Glendale Home-Schdy Cnty Dept Social Services

In the surveyor’s words

From the most serious findings on record at Glendale Home-Schdy Cnty Dept Social Services, in the surveyor’s own words.

• Actual harm, isolatedF689May 4, 2026

  Based on record review and interviews conducted during survey, the facility failed to ensure each resident received adequate supervision to prevent accidents for one (Resident # 3) of three residents reviewed. Specifically, Resident #3 who was at high risk for falls and at risk for bleeding, fell out of bed with no injury on 05/25/2023, while care was provided by one Certified Nurse Aide per care planned interventions. The facility failed to (a.) reassess the resident's risk for falls, (b.) assess the resident for safe bed mobility with one staff, and (c.) implement new interventions to mitigate the risk of an accident. […]

• No harm, potential for more than minimal, patternF686May 4, 2026

  Based on record review and interviews conducted during a survey, the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice for three (3) (Resident #s 3, 2, and 7) of 4 residents reviewed. Specifically, (a.) (1.) Resident #3's pressure ulcer on the left heel had inconsistent wound staging (performed to indicate the characteristics and extent of tissue injury) from 8/03/2023 to 9/22/2023, (2.) a pressure ulcer on the right heel had treatment orders and did not have any weekly wound assessments, and (3.) a pressure ulcer on the back of the lower left leg had a treatment order and did not have weekly wound assessments, (b.) (1.) Resident #2's pressure ulcer on the coccyx identified on… […]

• No harm, potential for more than minimal, patternF755Apr 28, 2026

  Based on record reviews and interviews conducted during the survey, the facility failed to maintain and account for all controlled substances in accordance with professional standards of practice. Specifically, the narcotic count record signature sheet for three (3) of five (5) units were incomplete. Findings include: A review of narcotic count record book for unit Mohawk Trail side A cart documented blank spaces for Off going nurse did not sign for 04/20/2026 at 03:00 PM A review of narcotic count record book for unit Mohawk Trail side B cart documented blank spaces for On coming nurse did not have documented evidence of signature for 04/15/2026 at 03:00 PM Off going nurse did not have documented evidence of signature for 04/15/2026 at 11:00 PM A review of narcotic count record book for… […]

• No harm, potential for more than minimal, patternF812Apr 28, 2026

  Based on observation and interview during the survey, the facility failed to ensure that food was stored, prepared, distributed, or served following professional standards for food service safety in the main kitchen and in 2 (two) of 5 (five) kitchenettes/nourishment stations. Specifically, proper dating of open items was not followed, and expired food items were found stored ready for use in the refrigerators and freezers. Findings include: Policy titled, Food Safety Policies and Standards revised 05/31/2025 documented refrigerated, ready to eat TCS (Time/Temperature Control for Safety) food prepared and held in a food establishment for more than 24 hours must be clearly marked with a use by/discard date. […]

• No harm, potential for more than minimal, patternF880Apr 28, 2026

  Based on observation, record review, and interview conducted during the survey, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (2) (Resident #'s 28 and 137) of four (4) residents reviewed for infection control practices. Specifically, 1.) Certified Nurse Aide # 1 failed to utilize Enhanced Barrier Precautions during resident care, increasing the risk of cross- contamination. […]