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GRETNA HEALTH AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (GRETNA, Virginia)

595 VADEN DRIVE, GRETNA, Virginia 24557

Phone: 4346561206

CMS Overall:4/5

Overview & Bed Count

Certified Beds
90
Avg Residents/Day
87.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Pittsylvania
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.450.71-0.25
Total Nurse Hours per Resident per Day3.633.88-0.25
CMS Staffing Rating2/52.5/5-
Nursing Staff Turnover41.4%47.5%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-04-30Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-03-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2026-03-12Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-07-27Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2023-07-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-07-27Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-07-27Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2021-10-21Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2021-10-21Infection Control DeficienciesPerform COVID19 testing on residents and staff.E – Moderate Harm Potential
2021-10-21Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2021-10-21Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2021-10-21Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2023-07-27Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2023-07-27Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2023-07-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2023-07-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-07-27Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2023-07-27Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2021-10-21Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2021-10-21Egress DeficienciesConform to length requirements for dead end corridors.F – Moderate Harm Potential
2021-10-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2021-10-21Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2021-10-21Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2021-10-21Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2021-10-21Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2021-10-21Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2019-08-29Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2019-08-29Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2019-08-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.F – Moderate Harm Potential
2019-08-29Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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