Glades Health Care Center

In the surveyor’s words

From the most serious findings on record at Glades Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 13, 2021

  Based on observation and interview the facility failed to prepare and serve food in a sanitary manner in accordance with professional standards for food safety. The findings included: During the initial kitchen tour, on 05/10/21 at 9:16 AM, accompanied by the Certified Dietary manager the following concerns were observed: (1) The Ice Machine had spots of dust on the ledge over the drum that was filled with ice. (2) There was an accumulation of dust on the ceiling vents over the food production area. (3) The stove and oven were encrusted with burnt food matter. (4) The drip pan under the stove was noted to have a greasy residue and was noted to be dirty. (5) The Fryer was encrusted with residue and the oil need to be change. […]

• No harm, potential for more than minimal, patternF801Dec 5, 2024

  Based on interviews and record review, the facility failed to ensure that clinical nutritional assessments were completed within the scope of practice for 1 of 1 sampled resident reviewed for nutrition (Resident #30). This had the potential to affect 51 out of 60 residents on the facility's current census. The findings included: A review of the Certified Dietary Manager (CDM) scope of practice dated 01/20/20 showed the following: Gather Nutrition Data. Interview and identify client-specific nutritional needs/problems. Review nutrition screening data and calculate nutrient intake. Document in the medical record. Identify food customs and nutrition preferences based on race, culture, religion, and food intolerances. […]

• No harm, potential for more than minimal, patternF803Dec 5, 2024

  Based on observation, menu review, and interview, the facility failed to follow their approved menu for 1 of 2 meals observed, as evidenced by the failure to prepare all foods on the lunch menu on 12/04/24, and substituted with foods not on the menu, affecting sampled Residents #13 and #2, with the potential of affecting 4 of 56 residents who consume food. The findings included: Review of the approved lunch menu for 12/04/24 documented, in part, the provision of an alternate vegetable of corn on the cob, the mechanical soft vegetable of cooked carrots, and the alternate mechanical soft vegetable of lima beans. An observation of the posted lunch meal for 12/04/24 docmented the meat as BBQ ribs with a side of baked beans. […]

• No harm, potential for more than minimal, patternF880Dec 5, 2024

  Based on the facility policy, centers for disease control (CDC) review, observations and record review, the facility failed to ensure appropriate infection control practices by failure to implement enhanced barrier precaution (EBP) process for residents with wounds, and indwelling medical devices including feeding tubes, and foley catheter for 4 of 4 sampled residents, with the potential to affect 6 residents identified as needing EBP. This involved Resident #1, #20, #22, and #44. The facility failed to ensure appropriate hand hygiene during wound care. This involved (Resident #22). The facility failure to ensure appropriate hand hygiene during perineal/catheter care. This involved Resident #44. […]

• No harm, potential for more than minimal, patternF584May 13, 2021

  Based on observation and interview, the facility failed to provide a safe, clean, and home like environment. The findings included: During observations on 05/10/21 at 10:44 AM, the following concerns were noted: 1) In room East 19-B, it was noted that the walls were chipped and there was an accumulation of dead bugs in a light over the hand washing sink and that the plumbing in the bathroom showed signs of corrosion. 2) In room East 25-B, it was noted that the right side arm rest of the resident's wheelchair was in disrepair, exposing the foam and part of the frame and the plumbing in the bathroom showed signs of corrosion. […]