Spring Arbor of Greenville

The facility failed to ensure the accuracy of medication administration records (MARs) for a resident. Specifically, documentation for a medication used to treat dry eyes was inconsistent, with multiple instances of omitted doses due to pending prior authorizations, refills, or pharmacy delays.

The facility failed to ensure the accuracy of medication administration records (MARs) for a resident. Specifically, documentation was inaccurate regarding a medication (Tyrvaya nasal spray) used to treat dry eyes.

Staff members were performing wound care tasks without proper competency validation. The facility failed to ensure that non-licensed staff were properly validated by a licensed health professional before performing delegated personal care tasks.

The facility failed to ensure all residents had a current and correct FL2 form upon admission or readmission. There were inaccuracies found in the medication and treatment documentation within the FL2 records.

The facility failed to complete required resident assessments within the designated timeframes. Specifically, at least one resident's assessment was found to be incomplete at the time of the survey.

Staff failed to properly follow resident orders for wound care dressings and failed to notify the hospice nurse regarding wound issues. Additionally, staff did not consistently document communications with outside providers in the resident's chart.

The facility demonstrated deficiencies in the application of wound dressings and the documentation of dressing changes. Staff failed to properly record the date, time, and initials for dressing changes and lacked proper wound supplies.

Staff members were not following proper pharmacy and facility procedures regarding the ordering, reordering, and accepting of medications. There were issues with placing new medications on carts and managing pharmacy discrepancies.

The facility failed to maintain complete medication records, resulting in missing medications. The facility lacked proper procedures for ensuring all prescribed medications were present and correctly documented on medication carts.

The facility failed to ensure staff performing a care task were competent for the application of a debriding agent to a wound. Specifically, medication aides failed to apply Santyl ointment as ordered for 4 out of 17 opportunities between 05/13/25 and 05/29/25.

The facility failed to ensure that 8 ounces of milk was served to residents twice daily as required by the dietary menu. During a dinner service observation, residents were served water and tea instead of milk, and staff reported that milk was only being offered at breakfast.

The facility failed to ensure that 8 ounces of milk was served to residents twice daily as required by the dietitian's menu. Observations and interviews revealed that while milk was provided at breakfast, it was not offered or served during the dinner meal.

The facility failed to administer prescribed medication (Mirtazapine) for a resident. Although a new prescription had been received and faxed to the pharmacy, the medication was not available on hand and was not entered or administered on the Medication Administration Record (MAR). This failure occurred despite the resident experiencing significant weight loss.

The facility failed to administer Mirtazapine to Resident #2 despite having a physician's order for the medication. Although the pharmacy was notified of the new prescription in early March, the medication was not available on hand and was not entered on the Medication Administration Record (MAR). This failure occurred during a period where the resident experienced significant weight loss.