Glen Oaks Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Nov 8, 2023

  48181 Based on observation, staff interviews and facility policy review, the facility failed to store food in accordance with professional standards for food service safety related to food items not dated with a use-by-date, food items without an identifying label, and food items opened and exposed for one (1) of three (3) kitchen observations. Findings Include: A review of the facility's Food Storage Labeling Policy, revised ,d+[DATE], revealed, .The facility will ensure the safety and quality of food by following food storage and labeling procedures . 1. All food items that are not in their original containers must be labeled: 4. a. Common name b. Date of preparation or Use By Date c. Example: Food prepared on ,d+[DATE] must be used or discarded by ,d+[DATE] . […]

• No harm, potential for more than minimal, patternF561Nov 8, 2023

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure the resident's right to make choices that are significant to the residents, as evidenced by not accommodating residents with their smoking choices/preferences of more than one (1) cigarette per break or more than two (2) smoke breaks per day for three (3) of three (3) sampled residents that smoke. Resident #15, Resident #21, and Resident #29 Findings include: A review of the facility's policy Resident Rights, undated, revealed . Policy Interpretation and Implementation . 2. Residents are entitled to exercise their rights to the fullest extent possible . A review of the facility's document Consent and Release for Smoking/Vaping, undated, revealed . […]

• No harm, potential for more than minimal, isolatedF628Jul 30, 2026

  Based on interview, record review, and facility policy review, the facility failed to provide the resident representative with written notice containing the required transfer information when the resident was transferred to the hospital with return anticipated for one (1) of two (2) residents reviewed for hospitalization. (Resident #38).Findings include:A review of the facility's policy, Transfer or Discharge Notice revised November 2023, revealed, .Policy Interpretation and Implementation.5. The resident and representative will be notified in writing of the following information. a. The specific reason for the transfer or discharge. f. The effective date of the transfer. g. […]

• No harm, potential for more than minimal, isolatedF656Jul 30, 2026

  Based on observation, staff interviews, record review, and facility policy review, the facility failed to develop and implement comprehensive person-centered care plans, as evidenced by failing to develop a comprehensive care plan for a resident with an active urinary tract infection (UTI) (Resident #27) and failing to implement an existing comprehensive care plan for oxygen therapy (Resident #28) for two (2) of (12) residents reviewed for comprehensive care planning. Findings include: A review of the facility's policy titled, Using the Care Plan revealed, The care plan shall be used in developing the residents daily care routines and will be available to staff personnel who have the responsibility for providing care to the resident. […]

• No harm, potential for more than minimal, isolatedF658Jul 30, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to provide care and services in accordance with physician orders by administering oxygen at a flow rate different from the physician-ordered oxygen therapy for one (1) of (1) resident reviewed for oxygen therapy. (Resident #28). Findings include:A review of the facility's policy titled, Oxygen Administration revised October 2010, revealed .The purpose of this procedure is to provide guidelines for safe oxygen administration.review physician orders.for oxygen administration.A review of the facility's policy titled, Conformity with laws and Professional Standards revised April 2007, revealed Our facility operates and provides services in compliance with. […]