Galena Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Galena Nursing & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 30, 2026

  Based on interviews and record review, the facility failed to ensure Resident (R) 1 remained free from abuse. On 03/21/26 at around 10:30-11:00 PM Certified Nurse Aide (CNA) M identified bruising on R1's right leg and reported it to Licensed Nurse (LN) G. LN G determined the bruising was probably from the wheelchair but did not report the bruises of unknown origin to the administrator. Around 04:20 AM on 03/22/26, CNA M reported to LN G that R1 had vaginal bleeding. LN G instructed the CNA to apply antifungal powder or cream but did not assess the area. The resident remained in her room with her representative, the alleged perpetrator (AP), with the door closed. At 06:00 AM, LN G told LN H and LN I that R1 had some vaginal bleeding. […]

• Actual harm, isolatedF609Mar 30, 2026

  Based on record reviews and interviews, the facility failed to ensure staff identified Resident (R) 1's signs of physical and sexual abuse, and report to the Administrator immediately and the appropriate state entities within the required time. On 03/21/22 at around 10:30-11:00 PM Certified (CNA) M and CNA N identified bruising on R1's right leg and reported it to Licensed Nurse (LN) G. LN G spoke to the resident's representative, the alleged perpetrator (AP), who offered a rationale for the injury which LN G accepted without investigation. Around 04:20 AM on 03/22/26, CNA M reported to LN G that R1 had vaginal bleeding. LN G instructed the CNA to apply topical cream but failed to assess the area. […]

• Actual harm, isolatedF610Mar 30, 2026

  The facility failed to implement protective measures after injuries of unknown origin and signs of potential sexual abuse were identified to prevent further abuse. On 03/21/22 at around 10:30-11:00 PM Certified (CNA) M and CNA N identified significant bruising on R1's right leg and reported it to Licensed Nurse (LN) G. R1 was unable to state how she obtained the injuries. LN G spoke to the resident's representative, the alleged perpetrator (AP), who confirmed he did not know where the bruising came from but offered a rationale for the injury which LN G accepted without further investigation. Staff left R1 in the room with the AP. Around 04:20 AM on 03/22/26, CNA M reported to LN G that R1 had vaginal bleeding. […]

• No harm, potential for more than minimal, widespreadF868Jul 27, 2023

  The facility reported a census of 42 residents. Based on interview and record review, the facility failed to conduct Quality Assurance Performance Improvement (QAPI) leadership meetings with the medical director in attendance at least quarterly as required. Findings included: Review of the facility QAPI sign in sheets, revealed a lack of documentation of the medical director in attendance for the following QAPI meetings: July 2022, August 2022, September 2022, October 2022, November 2022, (no documentation of a meeting conducted December 2022 or January 2023) February 2023, May 2023, June 2023, and July 2023. Interview, on 07/26/23 at 10:20 AM, with Administrative Staff B, revealed she thought the medical director did attend meetings at least quarterly but may have been by telephone. […]

• No harm, potential for more than minimal, patternF677Apr 16, 2025

  The facility reported a census of 39 residents with 15 residents sampled, including 6 residents reviewed for activities of daily living (ADLS). Based on observation, interview, and record review, the facility failed to provide necessary ADL cares for four sampled resident, Resident (R)16 was not shaven, R6 had dirty clothes, R29 did not get showered, and R17 received no feeding assistance. This deficient practice placed the affected residents at risk for impaired quality of life, weight loss and poor hygiene. Findings included: - The Physician Order Sheet (POS) for R16, documented the resident had a diagnosis of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), and chorea (movement disorder). […]