Pennsylvania Department of Health
GREENE HEALTH & REHAB CENTER
Patient Care Inspection Results

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Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

GREENE HEALTH & REHAB CENTER
Inspection Results For:

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GREENE HEALTH & REHAB CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:Based on an abbreviated complaint survey completed on June 12, 2026, it was determined that Greene Health and Rehab Center was not in compliance with the following requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

Plan of Correction:

483.50(a)(1)(i) REQUIREMENT Laboratory Services:

This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.

§483.50(a) Laboratory Services.
§483.50(a)(1) The facility must provide or obtain laboratory services to meet the needs of its residents. The facility is responsible for the quality and timeliness of the services.
(i) If the facility provides its own laboratory services, the services must meet the applicable requirements for laboratories specified in part 493 of this chapter.

Observations: Based on clinical record review and staff interviews, it was determined the facility failed to ensure timely completion of prescribed laboratory services for one of two residents reviewed (Resident 1). Findings include: An admission Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 1, dated May 15, 2026, indicated that the resident had moderate cognitive impairment, required assistance from staff for her daily care needs and had diagnoses that included heart failure. Physician's orders for Resident 1 dated May 19, 2026, included an order for urinalysis (involves checking the appearance, concentration and content of urine) and urine culture and sensitivity (a laboratory test used to diagnose urinary tract infections and find the most effective medication to treat them). Physician's orders dated May 27, 2026, included an order for urinalysis and urine culture and sensitivity. Nurse's note for Resident 1 dated May 19, 2026, at 1:03 p.m. revealed that a new order was received for a urinalysis and culture and sensitivity per the family's request. Review of the Medication Administration Record for Resident 1 dated May 2026 indicated that a urine specimen for urinalysis, culture and sensitivity was obtained on May 19, however there was no documented evidence that it was sent to the laboratory or that results were obtained. Nurse's note for Resident 1 dated May 29, 2026, at 10:55 a.m. revealed that the resident was discharged home accompanied by her daughter. A Nurse's note dated May 29, 2026, at 1:13 p.m. revealed that the resident's daughter was notified that the physician was calling a prescription into the pharmacy for an antibiotic for a urinary tract infection. Interview with Director of Nursing on June 11, 2026, at 3:08 p.m. confirmed that there was no evidence that urine for urinalysis and culture and sensitivity was sent to the lab or that results were obtained when it was ordered on May 19, 2026, and that the urinalysis and culture and sensitivity were not completed until May 27, 2026. The resident was discharged home prior to the results returning and treatment for the urinary tract infection started. 28 Pa. Code 211.12(d)(1)(3)(5) Nursing Services.

Plan of Correction - To be completed: 06/29/2026

The facility cannot retroactively correct for Resident R1 because she has been discharged.

A 30 day lookback will be completed to ensure all Urinalysis and Culture Sensitivities have been obtained and sent to the laboratory.

Education will be provided by Staff Development/ Designee to Licensed staff on obtaining Urinalysis and Culture Sensitivities in a timely manner.

Audits will be completed by the Director of Nursing/Designee on obtaining Urinalysis and Culture Sensitivities in a timely manner. This audit will be completed weekly times 8 weeks

Results of these audits will be reviewed in the monthly Quality Assurance and Performance Improvement meeting for any further recommendations as necessary.

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