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

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations

Click here for definitions Click here for definitions Click here for definitions Click here for definitions
Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
GREENE HEALTH & REHAB CENTER
Inspection Results For:

There are  146 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
GREENE HEALTH & REHAB CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:Based on a revisit survey completed on April 20, 2026 it was determined that Greene Health and Rehab corrected the federal deficiencies cited during the survey of February 4, 2026 under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities; and continued to be out of compliance with the following requirements of  28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.
 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:

Based on review of nursing schedules and staffing information furnished by the facility, and staff interview, it was determined that the facility failed to provide a minimum of one nurse aide (NA) per 10 residents on the day shift for 17 of 21 days reviewed, and failed to provide one NA per 11 residents on the evening shift for 4 of 21 days, and failed to provide a minimum of one NA per 15 residents on the night shift for 4 of 21 days reviewed for March 8 through 14, March 22 through 28, and April 5 through 11, 2026.

Findings include:

Review of facility census data revealed that on March 8, 2026, the facility census was 105, which required 10.50 NA's during the day shift. Review of the nursing time schedules revealed 8.10 NA's provided care on the day shift on March 8, 2026.

Review of facility census data revealed that on March 9, 2026, the facility census was 105, which required 10.30 NA's during the day shift. Review of the nursing time schedules revealed 6.88 NA's provided care on the day shift on March 9, 2026.

Review of facility census data revealed that on March 12, 2026, the facility census was 105, which required 10.50 NA's during the day shift. Review of the nursing time schedules revealed 7.03 NA's provided care on the day shift on March 12, 2026.

Review of facility census data revealed that on March 13, 2026, the facility census was 105, which required 10.50 NA's during the day shift. Review of the nursing time schedules revealed 6.89 NA's provided care on the day shift on March 13, 2026.

Review of facility census data revealed that on March 14, 2026, the facility census was 105, which required 10.50 NA's during the day shift. Review of the nursing time schedules revealed 8.16 NA's provided care on the day shift on March 14, 2026.

Review of facility census data revealed that on March 22, 2026, the facility census was 101, which required 10.10 NA's during the day shift. Review of the nursing time schedules revealed 8.15 NA's provided care on the day shift on March 22, 2026.

Review of facility census data revealed that on March 23, 2026, the facility census was 101, which required 10.10 NA's during the day shift. Review of the nursing time schedules revealed 9.25 NA's provided care on the day shift on March 23, 2026.

Review of facility census data revealed that on March 24, 2026, the facility census was 102, which required 10.20 NA's during the day shift. Review of the nursing time schedules revealed 9.07 NA's provided care on the day shift on March 24, 2026.

Review of facility census data revealed that on March 25, 2026, the facility census was 103, which required 10.30 NA's during the day shift. Review of the nursing time schedules revealed 8.60 NA's provided care on the day shift on March 25, 2026.

Review of facility census data revealed that on March 26, 2026, the facility census was 105, which required 10.50 NA's during the day shift. Review of the nursing time schedules revealed 10.15 NA's provided care on the day shift on March 26, 2026.

Review of facility census data revealed that on March 27, 2026, the facility census was 106, which required 10.60 NA's during the day shift. Review of the nursing time schedules revealed 8.65 NA's provided care on the day shift on March 27, 2026.

Review of facility census data revealed that on April 5, 2026, the facility census was 108, which required 10.80 NA's during the day shift. Review of the nursing time schedules revealed 9.81 NA's provided care on the day shift on April 5, 2026.

Review of facility census data revealed that on April 6, 2026, the facility census was 108, which required 10.80 NA's during the day shift. Review of the nursing time schedules revealed 7.04 NA's provided care on the day shift on April 6, 2026.

Review of facility census data revealed that on April 7, 2026, the facility census was 108, which required 10.80 NA's during the day shift. Review of the nursing time schedules revealed 9.05 NA's provided care on the day shift on April 7, 2026.

Review of facility census data revealed that on April 8, 2026, the facility census was 109, which required 10.90 NA's during the day shift. Review of the nursing time schedules revealed 10.64 NA's provided care on the day shift on April 8, 2026.

Review of facility census data revealed that on April 9, 2026, the facility census was 109, which required 10.90 NA's during the day shift. Review of the nursing time schedules revealed 8.70 NA's provided care on the day shift on April 9, 2026.

Review of facility census data revealed that on April 11, 2026, the facility census was 109, which required 10.90 NA's during the day shift. Review of the nursing time schedules revealed 10.86 NA's provided care on the day shift on April 11, 2026.

Review of facility census data revealed that on March 8, 2026, the facility census was 105, which required 9.55 NA's during the evening shift. Review of the nursing time schedules revealed 8.81 NA's provided care on the evening shift on March 8, 2026.

Review of facility census data revealed that on March 13, 2026, the facility census was 105, which required 9.55 NA's during the evening shift. Review of the nursing time schedules revealed 8.21 NA's provided care on the evening shift on March 13, 2026.

Review of facility census data revealed that on March 14, 2026, the facility census was 105, which required 9.55 NA's during the evening shift. Review of the nursing time schedules revealed 8.62 NA's provided care on the evening shift on March 14, 2026.

Review of facility census data revealed that on March 28, 2026, the facility census was 107, which required 9.73 NA's during the evening shift. Review of the nursing time schedules revealed 9.31 NA's provided care on the evening shift on March 28, 2026.

Review of facility census data revealed that on March 11, 2026, the facility census was 104, which required 6.93 NA's during the night shift. Review of the nursing time schedules revealed 6.13 NA's provided care on the night shift on March 11, 2026.

Review of facility census data revealed that on March 14, 2026, the facility census was 105, which required 7.00 NA's during the night shift. Review of the nursing time schedules revealed 6.09 NA's provided care on the night shift on March 14, 2026.

Review of facility census data revealed that on March 22, 2026, the facility census was 101, which required 6.73 NA's during the night shift. Review of the nursing time schedules revealed 6.68 NA's provided care on the night shift on March 22, 2026.

Review of facility census data revealed that on March 27, 2026, the facility census was 106, which required 7.07 NA's during the night shift. Review of the nursing time schedules revealed 6.42 NA's provided care on the night shift on March 27, 2026.

There were no additional excess higher-level staff available to compensate for these deficiencies.

Interview with the Administrator on April 20, 2026, at 8:52 a.m. confirmed that the facility did not meet the required NA-to-resident staffing ratios for the days listed above.





 Plan of Correction - To be completed: 05/11/2026

1. Actions taken for the situation identified:
The facility cannot retroactively address the incidents. No residents were adversely affected.

2. How the facility will act to protect residents in similar situations:

The facility will schedule, monitor and manage the nursing staff ratios to meet the requirements

3. System changes and measures to be taken:

The Nursing Home Administrator has reviewed the required ratios with the Director of Nursing and other staff responsible for nursing staff scheduling. Daily staffing meetings are being held two times daily to review the scheduled staffing hours per patient day and ratios for the current and upcoming day(s) to ensure that the facility meets the requirements.

4. Monitoring mechanisms to assure compliance:

The Nursing Home Administrator/designee will conduct audits of the nursing staff ratios to determine compliance weekly for four (4) weeks then monthly for two (2) months. Noted areas of non-compliance will be addressed upon discovery. Audit results will be reviewed through monthly Quality Assurance Performance Improvement Committee meetings, and further action plans and audits will continue until substantial compliance is achieved. Ongoing self-monitoring will help to ensure facility continues to meet quality standards.

5. Date Corrective Action will be completed:

Substantial compliance is expected by 5/11/2026
§ 211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
Observations:

Based on review of nursing schedules and staffing information furnished by the facility, as well as staff interview, it was determined that the facility failed to ensure a minimum of one Licensed Practical Nurse (LPN) per 25 residents on the day shift for six of 14 days from March 8 through 14 and April 5 through 11, 2026, failed to ensure a minimum of one LPN per 30 residents on the evening shift for one of seven days from March 8 through 14, 2026 , and failed to ensure a minimum of one LPN per 40 residents on the night shift for one of seven days from March 8 through 14, 2026.

Findings include:

Review of facility census data indicated that on March 8, 2026, the facility census was 105, which required 4.20 LPN's during the day shift. Review of the nursing time schedules revealed 1.80 LPN's provided care on the day shift on March 8, 2026.

Review of facility census data indicated that on March 9, 2026, the facility census was 103, which required 4.12 LPN's during the day shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the day shift on March 9, 2026.

Review of facility census data indicated that on March 12, 2026, the facility census was 103, which required 4.12 LPN's during the day shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the day shift on March 12, 2026.

Review of facility census data indicated that on March 14, 2026, the facility census was 105, which required 4.20 LPN's during the day shift. Review of the nursing time schedules revealed 4.03 LPN's provided care on the day shift on March 14, 2026.

Review of facility census data indicated that on April 6, 2026, the facility census was 108, which required 4.32 LPN's during the day shift. Review of the nursing time schedules revealed 4.00 LPN's provided care on the day shift on April 6, 2026.

Review of facility census data indicated that on April 9, 2026, the facility census was 108, which required 4.36 LPN's during the day shift. Review of the nursing time schedules revealed 4.06 LPN's provided care on the day shift on April 9, 2026.

Review of facility census data indicated that on March 8, 2026, the facility census was 105, which required 3.50 LPN's during the evening shift. Review of the nursing time schedules revealed 3.44 LPN's provided care on the evening shift on March 8, 2026.

Review of facility census data indicated that on March 13, 2026, the facility census was 105, which required 2.63 LPN's during the night shift. Review of the nursing time schedules revealed 2.06 LPN's provided care on the night shift on March 13, 2026.

There were no additional excess higher-level staff available to compensate for these deficiencies.

Interview with the Administrator on April 20, 2026, at 8:52 a.m. confirmed that the facility did not meet the required LPN-to-resident staffing ratios for the days listed above.






 Plan of Correction - To be completed: 05/11/2026

1. Actions taken for the situation identified:
The facility cannot retroactively address the incidents. No residents were adversely affected.

2. How the facility will act to protect residents in similar situations:

The facility will schedule, monitor and manage the nursing staff ratios to meet the requirements

3. System changes and measures to be taken:

The Nursing Home Administrator has reviewed the required ratios with the Director of Nursing and other staff responsible for nursing staff scheduling. Daily staffing meetings are being held to review the scheduled hours per patient day and ratios for the current and upcoming day(s) to ensure that the facility meets the requirements.

4. Monitoring mechanisms to assure compliance:

The Nursing Home Administrator/designee will conduct audits of the nursing staff ratios to determine compliance weekly for four (4) weeks then monthly for two (2) months. Noted areas of non-compliance will be addressed upon discovery. Audit results will be reviewed through monthly Quality Assurance Performance Improvement Committee meetings, and further action plans and audits will continue until substantial compliance is achieved. Ongoing self-monitoring will help to ensure facility continues to meet quality standards.

5. Date Corrective Action will be completed:

Substantial compliance is expected by 5/11/2026
§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations:

Based on review of staffing information furnished by the facility and staff interviews, it was determined that the facility failed to provide 3.20 hours of direct resident care for each resident for 12 of 21 days (24-hour periods) reviewed.

Findings include:

Nursing time schedules provided by the facility for the days of March 8 through 14, March 22 through 28, and April 5 through 11, 2026, revealed that the facility provided only 2.58 hours of direct care for each resident on March 8, 2026; 3.00 hours of direct care for each resident on March 9, 2026; 2.98 hours of direct care for each resident on March 12, 2026; 2.80 hours of direct care for each resident on March 13, 2026; 2.74 hours of direct care for each resident on March 14, 2026; 3.01 hours of direct care for each resident on March 22, 2026; 2.91 hours of direct care for each resident on March 27, 2026; 3.15 hours of direct care for each resident on March 28, 2026; 3.08 hours of direct care for each resident on April 5, 2026; 2.89 hours of direct care for each resident on April 6, 2026; 3.15 hours of direct care for each resident on April 7, 2026; and 3.02 hours of direct care for each resident on April 9, 2026.

Interview with the Nursing Home Administrator on April 20, 2026, at 8:52 a.m. confirmed that the facility did not meet the required daily direct resident care hours on the days listed above.





 Plan of Correction - To be completed: 05/11/2026

1. Actions taken for the situation identified:
The facility cannot retroactively address the incidents. No residents were adversely affected.

2. How the facility will act to protect residents in similar situations:

The facility will schedule, monitor and manage the nursing direct care hours to meet the requirements

3. System changes and measures to be taken:

The Nursing Home Administrator has reviewed the required hours per patient day requirements with the Director of Nursing and other staff responsible for nursing staff scheduling. Daily staffing meetings are being held to review the staffing hour per patient day and ratios for the current and upcoming day(s) to ensure that the facility meets the requirements.

4. Monitoring mechanisms to assure compliance:

The Nursing Home Administrator/designee will conduct audits of the nursing staff direct care hours to determine compliance weekly for four (4) weeks then monthly for two (2) months. Noted areas of non-compliance will be addressed upon discovery. Audit results will be reviewed through monthly Quality Assurance Performance Improvement Committee meetings, and further action plans and audits will continue until substantial compliance is achieved. From that point forward, ongoing self-monitoring will help to ensure facility continues to meet quality standards.

5. Date Corrective Action will be completed:

Substantial compliance is expected by 05/11/2026

Back to County Map


  
Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance


Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement
Visit the PA Power Port