was moderately cognitively impaired and required supervision with eating, as well as full assistance with personal care. The resident experienced mouth and facial pain, discomfort with chewing, and specifically reported a toothache in the right lower jaw. Hospice was notified, and the resident was started on antibiotics for a bacterial infection. A dental visit resulted in a referral for extractions, but review of the care plan revealed there was no documentation addressing the resident's dental needs, mouth pain, or the need for extractions. Staff interviews confirmed the absence of a care plan for these issues, despite the resident's ongoing dental pain and the need for intervention. Facility policy required care plans to be based on comprehensive assessments and developed by the interdisciplinary team, but this was not followed in the resident's case.
Failure to Provide Consistent Oral Care Assistance
Penalty
Summary
The facility failed to provide appropriate oral care to a resident who was unable to perform oral hygiene independently. The resident, who had a history of hemiplegia and hemiparesis following a cerebral infarction and muscle weakness, was cognitively intact and required assistance with activities of daily living. According to the medical record and oral care log, staff did not consistently offer or provide oral care twice daily as recommended by the dentist. Documentation showed that on multiple dates, oral care was only offered once per day, and the resident confirmed that staff typically only brushed his teeth on days when he received a shower. Interviews with the resident and the Director of Nursing verified the lack of documentation and the inconsistency in providing oral care as required by facility policy. The facility's policy stated that appropriate care and services would be provided to residents unable to carry out activities of daily living independently, but this was not followed in the case of this resident.
Failure to Provide Resident-Directed Activities Program
Penalty
Summary
The facility failed to provide an activities program that supported residents in their choice of activities, as evidenced by the experience of one resident. This resident, who had multiple significant diagnoses including cancer, chronic heart failure, COPD, Parkinson's disease, diabetes, and chronic kidney disease, was cognitively intact and required substantial to maximum assistance with mobility and dressing. The resident's care plan included interventions such as monitoring for changes in activity participation, providing 1:1 activities as needed, offering items for self-directed activities, encouraging new activities, and reassessing activity interests. Despite these interventions, the resident reported not being invited to desired activities such as bingo and expressed dissatisfaction with the lack of available activities. Review of activity participation documentation showed the resident was marked as unavailable for activities 71 times and refused 15 times over a two-month period, with participation limited to independent activities like current events, socializing, and television. The administrator confirmed the resident was almost always present in the facility and could not explain why the resident was repeatedly marked as unavailable. Facility policy required activities to be offered based on individual preferences and needs, with participation documented in the medical record, but this was not followed in the resident's case.
Failure to Follow Prescribed Puree Diet Menu
Penalty
Summary
The facility failed to follow the prescribed menu for residents on a puree diet, as observed during a lunch service. Specifically, three residents who required a puree diet were served regular tomato soup without crackers and cottage cheese instead of the menu-specified pureed tomato soup with crackers and pureed cantaloupe. Additionally, apple sauce was served in place of pureed cantaloupe. The Dietary Director confirmed these deviations from the menu, and a review of the facility's policy indicated that texture modification diets should be followed as ordered, with no changes made without a written order.
Failure to Use Required PPE During Enhanced Barrier Precautions
Penalty
Summary
Staff failed to follow infection prevention and control protocols for a resident who was under Enhanced Barrier Precautions (EBP) due to a stage IV pressure ulcer and an indwelling catheter. Specifically, observation revealed that a Certified Nursing Assistant (CNA) exited the resident's area after changing the resident's brief and performing peri-care without wearing a gown, which is required under EBP for high-contact care activities. The CNA confirmed during an interview that neither they nor the assisting CNA wore a gown during the procedure, despite being aware of the EBP requirements. Record review showed that the resident had significant medical conditions, including active primary progressive multiple sclerosis and epilepsy, and had an active physician order for EBP. Facility policy and CDC guidance both require the use of gowns and gloves during high-contact care activities for residents with wounds or indwelling medical devices. The failure to use appropriate PPE during these activities constituted a breach of the facility's infection control policy and CDC recommendations.
Non-Functional Call Light in Resident Room
Penalty
Summary
A deficiency was identified when a resident's call light was found to be non-functional during an observation. The resident, who had diagnoses including Parkinson's disease and major depressive disorder, was moderately cognitively impaired and dependent on staff for toileting, personal hygiene, and transfers. The resident's fall care plan included an intervention to ensure the call light was within reach. However, on the date of observation, the call light in the resident's room was not working and did not activate in the room, hallway, or nursing station. This was confirmed by the Maintenance Director. The facility's policy required staff to notify maintenance if call lights were not functioning.
Infection Control Lapse During Incontinence Care
Penalty
Summary
During incontinence care for a resident with multiple diagnoses including diabetes mellitus type II, morbid obesity, depression, and chronic obstructive pulmonary disease, a Certified Nursing Assistant (CNA) failed to follow proper infection control practices. The resident, who was cognitively intact and dependent on staff for bed mobility, transfers, and toileting hygiene, was observed lying in bed when the CNA donned personal protective equipment and began care. The CNA removed the resident's incontinence product, cleansed the peri area, and then removed a soiled bordered dressing from the resident's left buttock, revealing a shallow open area. The CNA continued to cleanse the resident, using wipes to clean stool from both the anal area and the open wound, sometimes using the same wipe for both areas before disposal. The CNA did not perform hand hygiene immediately after providing care and before leaving the resident's room, instead applying hand sanitizer only after returning from disposing of soiled items in the utility room. The CNA confirmed during an interview that she had removed the dressing, which was not her responsibility, and acknowledged not performing hand hygiene at the appropriate time. The Director of Nursing confirmed that CNAs are expected to provide incontinence care but not to remove dressings, and that hand hygiene should be performed immediately after care and before leaving the resident's room. Facility policy also requires thorough cleansing and hand hygiene after incontinence care, which was not followed in this instance.
Lack of Documentation and Monitoring for Psychotropic Medication Use
Penalty
Summary
The facility failed to ensure that psychotropic medications prescribed to residents had appropriate documentation for medical use, including clear indications, re-evaluation dates, and duration of use. For one resident with diagnoses including dysphagia, tremors, dementia, osteoarthritis, and adult failure to thrive, a physician order for Lorazepam as needed (PRN) for anxiety did not specify a re-evaluation or duration date. The medication was administered daily over multiple days, and the order was only later changed to include a 14-day duration. For another resident with encephalopathy, hypotension, Alzheimer's disease, and atrial fibrillation, a PRN order for Haloperidol for agitation also lacked a re-evaluation or duration date, and the resident did not have a documented medical diagnosis supporting the use of this antipsychotic. The medication was administered on multiple days across two months. A pharmacy medication regimen review recommended re-evaluation and the addition of a stop date for the Haloperidol order, but this recommendation was not reviewed or signed by the physician until the resident was about to be discharged. The Director of Nursing confirmed that both residents' PRN psychotropic medication orders lacked required re-evaluation and duration dates, and that the medical record did not show adequate indications for the use of Haloperidol. Facility policy required that each resident's medication regimen be managed and monitored for dose, duration, indication, and clinical need, but these requirements were not met for the residents reviewed.
Failure to Properly Assess and Treat Multiple Pressure Ulcers
Penalty
Summary
The facility failed to properly assess and treat pressure ulcers for a resident with multiple complex medical diagnoses, including multiple sclerosis, quadriplegia, and myelodysplastic syndrome. Medical record review showed that the resident had a Stage IV pressure ulcer present upon admission, and weekly wound assessments were being conducted. However, the documentation only included measurements for the entire affected area and did not provide separate descriptions or measurements for each distinct pressure ulcer. During wound care observation, two separate wounds were identified on the resident's right buttock/sacrum area, but only one wound received the prescribed treatment. The LPN performing the care stated that the documentation did not indicate a second pressure ulcer, so treatment was only applied to one wound. Further interviews confirmed that the wound care clinician was aware of two distinct pressure ulcers but had only documented the area as a whole, not individually. The facility's policy required individualized treatment and assessment for each pressure injury, but this was not followed. As a result, one of the resident's pressure ulcers did not receive the ordered treatment, and the documentation failed to accurately reflect the resident's wound status. This deficiency was identified during a complaint investigation and affected one resident reviewed for wound care.
Medication Not Available for Administration
Penalty
Summary
The facility failed to ensure that medications were available for administration as prescribed, resulting in a deficiency affecting one resident. Medical record review showed that the resident, who had diagnoses including heart disease, diabetes mellitus, atrial fibrillation, depression, and bipolar disorder, was admitted and had a physician's order for Venlafaxine ER 150 mg daily for depression. During a medication pass observation, a registered nurse was unable to locate the resident's prescribed Venlafaxine ER 150 mg tablet in the medication cart, overflow, or emergency box, confirming the medication was not available for administration. Facility policy required medications to be administered safely, timely, and as prescribed, which was not followed in this instance.
Insulin Pens Not Dated Upon Opening
Penalty
Summary
The facility failed to ensure that insulin injector pens were properly dated when opened, as required by professional standards and facility policy. During medication administration for a resident with multiple diagnoses including diabetes mellitus, gas gangrene, chronic osteomyelitis, peripheral vascular disease, and hypertension, it was observed that both the Insulin Glargine and Insulin Lispro pens used for the resident did not have an opening date indicated on them. The registered nurse who administered the insulin confirmed that neither pen was dated to show when it was first opened. Review of the facility's medication administration policy revealed that staff are required to record the date on multi-dose containers when they are opened and to check expiration or beyond-use dates prior to administration. Despite this policy, the insulin pens in use for the resident were not dated, representing a failure to follow established procedures for medication labeling and storage.
Facility's Non-payment Leads to Cessation of Extermination Services
Penalty
Summary
The facility failed to maintain financial solvency by not paying its contracted extermination services, which were scheduled to provide monthly treatments for infestations. The contract with the extermination service began in February 2024, but the facility had not received any invoices after August 20, 2024. This non-payment led to the cessation of extermination services, as confirmed by the exterminator's receptionist during an interview on December 26, 2024. The lack of extermination services directly impacted the care of a resident who was admitted from the hospital on September 25, 2024, and subsequently readmitted. The resident's personal belongings, which were infested with bed bugs, were bagged and stored outside the facility. Due to the outstanding balance with the exterminator, no services were provided to eradicate the bed bugs from the resident's belongings. The facility administrator confirmed the non-payment and the absence of extermination services since August 2024. This deficiency was identified during a complaint investigation.
Expired Nursing License Deficiency
Penalty
Summary
The facility failed to ensure that all nurses providing care to residents had active licenses, as required by state law. Specifically, a Licensed Practical Nurse (LPN) was found to have an expired license while continuing to work at the facility. The Ohio Board of Nursing License Verification database confirmed that the LPN's license had expired, and the facility's daily nursing schedules showed that the LPN was scheduled to work after the expiration date. The Human Resource Manager confirmed that the LPN worked with an expired license on her last day of work. The Interim Director of Nursing (IDON) verified that the LPN had worked after her license expired and stated that the issue was discovered and addressed by management. The IDON conducted an assessment of all residents cared for by the LPN and found no issues or concerns with the nursing care provided. Additionally, an audit of medications administered by the LPN revealed no errors. The deficiency was identified during a complaint investigation related to specific complaint numbers.
Failure to Maintain Pest Control Program
Penalty
Summary
The facility failed to maintain a pest control program in accordance with its policy, which had the potential to affect all 67 residents. The facility had a contract with an extermination service to provide monthly pest control services, but the services were discontinued after August 2024 due to nonpayment. This lapse in service was confirmed through interviews with the extermination service's receptionist and the facility's administrator, who acknowledged the unpaid balance and the cessation of services. The deficiency was further highlighted by an incident involving a resident who was admitted from the hospital and had their personal belongings infested with bed bugs. Due to the lack of extermination services, the facility was unable to treat the resident's belongings, which were instead bagged and stored outside. The facility's pest control policy, dated October 2019, mandates an ongoing pest control program to keep the building free of pests, but this was not adhered to, leading to the deficiency noted in the complaint investigation.
Failure to Provide Prosthetic Due to Untreated Bed Bug Infestation
Penalty
Summary
The facility failed to provide appropriate care and assistance for a resident with a prosthesis by not timely treating the prosthetic device for bed bugs. The resident, who had a traumatic leg amputation and other medical conditions, was admitted with a prosthetic leg infested with bed bugs. Upon admission, the resident's belongings, including the prosthetic, were bagged and placed in a contained area outside the facility due to the infestation. However, the facility did not contact an exterminator to treat the items because of an unpaid balance with the extermination service provider. The resident's medical records and therapy notes indicated that the absence of the prosthetic leg was a barrier to the resident's therapy sessions and independence. Despite the resident's need for the prosthetic to improve mobility and independence, the facility did not ensure the prosthetic was decontaminated and returned to the resident. The resident expressed agitation over the missing prosthetic, and therapy sessions were impacted due to its unavailability. Interviews with facility staff revealed that attempts to clean the prosthetic with insecticide were unsuccessful, and the facility's environmental manager confirmed that no extermination efforts had been made. The facility's administrator acknowledged the unpaid extermination services and the lack of extermination since August 2024. The facility's failure to address the bed bug infestation and provide the resident with a usable prosthetic leg resulted in a deficiency during the complaint investigation.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin involving a resident to the State Agency, as required by their policy and regulations. The resident, who has dementia, retrograde amnesia, falls, and asthma, was found with a laceration on the right lower leg. The injury was discovered by a nurse during bed rounds, and the resident was unable to explain how it occurred. The wound was assessed, and the resident was sent to the hospital for treatment. Despite the presence of scissors with apparent blood on them found in the room, the facility did not conduct a thorough investigation or report the incident to the state. Interviews with staff, including LPNs and RNs, confirmed that the injury's cause was unknown and that the incident was reported to the Director of Nursing. However, the facility did not follow through with an investigation or report the injury as required by their policy. The facility's policy mandates that all reports of abuse, including injuries of unknown source, must be reported to state agencies and thoroughly investigated, which was not done in this case.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to investigate an injury of unknown origin for Resident #15, who was admitted with diagnoses including dementia, retrograde amnesia, falls, and asthma. The resident, who required complete assistance for activities of daily living, was found with a laceration on the right lower leg. The injury was discovered during a bed round by an aide, and the resident was unable to explain how it occurred. The nurse assessed the wound, notified the physician and family, and sent the resident to the hospital for treatment. Despite the presence of scissors with apparent blood on them found in the room, the facility did not document or investigate the cause of the injury. Interviews with staff, including LPN #111 and RN #400, confirmed the presence of scissors and the reporting of the incident to the Director of Nursing (DON). However, the DON acknowledged that the facility did not investigate or report the injury as required by their policy. The facility's policy mandates that all reports of abuse, including injuries of unknown source, must be reported to state agencies and thoroughly investigated. The failure to investigate and report the incident represents non-compliance with the facility's policy and regulations.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
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 151 citations issued within 25 miles in the last 12 months — 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 Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rest Haven Nursing Home Inc | 0.5 mi | ★★★★★ | 0 | 0 |
| Village Green Rehabilitation And Healthcare Center | 0.8 mi | ★★★★★ | 1 | 0 |
| Brethren Retirement Community | 1.7 mi | ★★★★★ | 2 | 0 |
| Versailles Rehabilitation And Health Care Center | 10.1 mi | ★★★★★ | 1 | 0 |
| Union City Care Center | 10.8 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Ayden Healthcare Of Greenville.
100% money-back within 48 hours.
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.