Glendale Post Acute Center

In the surveyor’s words

From the most serious findings on record at Glendale Post Acute Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Dec 19, 2024

  42854 42878 During observations, interviews, and record reviews, the facility failed to implement an ongoing infection prevention and control program (IPCP) to prevent, control the onset and spread of gastrointestinal (GI, the organs of the body that play a part in food digestion) infection, for 26 of 106 sampled residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 ,11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, and 26),and 16 of 150 facility staff (CNAs 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, LVNs 1, 3, 4, and Ancillary Staff 1, who presented with GI illness (conditions affecting the digestive system) from 12/5/2024 to 12/18/2024 (14 days) by failing to: 1. […]

• Immediate jeopardy, patternF600Aug 30, 2024

  Based on interview and record review, the facility failed to ensure 3 of 3 sampled residents (Residents 2, 6, and 7) residing at the facility were free from sexual abuse (non- consensual [something is not agreed to by one or more of the people involved] sexual contact) from Resident 1, who had a diagnosis of Alzheimer ' s disease ((a brain condition that causes a progressive decline in memory, thinking, learning and organizing skills), by failing to: 1. Protect Resident 6 from nonconsensual sexual contact (any physical contact with another person of a sexual nature without effective consent) when Resident 1 grabbed Resident 6 ' s left arm and pulled down Resident 6 ' s sleeve on [DATE]. 2. […]

• Immediate jeopardy, patternF600May 19, 2022

  Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 1) who had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] 1. Follow up the discharge order of the General Acute Care Hospital (GACH) physician when Resident 1 was readmitted back to the facility on [DATE] to see an [CONDITION(S)] provider (Infectious Disease physician). 2. Administer antiretroviral therapy (ART, medication treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Immediate jeopardy, isolatedF600Feb 26, 2025

  Based on observation, interview, and record review the facility failed to protect the resident's right to be free from sexual abuse (a non-consensual sexual contact of any type with a resident) by Certified Nurse Assistant (CNA) 1 on 2/21/2025, as evidenced by a video recording showing, CNA 1 pull his penis out and used Resident 1's hand, stroke his (CNA 1) penis. CNA 1 stated he stroked Resident 1's penis until he (Resident 1) ejaculated (the release of semen through the penis during orgasm [the height or peak of sexual arousal]) then used Resident 1's blanket to clean the resident. This deficient practice resulted in Resident 1 being sexually abused by CNA 1 on 2/21/2025. […]

• Actual harm, isolatedF689Jun 12, 2025

  Based on interview and record review, the facility failed to identify the provision of monitoring and supervision to prevent abuse and intoxication of illicit/recreational drugs ([street drugs] refers to the use and misuse of illegal and controlled drugs) for one of two sampled residents (Resident 1) reviewed for substance abuse, and with a recent history of taking recreational drugs by failing to: 1. Accurately assess, monitor, and develop interventions to provide additional monitoring and ensure the safety of Resident 1 who had a history of methamphetamine (meth - a powerful synthetic stimulant drug with a high potential for addiction) use for potential of continued meth use when Resident 1 tested positive for amphetamine as indicated in the General Acute Care Hospital (GACH 1)… […]