Glen Oaks Health Campus

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 25, 2025

  Based on observation, interview, and record review, the facility failed to timely dispose of outdated food and to ensure refrigerated items were not open to air with the potential to affect 53 of 53 residents residing at the facility.Findings include: On 11/18/25 at 11:00 a.m., the facility kitchen was observed with the Dietary Manager (DM). The walk-in refrigerator was observed to have a large roll of ground beef labeled with a date received of 10/24/25. The DM indicated the roll of ground beef had not been pulled from the freezer. The plastic casing of the ground beef roll indicated to use or freeze by 11/2/25. The DM indicated the ground beef would be thrown away. On 11/21/25 at 11:45 a.m., the walk-in refrigerator was observed with the DM. […]

• No harm, potential for more than minimal, widespreadF812Mar 23, 2022

  Based on observation, interview and record review, the facility failed to ensure proper food storage related to expired and undated food in the main refrigerator and the nutrition pantry. This had the potential to affect all 52 residents that reside in the facility. Findings include: 1. A tour was conducted of the kitchen on [DATE] at 11:30 a.m. The main refrigerator was noted with the following: - Cream of chicken soup with a use by date of [DATE], - Chicken gravy with a use by date of [DATE], - Ham salad with a use by date of [DATE], - Left over soup with a use by date of [DATE], - Chicken salad with a use by date of [DATE], - Green vegetables with a use by date of [DATE], - Pureed sweet potatoes with no date, - Pasta salad with a use by date of [DATE], & - Package of 4 limes… […]

• No harm, potential for more than minimal, patternF880Nov 25, 2025

  Based on observation, interview, and record review, the facility failed to maintain infection control practices by administering a pill medication that had been dropped on a medication cart and picked up with their bare hands, and ensure hand hygiene was performed prior to donning gloves for 8 of 20 randomly observed medication administrations. ( Resident 4, Resident 10, Resident 28, Resident 40, Resident 51, Resident 53, Resident 56 and Resident 65) Findings include: 1 The clinical record for Resident 65 was reviewed on 11/20/25 at 11:26 a.m. The resident's diagnosis included, but was not limited to, heart failure. On 11/21/25 at 11:26 a.m., Registered Nurse (RN) 28 was observed administering medications to Resident 65. […]

• No harm, potential for more than minimal, patternF725Mar 23, 2022

  Based on observation, interview, and record review, the facility failed to ensure sufficient staffing that resulted in medications being administered late for 2 of 4 residents observed for medication administration and 3 residents clinical records reviewed for medication administration. (Resident 39, 51, 46, 50 and 2) Findings include: 1. An observation of medication administration was conducted with Registered Nurse (RN) 6 on 3/18/22 at 9:25 a.m. She indicated the morning medication pass times are from 6:00 a.m. until 10:00 a.m. Any medication administered after 10:00 a.m. is considered late. RN 6 was preparing medications for Resident 39 at 9:56 a.m. and didn't administer until 10:05 a.m. She documented the medications as administered late. […]

• No harm, potential for more than minimal, isolatedF609Apr 28, 2026

  Based on observation, interview, and record review, the facility failed to report a fall with injuries of unknown source, to the Indiana Department of Health, for 1 of 3 residents reviewed for reporting. (Resident B) Findings include:The clinical record for Resident B was reviewed on 4/27/26 at 12:25 p.m. The diagnoses included, but were not limited to, pulmonary embolism (blockage in a lung artery), prosthetic heart valve, and hyperlipidemia (abnormally high fats/cholesterol in the blood). The admission Minimum Data Set (MDS) assessment, dated 2/27/26, indicated Resident B was cognitively intact, used a walker/wheelchair for ambulation, required partial/moderate assistance with toileting, and was at risk for falls. […]