Glasgow Hills of Journey

In the surveyor’s words

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

• Immediate jeopardy, patternF689Dec 12, 2023

  Based on observation and staff interview the facility failed to ensure the residents environment over which it had control was free from accident hazards. There was an unlocked medication room that contained medicaitons on the dementia care unit. This was a random opportunity for discovery. The deficient practice put all 23 residents currently residing on the dementia care unit at risk for serious injury, serious harm, serious impairment, or death. Resident identifiers: #56, #88, #59, #67 #33, #87, #43, #37, #13, #66, #68, #14, #86, #70, #8, #81, #54, #78, #19, #48, #1, #52, and #6. […]

• Actual harm, isolatedF600Dec 12, 2023

  Based on record review, staff interview, and resident interview the facility failed to protect Resident #34 from sexual abuse resulting in actual psychosocial harm. The facility failed to ensure Resident #34 was safe and not exposed to continued sexual abuse from Resident #10. This was a random opportunity of discovery. Resident identifier: #34, #10. Facility Census: 91. Findings included: a) Resident #34 A review of the facility reportables on 12/04/23 at 10:30 AM revealed the following Adult Protective Services (APS) Mandatory Reporting Form dated 11/23/23. […]

• Actual harm, isolatedF697Nov 16, 2022

  Based on record review, resident interview, and staff interview, the facility failed to treat pain to the extent possible in accordance with professional standards of practice. This caused harm to the resident by causing uncontrolled pain and an emergency room visit for this uncontrolled pain. This was true for one (1) of two (2) residents reviewed for the care area of pain. Resident identifier: #22. Facility census: 90. Findings included: a) Resident #22 During an initial interview on 11/14/22 at 3:33 PM, Resident #22 reported pain from a fractured pelvis. She stated she received Tramadol for pain, which lessened but did not totally eliminate her pain. Review of Resident #22's medical records showed the resident was admitted [DATE] at 7:15 PM. […]

• Actual harm, isolatedF740Nov 16, 2022

  Based on resident interview, resident observation, record review and staff interview the facility failed to provide the necessary behavioral health care and services to assist the resident in attaining or maintaining the highest practicable physical, mental, and psychosocial well-being for Resident #85 following the death of his son. Observations of the resident found him to be very tearful and suffering from mental anguish. The facility had provided no grief counseling or any mental health services to help Resident #85 deal with the passing of his his son. This failure resulted in actual psychosocial harm for Resident #85 who was suffering grief on his own without any assistance from facility staff to help lessen the effects of his grief. […]

• Actual harm, isolatedF791Nov 16, 2022

  Based on observation, resident interview, staff interview and record review, the facility failed to ensure Resident #54 received the necessary dental services to ensure he was pain free and able to attain his highest practicable physical well-being. Resident #54 was to have teeth extracted the facility has failed to make the arrangements for Resident #54 to have his teeth extracted. This failure has resulted in actual harm for Resident #54 because he has continued pain from the teeth which are in poor condition. This was true for one (1) of two (2) residents reviewed for the care area of dental status. Resident identifier: #54. Facility census: 90. Findings included: a) Resident #54 On 11/14/22 at 3:00 PM an observation and Interview, found Resident #54 had missing teeth. […]