Glenaire

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF657Dec 31, 2025

  Based on record review and staff interviews, the facility failed to update the comprehensive care plan to include the use of bed rails. This deficient practice was identified for 4 of 4 residents reviewed for bed rails (Resident #1, Resident #6, Resident #41 and Resident #49). Findings included: a. Resident #1 was admitted to the facility on [DATE]. Resident #1's bed rail assessment dated [DATE] was signed by Nurse #1 and indicated the resident had a bed rail on the left side of his bed to serve as an enabler and promote independence. Resident #1's significant change in status Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact and the bed rail was not used as a restraint. […]

• No harm, potential for more than minimal, patternF700Dec 31, 2025

  Based on observations, record reviews, staff and resident interviews the facility failed to complete a bed rail assessment for one resident (Resident #49), failed to document consent for the use of bed rails for two residents (Resident #49 and Resident #6), failed to assess entrapment risk or document attempts for alternatives to bed rails prior to installing or using bed rails for four residents (Resident #1, Resident #6, Resident #41 and Resident #49). This deficient practice occurred for 4 of 4 residents reviewed for side rails (Resident #1, Resident #6, Resident #41 and Resident #49).Findings included: 1. Resident #1 was admitted to the facility on [DATE] with diagnoses that included congestive heart failure and below the knee leg amputation. […]

• No harm, potential for more than minimal, patternF812May 19, 2022

  Based on observations and staff interviews, the facility failed to date leftover and thawing food items and cover food in 1 of 1 kitchen walk-in refrigerator and failed to discard expired resident food in a nourishment room refrigerator (Central Hall). This had the potential to affect food served to residents. Findings included: 1. A tour was conducted of the facility kitchen on [DATE] at 11:15 AM with the executive chef. An observation of the walk-in refrigerator revealed a container of pepperoni with no label with date opened and an open plastic wrap cover, a container of pimento cheese with no label or date, a large container of cut melon with no label or date, a container of hard-boiled eggs with no label or date, two boxes of thawing chicken on the bottom shelf open to air with no… […]

• No harm, potential for more than minimal, isolatedF609Dec 31, 2025

  Based on record review and staff interviews, the facility failed to report an allegation of misappropriation of resident property to law enforcement. This deficient practice affected 1 of 3 residents reviewed for misappropriation (Resident #78).Finding Included:Resident #78 was admitted to the facility on [DATE] with a diagnosis of fracture of unspecified part of the left femur.The facility's 24 hour initial allegation report dated 1/13/2025, completed by the Director of Nursing (DON), documented that Resident #78 told a therapist she was missing $100 from her wallet. Adult Protective Services (APS) was notified. […]

• No harm, potential for more than minimal, isolatedF883Dec 31, 2025

  Based on record review, and staff, resident and Nurse Practitioner interviews, the facility failed to provide pneumococcal and influenza vaccinations to a resident with a signed consent form to receive the vaccinations. This deficient practice was identified for 1 of 5 residents reviewed for vaccinations (Resident #4).Findings included: Resident #4 was admitted to the facility on [DATE]. Resident #4's comprehensive Minimum Data Set (MDS) assessment dated [DATE] indicated moderate cognitive impairment. The assessment also showed that the influenza and pneumococcal vaccines had not been offered. Resident #4's medical record revealed no documentation of vaccination administration or any signed consent forms indicating acceptance or refusal of the pneumococcal or influenza vaccinations. […]