Glasgow Gardens

In the surveyor’s words

From the most serious findings on record at Glasgow Gardens, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 19, 2022

  Based on interview and record review the facility failed to identify and provide treatment to promote healing of a pressure ulcer (a localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and /or friction) for one resident (Resident #1), in a review of three sampled residents, who the facility identified at risk for development of pressure ulcers. The pressure ulcer was not discovered on the resident's ischial tuberosity (bony prominence at the base of the buttock; sit bone or ischium) until it opened and drained thick brown purulent (containing, consisting of, or being pus) drainage. […]

• No harm, potential for more than minimal, widespreadF727Apr 17, 2025

  Based on interview and record review, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. This had the potential to affect all residents. The facility census was 36. Review of the facility's policy, Staff Scheduling, dated April 2015, showed an RN must work eight consecutive hours on the day shift every day, seven days a week. 1. Review of the facility's RN daily staffing sheets and time-clock data, dated December 2024, showed the facility did not have documentation to show an RN (including the Director of Nursing (DON)) worked on 12/01/24, 12/07/24, 12/13/24, and 12/26/24. […]

• No harm, potential for more than minimal, patternF880Apr 17, 2025

  Based on observation, interview, and record review, the facility failed to complete or maintain documentation of a two-step or prior two step Tuberculin Skin Tests (TST), or a chest x-ray in the last year, as required to rule out Tuberculosis (TB) (a communicable disease that affects the lungs characterized by fever, cough, and difficulty breathing), and failed to complete annual TB screening as required for three residents (Resident #17, #239, and #15), in a review of five sampled residents evaluated for immunization status. […]

• No harm, potential for more than minimal, patternF881Apr 17, 2025

  Based on interview and record review, the facility staff failed to follow the facility's policy for the antibiotic stewardship program by not reporting infections to the infection preventionist as directed in policy, and failed to timely track infections and review antibiotic use following initiation of the medications. The facility census was 36. Review of the facility's undated policy, Surveillance: Antibiotic Stewardship Program, showed the following: -Measures of Antibiotic Prescribing, Use, and Clinical Outcomes: -The Infection Preventionist/designee will be responsible to audit the clinical assessment documentation at the time of the antibiotic prescription; -The Infection Preventions/designee will be responsible for auditing the completeness of antibiotic prescribing documentation… […]

• No harm, potential for more than minimal, patternF883Apr 17, 2025

  Based on interview and record review, the facility failed to provide the pneumococcal vaccinations (a vaccine that can protect against pneumococcal disease) as indicated by the current Centers for Disease Control and Prevention (CDC) guidelines for four residents (Residents #15, #25, #6, and #34), of five five residents reviewed for immunization status. The facility census was 36. Review of the facility's undated policy, Immunization, showed the following: -Pneumococcal vaccination in persons age 65 and older years, unless contraindicated, would be administered according to the following guidelines when determining the vaccination status; -Adults [AGE] years or older who have not already received a pneumococcal conjugate vaccine should receive either a single dose of PCV15 followed by a… […]