Glenhaven

In the surveyor’s words

From the most serious findings on record at Glenhaven, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 5, 2026

  Based on observation, interview, and record review, the facility did not ensure that 1 of 3 residents (R) reviewed for pressure injuries (PI) (R2) received care consistent with professional standards of practice to prevent further deterioration and promote healing of an existing PI. R2 was at risk for PI development. The facility failed to provide adequate and consistent wound care treatments, comprehensive interventions to R2's care plan, and did not document progression of staged PI. Findings include: Facility policy titled Pressure Areas, last revised 01/22, stated in part, .1. Area in question is assessed by nurse and temporary care plan initiated with initial intervention to reduce pressure. #2. New Braden scale to be completed by nurse.#3. […]

• No harm, potential for more than minimal, widespreadF804Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to provide palatable food served at safe appetizing temperatures. This has the ability to affect all 31 of the facility's residents. Review of resident council minutes and the resident council meeting reveal residents' concerns over meal temperatures. Observation at meals time revealed that foods were not held at proper holding temperatures; hot foods were not held hot, and cold liquids were not held cold. This is evidenced by: On 03/03/2026 at 2:00 PM, Surveyor reviewed Resident Council Meeting Minutes from December 2, 2025, which state in part; Food temps are cold. […]

• No harm, potential for more than minimal, widespreadF812Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to prepare and distribute food under sanitary conditions. This has the ability to affect all 31 of the facility's residents.Staff washing dishes contaminated their uniform. Staff doing dishes were observed going between dirty and clean items with no hand antisepsis. Staff were observed to change gloves with no hand antisepsis.Staff were observed to touch ready to eat foods with contaminated gloves.Food was carried down halls and from unit to unit uncovered then delivered to residents. Food not stored in its original container was not labeled with identifying information or open date. […]

• No harm, potential for more than minimal, widespreadF812Dec 11, 2024

  Based on observation, interview and policy review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. When staff heated up Resident (R) 124's food in the microwave, staff did not check to ensure the food was at safe eating temperatures. In the kitchen refrigerator there was food that was not dated appropriately to ensure food safety. This has the potential the affect all 19 of 19 residents (R) residing in the facility. Findings include: Example 1 Facility Policy titled, Food temperatures, states, 6. To take hot food temperature, insert the thermometer at 45 degree angle to the middle of the food items taking care not to touch the container or bone if it has one. […]

• No harm, potential for more than minimal, widespreadF851Dec 11, 2024

  Based on interview and record review, the facility did not ensure the mandatory staffing data that had been submitted from 01/01/24-09/30/24 was complete, accurate, and auditable. The submitted data from 01/01/24-09/30/24 was not complete, accurate, or auditable. This has the ability to affect all 19 of 19 residents in the facility. This is evidenced by: The Payroll Based Journal (PBJ) Staffing Data Reports that were generated quarterly document that the facility triggered No RN Hours for the dates of 01/08/24 (MO), 02/02/24 (FR), 03/15/24 (FR), 03/29/24 (FR). […]