Glenville Health & Rehab

In the surveyor’s words

From the most serious findings on record at Glenville Health & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 26, 2026

  Based on record review and staff interview, the facility failed to ensure residents were transferred according to their assessed plan of care and/or orders. This was true for one (1) of one (1) residents reviewed for accidents during a complaint survey. Resident identifier: #68. Census: 65. This failed practice let to Resident #68 being transferred by only one staff member which resulted in harm. As a result of the inappropriate transfer, Resident #68 experienced an arterial bleed, was sent out to the hospital, and required orthopedic surgical consultation. Resident #68 ranked her pain as a 10 out of 10 at the time of the incident. […]

• Actual harm, isolatedF686Oct 24, 2024

  Based on observation, record review and staff interviews, the facility failed to provide treatment or services to prevent and heal pressure ulcers for one (1) of three (3) residents reviewed for pressure ulcers. The resident suffered actual physical harm when further avoidable facility acquired pressure ulcers developed. Resident identifier: #61 Facility Census: 63. Findings included: a) Resident #61 Resident #61 was admitted on [DATE] with the following identified skin issues noted on the Nursing Admission Evaluation dated 07/03/24: Resident #61 had a deep tissue injury measuring 5 centimeters (cm) X 4.5 cm to the left heel. Resident #61 had a pressure ulcer measuring 1 cm X 1.5 cm to the right side of the coccyx. A wound was also noted on the left-hand middle finger. […]

• No harm, potential for more than minimal, patternF610Aug 26, 2026

  Based on policy review, record review, and staff interview, the facility failed to ensure complete and thorough investigations were completed for an injury of unknown origin and resident-to-resident physical abuse incidents. This was true for three (3) of four (4) residents sampled for abuse concerns during the complaint survey process. Resident Identifiers: #67, #65, #60 and #23. Facility Census: 65.a) Policy Review A review of the facility policy titled Abuse, with a revision date of 10/20/22, revealed Part Six (6) Section A read as follows: -The organization will maintain systems to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not… […]

• No harm, potential for more than minimal, patternF644Apr 16, 2026

  Based on record review and staff interview, the facility failed to enusre they referred a resident with a newly evident mental disorder to the appropriate state-designated authority for review. This was found to be true for three (3) of eight (8) residents sampled during the long term care survey process. Resident identifiers: #3, #5, #12. Facility census: 63 Findings included: a) Resident #3 Resident #3 was admitted to the facility on [DATE].The resident had the following diagnoses on admission: -PARKINSON'S DISEASE WITHOUT DYSKINESIA, WITHOUT MENTION OF FLUCTUATIONS 07/25/25 Principal Diagnosis admission POST-TRAUMATIC STRESS DISORDER, CHRONIC Medical Management 07/25/25 History During the stay at the facility, the resident had a new diagnosis of: -MAJOR DEPRESSIVE DISORDER, SINGLE… […]

• No harm, potential for more than minimal, patternF645Apr 16, 2026

  Based on record review and staff interviews, the facility failed to ensure that the resident's Pre-admission Screening (PAS) reflected pre-admission diagnoses for four (2) of eight (8) resident reviewed for the category of PASARR, during the long-term care survey. Resident identifiers: #4, and #5, Facility Census: 63. a) Resident #5 This resident was first admitted to the facility on [DATE], with a re-admission date of 07/17/24. Upon admission, the resident had these diagnoses: -ALZHEIMER'S DISEASE, UNSPECIFIED 3/4/2021 Principal Diagnosis admission -UNSPECIFIED CONVULSIONS 03/3/2021 admission -MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED 03/03/2021 admission The PASARR was completed on 03/01/21 in an acute care facility. The PASARR did not contain any of the above diagnoses. […]