Glenview Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Glenview Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Oct 5, 2023

  42971 Based on interviews and record reviews, the facility failed to ensure the resident has the right to be free from neglect for one (Resident #1) of 6 residents reviewed for neglect. The facility failed to provide necessary x-ray services in a timely manner and failed to follow up to get results in a timely manner for Resident #1. The facility failed to provide education and training for nursing staff on how to carry out carry out physician orders for x-rays and follow up on the results in a timely manner. The facility failed to follow their policies for laboratory, diagnostic and radiology services and physician orders. Resident #1 fell on [DATE] at 2:00 PM and sustained an injury, the order for an x-ray was obtained on 9/28/2023 at 5pm. […]

• Immediate jeopardy, patternF726Oct 5, 2023

  Based on interview and record review, the facility failed to have sufficient nursing staff with the appropriate competencies and skills sets 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, as determined by resident assessments and individual plans of care and considering acuity of the facility residents for 4 ( LVN A, LVN B, LVN C, and ADON) of 6 nurses reviewed for competency, in that : The facility failed to ensure: - LVN B carried out an x-ray for Resident #1. - RN C followed up with the x-ray order for Resident #1. - LVN A followed up with the x-ray order in timely manner and to get results for Resident #1. […]

• Immediate jeopardy, patternF776Oct 5, 2023

  Based on interview and record review the facility failed to provide radiology or other diagnostic services to meet the needs of its residents in a timely manner for 1 (Resident #1) of 6 residents reviewed for radiology services. 1. The facility failed to ensure that an x-ray was completed in a timely manner for Resident #1 2. The facility failed to follow up to get Resident #1's x-ray results in a timely manner. Resident #1 had an unwitnessed fall on 9/28/23 at 2pm and sustained an injury, The order for an x-ray was obtained on 9/28/23 at 5pm. The x-ray was completed on 9/29/23 at 1:15pm (20 hours delay). The facility was aware of results on 9/29/23 at 8:00 PM. Resident #1 had a fracture to the right hip. […]

• Immediate jeopardy, isolatedF689Mar 28, 2024

  48122 48177 Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents for one of seven residents (Resident #2) reviewed for accidents and supervision . The facility failed to ensure Resident #2 was transferred by two staff, which resulted in a fall with fracture of her distal left Femur (a distal femur is a fracture of the thighbone that occurs just above the knee joint) on 01/19/24 . The noncompliance was identified as PNC. The IJ began on 01/19/24 and ended on 01/22/24. […]

• Immediate jeopardy, isolatedF689Mar 31, 2021

  Based on observation, interview and record review, the facility failed to ensure residents received adequate supervision to prevent accidents and elopements for one (Resident #1) of seven residents reviewed for supervision. The facility failed to provide Resident #1 adequate supervision to prevent elopement after he displayed exit seeking behavior and elopement attempts. Resident #1 eloped on [DATE] and was found by the police. An Immediate Jeopardy (IJ) was identified on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at a severity level of no actual harm with a potential for more than minimal harm and a scope of isolated due to the facility still monitoring the effectiveness of their Plan of Removal. […]