Glendale Gardens Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Glendale Gardens Nursing & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 26, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards of practice and protect all food from possible contamination when the facility staff failed to clean the microwave used to reheat resident food, the hand washing sink, the doors and adjacent walls of the walk-in freezer and cooler, the hot chocolate machine, the dust off ceiling vents, and the side of the dishwashing area. The facility failed to repair chipped paint around ceiling vents in the food service area and repair the floor under a food preparation table and three vat sink to ensure it was a cleanable surface. […]

• No harm, potential for more than minimal, widespreadF812Nov 5, 2021

  Based on observation, interviews, and record review, the facility failed to protect food from possible contamination when shelves in the kitchen and walk-in refrigerator were kept clean, when dishes were stacked while still wet, and when dented cans were stored with other food items to be used. The facility census was 79. 1. Record review of the facility policy, Nutrition and Dining Service Manual, Section 8, Sanitation, dated April 2011, showed the following: -Dish room work surfaces must be maintained in a clean and sanitary condition; -All items are to be air dried; -No moisture can be found on any stacked item; -All items must be stored inverted, covered, or stacked with top of dish/tray inverted; -Pots, pans and utensils will be air dried before being stored or will be stored in a… […]

• No harm, potential for more than minimal, widespreadF921Nov 5, 2021

  Based on observation and interview, the facility staff failed to ensure all hoses which extended below the flood plane had a backflow preventer. This had the potential to contaminate the entire facility's potable water supply. The facility staff failed to ensure the resident's bathroom doors were free of gashes. The facility had a census of 79. 1. Observation on 11/2/21, starting at 10:30 A.M., showed no backflow preventer devices on the hoses located in the following rooms that could extend below the flood plane: - A101; - A103; - A105; - A109; - B201; - B205; - B207; - B209; - B213; - C-hall main shower room; - C305; - C307; - C309; - C311; - C313; - D400; - D403; - D405; - D409; - D411; - D417. […]

• No harm, potential for more than minimal, patternF689Dec 11, 2025

  Based on observation, interview, and record review, the facility failed ensure an environment as free from accident hazards as possible when staff failed to analyze and identify the risks for falls, failed to implement new intervention to prevent future falls, and failed to care plan regarding new falls for three residents (Resident #1, #3, and #4) that sustained falls. The facility census was 93. Review showed the facility did not provide a policy regarding falls. Review of the facility policy titled Care Plan Comprehensive, undated, showed the following:-An individual comprehensive care plan should include measurable goals and timeframes;-The comprehensive care plan will be based on a thorough assessment that includes, but is not limited to the Minimum Data Sheet (MDS - a federally… […]

• No harm, potential for more than minimal, patternF561Dec 10, 2025

  Based on observation, interview, and record review, the facility failed to promote and facilitate each resident's right of self-determination in support of resident choice when staff failed to honor resident preferences for shower frequency for four residents (Resident #6, #11, #23, and #33). The facility census was 91.Review of the facility procedure for Bath/Shower, undated, the purpose of a shower is to maintain the resident's skin integrity, comfort, and cleanliness.1.Review of Resident #6's face sheet showed the following:-admission date of 02/23/14;-readmission date of 02/23/23;-Diagnoses included cerebral palsy (a group of conditions that affect movement and posture), spastic hemiplegia (a neuromuscular condition that results in the muscles on one side of the body being contracted)… […]