Glen Arden Inc

In the surveyor’s words

From the most serious findings on record at Glen Arden Inc, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 22, 2025

  Based on interview, observation and record review during the survey, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers and to prevent worsening of pressure ulcers. This was evident for one (1) of three (3) residents (Resident #11) reviewed for pressure ulcers. Specifically, Resident #11 was assessed as at risk for pressure ulcers on admission and had no pressure ulcers. There was no documented evidence that offloading practices or turning and positioning were implemented to prevent pressure ulcers from developing. On 11/23/2025, a Stage 2 (damage to skin or underlying soft tissue) pressure ulcer to their left heel was identified. […]

• Actual harm, isolatedF689Jul 2, 2024

  Based on record review, observation and interview conducted during a recertification survey the facility failed to ensure that adequate supervision and effective use of the facility's monitoring program to prevent falls and injuries were provided for 2 of 3 residents reviewed for accidents (Resident #10 and #12). Specifically, (1) Resident #10 was care planned to be on 30-minute monitoring after a 4/12/24 fall. Resident #10 had a second fall on 4/14/24 which resulted in a nondisplaced transverse fracture of the distal malleolus (a break in the small prominent bone on either side of the ankle) and the facility did not implement care plan changes to address recurrent falls and (2) Resident #12 had 6 falls between 9/16/23 and 5/3/24 and the facility did not implement new interventions,… […]

• No harm, potential for more than minimal, patternF812Dec 22, 2025

  Based on observation and interview the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety. Specifically, 1) unsealed, unlabeled, and undated foods were stored in the refrigerators and freezer, 2) expired foods were stored in the dry pantry, walk in cooler, and reach- in refrigerator, and 3) staff were observed not wearing hair and beard restraints while in the kitchen. The findings include: The policy last revised 5/2018 titled Labeling and Dating documented all foods must be labeled and dated to ensure foods are being used in a proper timeframe, and any unopened food item will be discarded by the manufacturer labeled expiration date.The policy reviewed 07/1999 titled Personal Hygiene documented employees must follow… […]

• No harm, potential for more than minimal, patternF584Jul 2, 2024

  Based on observation, interview, and record review conducted during the recertification survey from 6/25/2024 to 7/2/2024, the facility did not ensure residents' right to a safe, clean, comfortable and homelike environment. This was evident during environmental observation of resident Unit 1 and Unit 2. Specifically, 1) Unit 1 was observed with a ceiling leak, stained and uneven carpeting, and stained ceiling tiles, and 2) Unit 2 was observed with broken bathroom floor tiles, stained, frayed, and uneven carpeting, and a broken desk in the nourishment station. […]

• No harm, potential for more than minimal, patternF841Jul 2, 2024

  Based on observation, interview, and record review conducted during the post-survey revisit from 9/3/2024 to 9/5/2024, the facility did not ensure the medical director was responsible for implementation of resident care policies and the coordination of medical care in the facility. Specifically, the new Medical Director hired on 8/1/2024 was unaware of their responsibilities as a medical director and had no previous nursing home experience, was not a part of the quality assurance committee, and did not assess residents until 12 days after hire date. […]