Glenwood Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 28, 2024

  Based on observation, interview, the facility's Diet Type Report, the 2022 Food Code, the facility's Labeling and Dating Inservice, and the facility's policies for Food Storage: Cold Foods and Meal Distribution; the facility failed to ensure thawed nutritional shakes had Use By dates, two shelves in the Walk-in Freezer were at least six inches from the floor, cups being used for Dinner service on 02/25/2024 were not placed rim down directly atop a cart with spillage upon it, and two gallons of milk, with a manufacturer's date of 02/26/2024, were not labeled with a Use By date of 02/29/2024, This had the potential to affect 117 of 117 residents receiving meals from the facility kitchen. […]

• No harm, potential for more than minimal, widespreadF908Feb 28, 2024

  Based on observation, interview, the facility's Diet Type Report, the 2022 Food Code, and the facility's maintenance work orders; the facility failed to maintain the Walk-in Freezer door in working order. This had the potential to affect 117 of 117 residents receiving meals from the facility kitchen. Findings include: The United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code included the following: . 4-501.11 Good Repair and Proper Adjustment. (A) EQUIPMENT shall be maintained in a state of repair . (B) EQUIPMENT components such as doors . shall be kept intact, tight, and adjusted . A facility maintenance service request for the Walk-in Freezer, dated 07/02/2023, resulted in the following service report from a visit on 07/12/2023: . […]

• No harm, potential for more than minimal, patternF803Feb 28, 2024

  Based on observation, interview, the facility's Diet Type Report, the facility's Tuesday, Week 2 Menu, the facility's Portion Control Chart, and the facility's policy, Menus; the facility failed to ensure 4-ounce portions of Applesauce were prepared for service to the Dysphagia Advanced Diets and the Pureed Diets prior to Lunch on 02/27/2024. This had the potential to affect 35 of 117 residents receiving meals from the kitchen. Findings include: The facility's Menus policy, dated October 2022, included the following: . Policy Statement Menus will be planned in advance to meet the nutritional needs of the residents/patients in accordance with established national guidelines. Procedures . 6. […]

• No harm, potential for more than minimal, patternF602Sep 23, 2022

  Based on observations, interviews, record reviews, and review of a facility policy titled, Controlled Substance: Management Of, it was determined the facility failed to ensure residents' narcotic medications were not misappropriated by facility staff for 8 (Resident Identifier [RI] #12, RI #14, RI #15, RI #16, RI #17, RI #18, RI #19, and RI #4) of 10 residents reviewed for misappropriation. This failure had the potential to affect any resident with physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] Finding include: The facility policy titled, Controlled Drugs, Management of, revised on 06/01/2021, revealed, All staff who administer medications will safeguard controlled drugs. […]

• No harm, potential for more than minimal, patternF755Sep 23, 2022

  Based on record review, interviews, document review, and review of a facility policy titled, Controlled Drugs, Management of, the facility failed to ensure an effective system was established to verify accurate receipt of all controlled drugs for 2 (Resident Identifier [RI] #11 and RI #13) of 10 residents reviewed for misappropriation of medications. The failed practice had the potential to affect any resident with physician's orders for narcotic medications. Findings included: Review of a facility policy titled, Controlled Drugs, Management of, revised on 06/01/2021, revealed, All staff who administer medications will safeguard controlled drugs. This policy applies to all medications listed in Schedule II through IV of the Comprehensive Drug Abuse Control Act of 1970. […]