Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Greenbrier Village Health And Rehabilitation during CMS and state inspections, most recent first.
The facility did not provide RN coverage for at least eight consecutive hours on certain days, as required. On these occasions, an RN who was scheduled called in and was replaced by an LPN, resulting in a lack of RN presence for the required period while 81 residents were in the facility.
The facility did not consistently monitor or document side effects and behaviors for residents on psychotropic medications, and failed to ensure PRN psychotropic orders were limited to 14 days with physician re-evaluation. Staff interviews revealed inconsistent practices and a lack of clarity regarding monitoring requirements, leading to gaps in compliance with medication safety protocols.
The facility did not post all required components of daily nurse staffing information in accessible locations. Observations showed that only partial staffing details were available on whiteboards and clipboards, and staff confirmed the postings did not meet regulatory standards. The administrator acknowledged the deficiency.
Staff failed to follow infection prevention protocols during wound care for a resident with a stage 4 pressure ulcer by not wearing gowns as required by Enhanced Barrier Precautions, and both the wound care nurse and DON were unaware of the policy. Laundry staff did not maintain clean dryer lint compartments, and during contact isolation for a resident, a CNA did not change gloves during incontinent care and touched the resident's environment with contaminated gloves, despite staff acknowledging the need for proper PPE.
A resident with a history of stroke and dementia developed new symptoms, including delusions and aggressive behavior, and was prescribed an antipsychotic. Despite these changes and a new diagnosis of delusional disorder, the facility did not update the PASARR Level 1 screening, as the DON considered the delusions a symptom of dementia and did not initiate a new referral.
A resident with a diagnosis of delusional disorder did not have this mental health condition accurately documented on the PASARR Level I form, and the required notification to the State office was not made. Facility staff showed uncertainty about the diagnosis, with the administrator recognizing it as a mental health disorder and the DON initially attributing it to a medical condition before confirming it as a psychotic disorder.
A resident with multiple diagnoses experienced a fall resulting in a skin tear, but the facility failed to notify the resident's responsible party. The incident was documented in a progress note, but there was no record of family notification. The DON confirmed the lack of documentation, and an LPN acknowledged that the facility's policy requires family notification for all incidents.
Failure to Ensure Required RN Coverage
Penalty
Summary
The facility failed to provide registered nurse (RN) coverage for at least eight consecutive hours per day, seven days a week, as required. Record review of the Payroll Based Journal (PBJ) Staffing Data Report and Timecard Reports revealed that there were no RN hours documented on two specific dates. On these dates, the facility did not have an RN on duty for the required time period. The administrator confirmed that although an RN was scheduled, the RN called in and was replaced by a licensed practical nurse (LPN) instead. At the time of the deficiency, the facility had 81 residents residing in the facility.
Failure to Monitor and Document Psychotropic Medication Use and PRN Orders
Penalty
Summary
The facility failed to ensure ongoing monitoring and documentation of side effects and behaviors for residents receiving psychotropic medications. For multiple residents with diagnoses such as generalized anxiety disorder, depression, and dementia, there were no orders or documentation for side effect monitoring, nor was there consistent behavior monitoring as required by facility policy. Medication administration records showed that psychotropic medications were given as ordered, but there was a lack of evidence that side effects or behavioral responses were being tracked or assessed over extended periods. Additionally, the facility did not comply with the requirement to limit PRN (as needed) psychotropic medication orders to 14 days without physician re-evaluation. For at least two residents, PRN orders for medications such as lorazepam were written as indefinite and continued beyond the 14-day period without documented physician review or re-authorization. Staff interviews confirmed that these PRN orders were not discontinued or rewritten, and that documentation of behavioral indications for use and side effect monitoring was inconsistent or absent. Interviews with nursing staff and medication aides revealed a lack of clarity and consistency in the process for monitoring and documenting side effects of psychotropic medications. Staff reported that they documented by exception, only noting behaviors or side effects when they occurred, rather than conducting and recording regular assessments. There was also confusion among staff regarding which medications were considered psychotropics and what side effects to monitor, with some staff only able to identify a single side effect or medication. This lack of systematic monitoring and documentation contributed to the facility's failure to meet regulatory requirements for the safe use of psychotropic medications.
Incomplete Posting of Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that all required components of daily nurse staffing information were posted and readily accessible to residents and visitors. Observations on multiple units, including the skilled unit and various halls, revealed that staffing information was either incomplete or not posted as required. Instead, staff rosters and whiteboards displayed only partial information, such as staff names, titles, and shift schedules, but did not include all mandated elements. Interviews with staff confirmed that the posted information did not meet regulatory requirements, and the administrator acknowledged the deficiency. At the time of the survey, 81 residents resided in the facility.
Infection Control Failures in Wound Care, Laundry, and Contact Isolation Procedures
Penalty
Summary
The facility failed to implement and follow its infection prevention and control program in several key areas. During wound care for a resident with a stage 4 sacral pressure ulcer, the wound care nurse and a CNA performed the procedure without donning gowns, despite the facility's Enhanced Barrier Precautions (EBP) policy requiring gowns for wound care. Both staff members were unaware of the EBP policy and its requirements. The resident had a physician's order for daily wound care involving multiple dressings and topical treatments. The Director of Nursing also indicated uncertainty regarding the EBP policy. Additionally, the facility did not maintain proper infection control in the laundry area, as all three dryer lint compartments were observed to be full of lint, with excess lint present on the floor, contrary to the stated practice of cleaning lint traps twice daily or as needed. In another instance, staff failed to follow contact isolation procedures during incontinent care for a resident on contact precautions. While gowns and gloves were eventually worn, a CNA did not change gloves throughout the procedure and subsequently touched the resident's personal items and environment with contaminated gloves. Staff interviews revealed inconsistent knowledge and application of required PPE protocols for contact isolation.
Failure to Update PASARR After New Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure that a PASARR Level 1 screening was completed after a new mental health diagnosis was identified for a resident. Initially, the resident had a primary diagnosis of cerebrovascular accident and a secondary diagnosis of dementia without behaviors. Subsequent behavioral notes documented significant changes, including verbal aggression, resistance to care, and delusional statements. The resident was later prescribed Seroquel for delusional disorders, and the medical record reflected additional diagnoses such as psychotic disorder, anxiety, depression, pseudobulbar effect, and non-Alzheimer's dementia. Despite these new symptoms and diagnoses, the PASARR Level 1 was not updated to reflect the resident's delusional disorder. The Director of Nursing (DON) confirmed that the new diagnosis was not included on the PASARR, stating that delusions were considered a symptom of dementia and therefore did not warrant a new screening. The DON also indicated that the facility's process did not involve completing a new PASARR when a new mental health diagnosis was added by a physician.
Failure to Accurately Document Mental Health Diagnosis on PASARR Form
Penalty
Summary
The facility failed to ensure accurate documentation of a mental health diagnosis on the PASARR form for one resident who was reviewed for the need of a Level II screening. Specifically, the PASARR Level I form for the resident did not include the diagnosis of delusional disorder, despite this diagnosis being present in both the electronic medical record as an admitting diagnosis and in the resident's care plan. The PASARR form marked 'No' for the presence of a serious mental illness, and the State office was not notified as required. Interviews with facility staff revealed confusion regarding the nature of the resident's mental health diagnosis. The administrator acknowledged that delusional disorder was a mental health disorder relevant to PASARR, while the DON initially attributed the diagnosis to a metabolic condition but later confirmed it was a psychotic disorder. The DON stated that the PASARR was marked correctly at the time, but also confirmed that the State office was not contacted about the PASARR for this resident.
Failure to Notify Family of Resident Fall
Penalty
Summary
The facility failed to notify a resident's responsible party following a fall incident involving a resident diagnosed with arterial fibrillation, acute respiratory infection, and congestive heart failure. On June 2, 2024, a progress note documented that the resident was found on the floor in their room with a skin tear on the right elbow. However, there was no documentation indicating that the resident's representative was informed of the fall. During an interview on October 8, 2024, the Director of Nursing (DON) confirmed that there was no record of notification to the emergency contacts listed in the resident's chart. Additionally, an LPN stated that the facility's policy requires family notification for all incidents, but upon reviewing the progress note, they acknowledged that it did not confirm whether the family was notified of the fall.
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What surveyors actually found near you
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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 Enid
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Living Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Enid Senior Care | 1.6 mi | ★★★★★ | 0 | 0 |
| The Commons | 3.5 mi | ★★★★★ | 0 | 0 |
| Garland Road Nursing & Rehab Center | 4.7 mi | ★★★★★ | 9 | 2 |
| Baptist Village Of Enid | 5.5 mi | ★★★★★ | 2 | 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.