Glenbridge Health And Rehabilitation

In the surveyor’s words

From the most serious findings on record at Glenbridge Health And Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF551Feb 6, 2025

  Based on observation, record review, and staff, Legal Guardian, and former facility Executive Director interviews, the facility failed to exercise the rights of the Resident's Representative when Resident #115 had unsupervised visits with her son despite restricted visitation instructions from the Legal Guardian. The Legal Guardian stated, on Friday 1/24/2025, she informed the Admission's Director and the Resident Concierge Resident #115 was not to have visits from her son without supervision. Resident #115 was cognitively impaired, was adjudicated incompetent, and had history of sexual interactions with her son that included sexual intercourse, open mouth kissing, and inappropriate touching as witnessed by the previous facility's Executive Director. […]

• No harm, potential for more than minimal, widespreadF801Feb 6, 2025

  Based on observation and staff interviews, the facility failed to employ a director of food and nutrition services that met the minimum qualifications, and it affected 106 of 109 residents. Findings included: On 01/27/2025 at 10:10 AM, the Dietary Manager was interviewed and revealed that he did not have any of the following: certification as a dietary manager or food manager, national certification for food service management and safety, an associate's or higher degree in food service management or in hospitality, 2 or more years of experience in the position of Director of Food and Nutrition Services in a nursing facility setting. The Dietary Manager stated that he does have a dietician that he can consult, but he did not know her name. He stated that he could call her if needed. […]

• No harm, potential for more than minimal, widespreadF801Oct 5, 2023

  Based on staff interviews the facility failed to employ a qualified director of food and nutrition services with the competencies and skills required to carry out food and nutrition services for 88 of 88 residents. The findings included: An interview was conducted with the Dietary Manager on 10/04/23 at 12:04 PM and revealed that he had been employed by the facility for three months and was appointed the Dietary Manager position at the end of August 2023. He stated that the facility had sent him to a sister facility for three days for some training, but he had not gone through the certified dietary manager class and had no education in food and nutrition. […]

• No harm, potential for more than minimal, widespreadF812Oct 5, 2023

  Based on observations, record review, and staff interviews the facility failed to maintain the final rinse cycle of the high temperature dish machine according to manufacturer's recommendations, failed to remove expired food items from the dry goods storage area, failed to maintain a clean floor free from grease build-up and clean vent on the reach-in cooler and failed to keep the food preparation area free of chemicals and personal drinks. In addition, the facility failed to maintain the walk-in freezer free of ice build-up and failed to discard frozen food with signs of freezer burn. The facility also failed to ensure dietary staff wore hair coverings in the food preparation area. This deficient practice had the potential to affect the food served to residents. […]

• No harm, potential for more than minimal, patternF565Mar 27, 2026

  Based on record review and resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address concerns and/or suggestions voiced by residents during Resident Council meetings for 10 of 11 months reviewed (February 2025, March 2025, April 2025, May 2025, June 2025, July 2025, August 2025, October 2025, November 2025, and January 2026).Findings included:Review of the Resident Council Minutes for the period February 2025 through January 2026 revealed the following:a. […]