Complete Care at Glendale

In the surveyor’s words

From the most serious findings on record at Complete Care at Glendale, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 4, 2024

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one (1) of three (3) residents, (Resident #1), reviewed for accidents, the facility failed to ensure that a resident who had significant cognitive impairment did not leave the facility unescorted. Resident #1 was located by the police approximately 2 hours and 40 minutes after he/she was last seen by a staff and was transported to the hospital and treated for hypothermia. This resulted in a finding of Immediate Jeopardy. Resident #1 was admitted with diagnoses that included dementia, Parkinson's, anxiety, and psychotic disorder with delusions. […]

• Actual harm, isolatedF600Jul 13, 2023

  Based on clinical record reviews, facility documentation, facility policy and interviews for two (2) of six (6) residents, (Resident #2 and Resident #6) who were reviewed for abuse, the facility failed to ensure residents were free from physical abuse resulting in injury. The findings include: 1) Resident #2 had diagnoses that included type II diabetes and atherosclerotic heart disease. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #2 was without cognitive impairment, required extensive two (2) person assist with Activities of Daily living (ADL), bed mobility, transfers, and personal care. […]

• No harm, potential for more than minimal, widespreadF812Aug 31, 2021

  Based on observations, review of facility documentation and interviews for kitchen and food services, the facility failed to prepare and store food under sanitary conditions. The findings included: Observation and tour of the facility's kitchen on 8/23/2021 during the period of 9:40 A.M. to 10:12 A.M. identified the following concerns: a. A ceiling mounted return air ventilation system positioned over a food preparation area utilized for preparing vegetables and other food items, was noted as having louvers which were stained with a heavy accumulation of black dirt, thick layers of dust, and debris. The ceiling tiles surrounding or adjacent to the return air ventilation system were noted to be stained with black dirt, grime, debris, dust, grease splatter and mold. […]

• No harm, potential for more than minimal, patternF812Jan 14, 2026

  Based on observations, facility documentation, facility policy, and interviews, the facility failed to ensure dry storage items were stored under sanitary conditions; and failed to ensure that the sanitizing solution was monitored for appropriate sanitizing levels; and failed to ensure food temperatures were monitored and logged for every meal; and failed to ensure that the nourishment refrigerator temperatures were checked and logged daily. The findings include:Observation on 1/11/26 at 8:24 AM during an initial tour of the kitchen with the Dietary Director in the dry food storage area identified a large, prepackaged bag that contained corn flake type cereal. The bag was not labeled or dated and there was a large tear in the bag (approximately 3 inches) with cereal open to the air. […]

• No harm, potential for more than minimal, patternF812Jan 26, 2024

  Based on observation, review of facility documentation, facility policy, and interviews, the facility failed to maintain nourishment refrigerators in a clean and sanitary manner including labeling, dating and discarding food items as per the policy. The findings include: A tour of the resident's nourishment refrigerators with the Director of Dietary on [DATE] at 7:40 AM identified the following. Nourishment refrigerator #1. Brown liquid on the bottom in the freezer and the refrigerator had dried liquid on the bottom shelf and splatter marks on the inside walls. Ice cream partially eaten not labeled or dated in the freezer. Minestrone soup dated [DATE], not labeled with a name. Small container with sausage cubes and toothpicks in each piece of meat dated [DATE] not labeled with a name. […]