Glades West Rehabilitation and Nursing C

In the surveyor’s words

From the most serious findings on record at Glades West Rehabilitation and Nursing C, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 6, 2022

  Based on observation and interview, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety that include: ensure the dishware is properly sanitized, ensure staff wear hair restraints in food serving and preparation areas, and ensure damaged food cans are eliminated from potential use. The findings include: During the initial food service sanitation tour conducted on 01/03/22 at 9 AM, accompanied with the Dietary Manager and Registered Dietitian, the following were noted: 1) The Dietary Manager (DM) was noted to be working in the food preparation and serving area. During the introduction with the surveyor, it was noted that he had a full beard and was not wearing a beard protector. […]

• No harm, potential for more than minimal, patternF803Jan 6, 2022

  Based on obseervation, interview, and record review, it was determined that the facility failed to follow the approved menu portions for 31 residents on pureed diets, which included Resident #28, #30, #86, #108, for 15 residents on thickened liquids, including Resident #30, #45, #95 for residents with mechanical soft ground meats total of 9, including Resident #28, #54, #85, and for residents on mechanical soft diets for 17 residents, including Resident #31, #79, and #99. 1) During the initial sanitation tour of the main kitchen on 01/03/22 at 9 AM, accompanied by the Dietary Manager (DM), it was noted that there were approximately 25 portions of thickened milks that were portioned into disposable condiments cups. […]

• No harm, potential for more than minimal, isolatedF677Dec 18, 2025

  Based on observations, interviews and record reviews, the facility failed to respond to call lights to provide ADL (Activities of Daily Living) care for 3 of 23 sampled residents reviewed for ADL's (Resident #99, Resident #110, Resident #70).The findings included:A review of the facility's policy titled Call Bell Policy and revised in December 2024 showed the following: Determine the resident's need, if you cannot perform, leave light on, find Nurse or CNA who can assist. Do not walk by. Turn off the call bell once needs are attended to and ensure it is within reach for the next use. Do not make the resident feel you are too busy to assist or respond.1. […]

• No harm, potential for more than minimal, isolatedF695Dec 18, 2025

  Based on review of policy and procedure, observation, record review and interview, the facility failed to 1) obtain a physician's order for Oxygen Administration for 1 of 7 sampled residents observed for continuous Oxygen Therapy, Resident #128; and, 2) follow physician's orders for changing of Nebulizer tubing for 1 of 12 sampled residents observed for Nebulizer Treatments, Resident # 10. The findings included: 1) Review of the facility policy titled Oxygen Administration provided by the Director of Nursing (DON) revised October 2010 documented in the Policy Statement: Purpose---The purpose of this procedure is to provide guidelines for safe oxygen administration. Preparation---1. Verify that there is a physician's order for this procedure. […]

• No harm, potential for more than minimal, isolatedF759Dec 18, 2025

  Number of residents sampled: 8Number of residents cited: 2Based on observations, interviews, record reviews and policy reviews, the facility failed to ensure residents were free of medication errors for 2 of 8 sampled residents (Residents #30 and #79), as evidenced by a medication error rate of 12.9% as a result of 4 errors made during 31 opportunities.The findings included: Review of the facility's policy titled, Administering Medications, undated, included the following: Medications shall be administered in a safe and timely manner, and as prescribed. Policy Interpretation and ImplementationThe Director of Nursing Services will supervise and direct all nursing personnel who administer medications and/or have related functions. […]