Glen Rose Nursing and Rehab Center

In the surveyor’s words

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

• Actual harm, isolatedF600May 11, 2025

  Based on interview and record review, the facility failed to keep the residents free from abuse, neglect, misappropriation of resident property, and exploitation for 2 (Resident #1, Resident #2) of 7 residents reviewed. The facility failed to prevent Resident #2 from being slapped by her spouse which led to redness to the cheek. The facility failed to prevent verbal abuse to Resident #1 by a hospitality aide (HA). The noncompliance was identified as PNC. The noncompliance began 3/2/25 and ended on 4/24/25. The facility had corrected the noncompliance before the investigation began. This failure could place the residents at risk of physical harm, pain, or mental anguish. […]

• Actual harm, isolatedF689Jan 5, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents reviewed for accidents. (Resident #1) The facility did not ensure Resident #1 had the chair/bed alarm in place while resident #1 was sitting in the reclining chair. The resident fell and fractured her nose. This failure could place the only resident using a bed/chair alarm as an assistive device at risk for accidents or falls. […]

• No harm, potential for more than minimal, widespreadF812Oct 10, 2024

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed, in that: The facility failed to ensure: 1. All opened items in the freezer, refrigerator, and dry food storage were dated and labeled and free from expired foods. 2. The ice machine was cleaned properly. These failures could place residents at risk for food borne illness and cross-contamination. Findings included: During observation on [DATE] at 10:15 AM the facility kitchen revealed: Refrigerator #1 of 2 1 container of sliced pickles, outside the original container and covered with plastic wrap, unlabeled, or dated. […]

• No harm, potential for more than minimal, widespreadF812Aug 10, 2022

  Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure foods were sealed and/or labeled properly in refrigerators and dry storage. The facility failed to ensure all food was not past expiration date. The facility failed to ensure food temperatures were taken correctly and food temperatures were held at or above 140 degrees. The facility failed to ensure that staff utilized proper personal hygiene practices. The facility failed to ensure that kitchen staff did not modify face coverings and ensured the mask covered both mouth and nose. […]

• No harm, potential for more than minimal, widespreadF812May 20, 2021

  Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 62 of 63 residents who eat from 1 of 1 kitchen's reviewed. 1.Foods were not sealed and/or labeled properly in dry food storage, refrigerators. These failures could place residents who eat out of the kitchen at risk for contamination and/or food borne illnesses. Findings included: In an observation on 05/18/2021 at 8:52 AM of the 1 kitchen with the Dietary Manager (DM) revealed: Refrigerator #1 1. One pitcher of light-colored liquid not labeled or dated 2. One pitcher of light brown colored liquid labeled tea and not dated 3. One pitcher of orange colored liquid not labeled or dated. 4. […]