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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Gretna Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a left calf hematoma and a right pinky finger fracture did not consistently receive care according to provider orders and documented hospital recommendations. Daily ordered wound care to the left calf was not documented as completed on several days, including when the resident was out for appointments and on one day with no documentation at all. Although hospital and provider notes referenced a splinted right pinky finger fracture and the need for follow-up, there were no specific provider orders, TAR entries, or care plan interventions in the facility record addressing treatment, care, or follow-up for the fracture.
A resident with chronic kidney disease, mild vascular dementia, and limited mobility was started on polyethylene glycol (MiraLAX) for constipation, with the provider’s order specifying use "until BM." Bowel records showed the resident had a bowel movement the day after the medication was initiated, but MAR review revealed staff continued to administer the laxative for several additional days instead of discontinuing it as ordered. The care plan identified constipation risk and directed staff to administer medications as ordered, and the DON later acknowledged the medication should have been stopped after the bowel movement.
Staff failed to follow contact precaution requirements when entering a resident room posted for transmission-based precautions. A staff member was observed inside the room wearing only a KN95 mask, without the required gown and gloves, despite signage instructing use of these PPE items before entry. The unit manager confirmed that the expectation is for staff to wear a gown and gloves in such rooms, and the staff member acknowledged prior education that these PPE components are required. The facility’s written policy on transmission-based precautions also specifies that a gown and gloves must be worn when indicated by the type of isolation, indicating noncompliance with established procedures.
Failure to Follow Wound Care Orders and Obtain Treatment Orders for Finger Fracture
Penalty
Summary
Facility staff failed to follow provider orders for wound care to a resident’s left calf hematoma and did not ensure the ordered daily dressing changes were completed. The resident had a history of a fall prior to admission and diagnoses including contusion of the lower leg, Parkinson’s disease, and muscle weakness. The comprehensive care plan identified impaired skin integrity of the left lower leg related to a hematoma with an intervention to provide treatment as ordered. Provider orders directed staff to cleanse the outer left calf with dermal wound cleanser and apply Xeroform, ABD pad, and Kerlix daily. Review of the treatment administration record showed that on multiple days staff either documented the resident as out of the facility for appointments or left the administration block blank, with no documentation that the treatment was completed before or after the appointments and no documentation at all for one of the ordered treatment days. Facility staff also failed to obtain and implement provider orders for care and treatment of the same resident’s right pinky finger fracture. The resident’s diagnoses included a finger fracture, and the MDS coded an active diagnosis of “other fracture.” Hospital documentation noted a right finger fracture treated with a splint and recommended orthopedic follow-up after discharge. A provider progress note at the facility referenced the fracture and stated to continue supportive care, and a skilled nursing note documented that a splint to the right pinky finger was in place. However, there were no corresponding provider orders in the facility record for treatment, care, or follow-up of the fractured finger, and the treatment administration record contained no entries for fracture care. Further review of the comprehensive care plan revealed no focus area, goals, or interventions addressing the resident’s right pinky finger fracture. Interviews with the medical provider, wound care nurse, interim DON, and unit manager confirmed that there was no clear treatment plan or documented orders for the fracture, and staff described that their usual protocol would be to notify the provider and obtain specific orders or clarify orthopedic recommendations. Several nurses who had provided care to the resident were no longer employed and unavailable for interview, and no additional documentation or policies beyond general requirements to provide treatments as ordered and obtain admission physician’s orders were produced to show that appropriate fracture care orders had been obtained or implemented.
Failure to Discontinue Laxative as Ordered After Bowel Movement
Penalty
Summary
Facility staff failed to provide treatment and care according to medical provider orders and professional standards of practice for one resident. The resident had multiple diagnoses including chronic kidney disease, mild vascular dementia with agitation, left femur fracture, and difficulty walking, and had a BIMS score of 12/15 indicating moderately impaired cognition. On 2/16/26, a medical provider progress note documented that the resident was flagged for constipation greater than three days and that polyethylene glycol (MiraLAX) 1 capful every evening had been added until the resident had a bowel movement. A corresponding MD Communication Form dated 2/16/26 specified the order as polyethylene glycol 1 capful “until BM.” The facility’s policy on non-controlled medication orders required that medication orders specify the quantity or duration of therapy. Review of the resident’s bowel elimination record for February 2026 showed the resident had a bowel movement on 2/17/26. Despite this, the February 2026 MAR showed that staff continued to administer polyethylene glycol at bedtime from 2/16/26 through 2/24/26, rather than discontinuing it after the bowel movement as ordered. The comprehensive person-centered care plan identified the resident as at risk for constipation related to reduced physical mobility and included an intervention to administer medications as ordered. During the survey, the DON acknowledged that the MiraLAX should have been discontinued after the resident’s bowel movement on 2/17/26, confirming that staff did not follow the provider’s order regarding the duration of the medication.
Failure to Use Required PPE for Contact Precautions
Penalty
Summary
Facility staff failed to follow the facility’s transmission-based precautions policy for contact precautions when entering a resident’s room. During an initial tour, a room with a posted sign instructing staff to use contact precautions, including donning a gown and gloves prior to entry, was observed. Another staff member (OS#1) was seen inside this room wearing only a KN95 mask, with no gown or gloves visible, despite the posted instructions. In a subsequent interview, the unit manager confirmed the expectation that staff wear a gown and gloves when entering such rooms, and OS#1 acknowledged having received education on proper PPE use for contact precautions and stated that a gown and gloves should be worn upon entry. The facility’s written policy on Transmission Based Precautions, effective 12/1/21, states that a gown must be worn when indicated by the type of isolation to protect clothing from contact with contaminated materials and that gloves are to be put on, confirming that the observed practice did not comply with facility policy. No additional resident-specific medical history or condition at the time of the deficiency was provided in the report.
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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 Gretna
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chatham Health & Rehabilitation Center | 10.1 mi | ★★★★★ | 0 | 0 |
| Autumn Care Of Altavista | 12.6 mi | ★★★★★ | 0 | 0 |
| Roman Eagle Rehabilitation And Health Care Center | 23 mi | ★★★★★ | 0 | 0 |
| Piney Forest Health And Rehabilitation Center | 24.1 mi | ★★★★★ | 0 | 0 |
| Riverside Health & Rehab Cntr | 24.8 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.