Glen Ridge Health Campus

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF887Jun 18, 2026

  Based on interview, record review and facility policy review, the facility failed to maintain staff documentation of screening, education, offering, and current COVID-19 vaccination status for all staff members.The findings include:Review of the facility's policy, COVID-19 Health Care Staff Vaccination revised 11/10/2025, revealed under Tracking and Monitoring 1. The facility must develop and maintain a tracking system for facility staff regarding COVID-19 vaccination. 2. Tracking system to include: a. Facility staff member (to include all categories listed above under Facility Staff b. Specific vaccine received including manufacturer and date of each dose or date of next scheduled dose. C. Booster information including date of booster and manufacturer. d. […]

• No harm, potential for more than minimal, patternF607Jun 18, 2026

  Based on interview, record review and facility policy review, the facility failed to implement written policies and procedures that prohibited and prevented abuse, neglect, exploitation of residents, and misappropriation of residents' property. The facility failed to run background, Office of Inspector General (OIG) Abuse Registry, and Kentucky Adult Caregiver Misconduct (KACMR) checks prior to start dates for 6 of 10 employees.The findings include: Review of the facility's policy, Abuse, Neglect and Exploitation Procedural Guidelines, revised 12/16/2024, revealed the facility would, screen all potential employees for a history of abuse, neglect or mistreatment of patients during the hiring process. It will consist of but not limited to the following: 1. State licensing authorities 2. […]

• No harm, potential for more than minimal, patternF759Jun 5, 2025

  Based on observation, interview, record review, facility policy review, and review of manufacturer's information, the facility failed to ensure the medication error rate was less than 5 percent (%). The facility had 4 medication errors out of 26 total opportunities, affecting 2 of 3 residents reviewed during the medication administration task (Resident (R)54 and R58), which resulted in a medication (med) error rate of 15.38 %. The findings include: Review of the facility policy titled, Medication Administration - General Guidelines, revised 11/2018, revealed medications were to be administered as prescribed in accordance with good nursing principles and practices and only by persons legally authorized to do so. […]

• No harm, potential for more than minimal, isolatedF600Jun 5, 2025

  Based on interview, record review, and facility document and policy review, the facility failed to protect a resident's right to be free from mental abuse perpetrated by a staff member for 1 of 2 sampled residents reviewed for abuse, out of the total sample of 16. The findings include: Review of the facility policy titled, Abuse and Neglect Procedural Guide, reviewed 08/29/2019, revealed the facility was to protect residents from abuse. Further review revealed Mental/Emotional Abuse was defined as the use of verbal or nonverbal conduct which caused or had the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation, or degradation. […]

• No harm, potential for more than minimal, isolatedF609Jun 5, 2025

  Based on interview, record review, and facility document and policy review, the facility failed to submit an initial report of an allegation of staff-to-resident abuse to the State Survey Agency (SSA) within two hours for 1 of 2 sampled residents reviewed for abuse (Resident (R)214). The findings include: Review of the facility policy titled, Abuse and Neglect Procedural Guide, reviewed 08/29/2019, revealed Mental/Emotional Abuse was defined as using verbal or nonverbal actions which caused or had the potential to cause a resident to experience humiliation, intimidation, fear, shame, agitation, or degradation. […]