Glengariff Health Care Center

In the surveyor’s words

From the most serious findings on record at Glengariff Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 19, 2022

  Based on record review and interviews conducted during the Abbreviated survey (NY 320) completed on 4/19/2022, the Facility did not ensure residents rights to be free from sexual abuse. This was identified for 2 (Resident #1 and # 2) of 4 residents reviewed for abuse. Specifically, Certified Nursing Assistant (CNA) #1 inappropriately touched Resident #1 and Resident #2 while providing routine care. This resulted in actual psychosocial harm to Resident #2 that was not an immediate jeopardy. The Findings are: The Abuse policy dated 2/22/2021 documented that each resident has the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, mistreatment, neglect, exploitation, and misappropriation of property. […]

• No harm, potential for more than minimal, patternF725Nov 19, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 09/11/2025 and completed on 09/18/2025, the facility did not ensure that there was sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified on one (1) (Unit 2) of six (6) resident units reviewed for the Sufficient Nursing Staffing Task. Specifically, the Centers for Medicare and Medicaid Services Payroll-Based Journal Staffing Data Report for Fiscal Year Quarter Three (3) 2025 (April 1st- June 30th) indicated that the facility had excessively low weekend staffing. […]

• No harm, potential for more than minimal, patternF610May 7, 2024

  Based on record review and interviews during the Recertification Survey and Abbreviated Survey (NY 00337626) initiated on 4/29/2024 and completed on 5/7/2024, the facility did not ensure that all incidents including the injury of unknown origin were thoroughly investigated. This was identified for two (Resident #530 and Resident #140) of six residents reviewed for Accidents and for one (Resident #133) of three residents reviewed for Abuse. Specifically, 1) on 2/16/2024 Resident #530 was found on the floor and sustained a hematoma (bruising) to the forehead and skin tears on both arms. The facility did not thoroughly investigate the incident to identify the root cause and to rule out Abuse, Neglect, and Mistreatment. […]

• No harm, potential for more than minimal, patternF755May 7, 2024

  Based on observations, record review, and interviews during the Recertification Survey initiated on 4/29/2024 and completed on 5/7/2024, 1) the facility did not ensure that 1) medications were administered within one hour of the ordered administration time on two (Unit 2 [NAME] and Unit 1 West) of four units during unit observations, and 2) the drug records were in order and accounted for all controlled drugs on one (Unit [NAME] 1) of six units observed during the medication storage task. […]

• No harm, potential for more than minimal, patternF759Aug 9, 2022

  Based on observations, record review, and interviews, conducted during the Recertification Survey initiated on 8/2/2022 and completed on 8/9/2022, the facility did not ensure that the facility's medication error rates are not five percent or greater. This was identified for 15 of 25 opportunities during a medication pass observation resulting in a 60% medication error rate. Specifically, 1) Resident #109 did not receive the Physician ordered 9 AM medications until 12:20 PM. 2) Resident #433 did not receive the Physician ordered 9 AM medications until 12:50 PM. 3) Resident # 150 did not receive the Physician ordered 9 AM medications until 1 PM. […]