Inspection·March 7, 2025

F 0697 Provide safe, appropriate pain management for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm Based on medical record review, interview, and policy review the facility failed to administer pain relieving medications as ordered. This affected one (Resident #8) of three residents reviewed who received pain medications. The census was 120. Residents Affected - Few Findings include: Review of the medical record for Resident #8 revealed an admission date of 01/14/25. Diagnoses included Crohn's disease of large intestine with fistula, intervertebral disc degeneration, and chronic pain. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 01/21/25, revealed Resident #8 had intact cognition and chronic pain. Review of the plan of care dated 02/02/25 revealed Resident #8 had complaint of acute/chronic pain related to Crohn's disease, intervertebral disc degeneration, lumbosacral region, abdominal pain, and other chronic pain. Interventions included attempting non-pharmacological interventions, complete pain assessments, follow physician orders, and observe for pain every shift. Interview on 03/07/25 at 10:38 A.M. with the Administrator revealed on 02/25/25 Assistant Director of Nursing (ADON) #205 was upset and had an attitude because she had to work the floor due to a call off. ADON #205 was not familiar with the resident medication administration on that unit. The Administrator heard concerns from staff, residents, and family that ADON #205 was not administering medications in a timely manner on that date. The Administrator sent the unit manager (Unit Manager #204) to investigate the concerns around 3:00 P.M. Unit Manager #204 reported back there were concerns. The Administrator assumed the concerns were addressed/resolved. Interview on 03/07/25 at 11:35 A.M. with Resident #8 revealed she received pain medication every four hours and she asked ADON #205 for her pain medication, hydromorphone (opioid analgesic). Resident #8 stated she knew it was time for another dose so she asked ADON #205 who stated, you will have to wait because I am not going to stop passing medications for you. Resident #8 reported she was in pain and crying because she was very upset. Interview on 03/07/25 at 11:56 A.M. with Unit Manager #204 revealed on 02/25/25 she was sent to investigate complaints from staff, residents, and family regarding residents not receiving their medications on the hall where Resident #8 resided. Unit Manager #204 took over the medication administration from ADON #205 and immediately gave Resident #8 the pain medication (hydromorphone) she had requested and did not receive. Unit Manager #204 stated Resident #8 waited at least an hour for the pain medication (hydromorphone). (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 365192 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 365192 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/07/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Greenbrier Health Center 6455 Pearl Rd Parma Heights, OH 44130 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)