Glenvue Health and Rehab

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 7, 2021

  Based on observation, record review, staff and resident interviews, facility staff failed to provide supervision and assistance for one of 11 residents reviewed for accidents. Actual harm occurred when R#2 sustained [CONDITION(S)] to his right thigh after spilling coffee on himself when he was allowed to self-transport hot coffee via wheelchair without staff assistance. Findings include: 1. Record review of the medical record for R#2 documented an admitted [DATE]. R#2 was admitted with the following diagnoses polyneuropathy diseases classified elsewhere, [CONDITION(S)] disease classified elsewhere, [NAME] Disease, hypertension. […]

• No harm, potential for more than minimal, widespreadF803Apr 17, 2025

  Based on observations, staff interview, and record review, the facility failed to ensure that the preplanned menu portion serving sizes and standardized recipes were followed. Failure to meet these requirements altered the intended calorie and nutritional content of the meal offered and could place residents at risk for weight loss and health complications associated with malnutrition. The deficient practice had the potential to affect all residents who receive an oral diet from the kitchen. Findings include: On 04/15/25 at 4:45 PM, [NAME] (C) 3 was observed setting up the tray line for the meal service. […]

• No harm, potential for more than minimal, widespreadF812Apr 17, 2025

  Based on observations, staff interviews, and record review, the facility failed to ensure food was stored, prepared, and distributed under sanitary conditions; as evidenced by failure to ensure food preparation equipment was stored under sanitary conditions; and ensure food storage areas were kept clean and sanitary. In addition, the facility failed to ensure foods were cooked to the appropriate temperature before placing them in a warmer (a low temperature oven intended to hold hot food), and failure to ensure ready to eat foods were handled in a manner that prevented contamination. The deficient practice increased the risk for all residents residing in the facility who receive a diet from the kitchen could experience a food borne illness. […]

• No harm, potential for more than minimal, widespreadF886Feb 17, 2022

  Based on observations, interviews, record reviews, and facility documents the facility failed to test residents and staff for the COVID-19 virus the required number of times per week based on recommendations from the Centers of Disease Control (CDC), The Centers for Medicare and Medicaid (CMS) and the level of community transmission rates. The facility was considered in an Outbreak Status starting on December 28, 2021 and had a community transmission rate above the 10% . This deficient practice affected five of five residents (R#1, R#10, R#11, R#12, and R#13) sampled and five of five staff sampled. […]

• No harm, potential for more than minimal, widespreadF725Jul 7, 2021

  Based on resident interviews, staff interviews, and review of the facility staffing/assignment sheets, review of the facility census, review of the facility 's Staffing Roster and form titled, Online Time and Attendance (Payroll detail), and review of the Facility Assessment Tool the facility failed to ensure sufficient staffing to provide quality of care to meet the needs of the residents. This deficient practice had the potential to affect all 99 residents in the facility. Findings include: Record review of the facility assessment document titled Facility Assessment Tool, the document stated The tool is organized in three parts (1). Resident profile including numbers, diseases conditions, physical and cognitive disabilities, acuity and ethnic/cultural/religious factors that impact care. […]