Glen Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF726Sep 22, 2021

  Based on interview, record review and review of Centers for Medicare and Medicaid Services (CMS) memorandums, the facility failed to ensure non-licensed nursing staff demonstrated competencies in skills and techniques necessary to care for residents needs prior to providing care and services to residents. This affected two Staff #38 and #250 of five personnel files reviewed. This had the potential to affect all 67 residents who resident in the facility. Findings included: 1. Review of the personnel file for Staff #38 revealed a hire date of 04/06/21. Staff #38 was hired as Non-Certified Nurse Aide under the staffing waiver program for COVID-19. Staff #38 was not a State tested Nursing Assistant (STNA). […]

• No harm, potential for more than minimal, widespreadF880Sep 22, 2021

  Based on record review, observation, interview, review of online resources from Centers for Disease Control (CDC) guidance, and review of the Centers for Medicare and Medicaid Services (CMS) memorandums, the facility failed to ensure visitors wore personal protective equipment (PPE) in the facility to prevent the spread of Coronavirus (COVID-19), failed to screen visitors upon entry to the facility, failed to ensure staff wore PPE in a manner to prevent the spread of infectious diseases which included COVID-19, failed to ensure visitation was suspended when an employee tested positive for COVID-19 and failed to ensure an employee who exhibited potential signs and symptoms related to COVID-19 and was not allowed to work. […]

• No harm, potential for more than minimal, patternF610Sep 22, 2021

  Based on record review, interview, policy review and self reported incident (SRI) review, the facility failed to maintain investigation documentation of abuse and neglect allegations to ensure a thorough investigation was completed. This affected seven (Residents #15, #32, #38, #54, #64, #268, # 271) of seven residents reviewed for SRI reporting during the survey. The facility census was 68. Findings include: 1. Review of the medical record for Resident #268 revealed he was admitted to the facility on [DATE]. Review of the medical record for Resident #271 revealed he was admitted to the facility on [DATE]. Review of the facility SRI, dated 11/23/20, revealed the facility reported physical abuse for a resident to resident altercation. […]

• No harm, potential for more than minimal, patternF679Sep 22, 2021

  Based on record review, observation, interview and policy review, the facility failed to ensure activities were provided to residents. This affected five (Residents #13, #66, #24, #6 and #50) of 24 residents reviewed for activities. The census was 68. Findings include: 1. Medical record review for Resident #66 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . She was moderately cognitively impaired. Review of the care plan for Resident #66, dated 09/12/21, revealed she was a sociable person and liked to participate in various activities. […]

• No harm, potential for more than minimal, isolatedF637Mar 26, 2026

  Based on medical record review and staff interview, the facility failed to ensure significant change assessments were completed in a timely manner following initiaition of hospice services. This affected two (#27 and #04) of two residents reviewed for hospice services. The facility census was 82.1) Review of the medical record of Resident #27 revealed an admission date of 06/22/22. The resident transferred to the hospital on [DATE] and returned to the facility on [DATE]. Diagnoses included localization-related symptomatic epilepsy, chronic obstructive pulmonary disease, and Alzheimer's disease. Review of the physician orders for Resident #27 dated 12/22/25, revealed the resident was admitted to hospice with a diagnosis of Alzheimer's disease. […]