Glenwood Health Center by Harborview

In the surveyor’s words

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

• Immediate jeopardy, isolatedF656Oct 11, 2024

  Based on observations, record review, resident and staff interviews, and review of the policy titled Comprehensive Care Plans, the facility failed to develop and/or implement the person-centered care plan for six residents (R) (R71, R266, R19, R25, R111, R118) reviewed for smoking. In addition, the facility failed to develop a care plan for one resident (R172) related to Post Traumatic Stress Disorder (PTSD). The facility's failures created potential risks for the safety and well-being of the residents. The sample size was 102 residents. […]

• Immediate jeopardy, isolatedF689Oct 11, 2024

  Based on observations, record review, resident and staff interviews, and review of the facility's policy titled Smoking Policy - Residents, and Resident Smoking and Banned Item List and Safe Water Temperatures and Oxygen Storage, the facility failed to ensure that the environment and facility were free from potential accident hazards for residents and staff. Specifically: 1. Immediate Jeopardy was identified for facility's failure to enforce the smoking policy and Banned Item List for eight of 44 sampled residents reviewed for smoking (R) (R71, R266, R145, R365, R25, R111, R118, R19); 2. Failed to ensure three residents (R83, R60, and R91) were not allowed to keep hazardous materials in their rooms; 3. […]

• Immediate jeopardy, isolatedF835Oct 11, 2024

  Based on observations, record review, interviews, review of the Administrator Job Description and Director of Nursing Job Description, and review of the policy titled Smoking Policy - Residents, the facility administration failed to provide oversight and monitoring of the facility operations related to enforcement of its smoking policy and failed to ensure that licensed nursing staff were knowledgeable and competent to assess residents and implement care plans for smoking. The facility's failures created potential risks for the safety and well-being of the residents. The census was 210 residents. Specifically 1. […]

• Actual harm, isolatedF689Jan 3, 2026

  Based on record review, interviews, and a review of the facility policy titled Fall Prevention Program, the facility failed to implement fall interventions to prevent falls for one of two sampled residents (R) (R18) reviewed for falls. Harm was identified to have occurred on 10/28/2025, when R18 sustained a fall, causing a laceration to R18's head, a nontraumatic intracranial (within the skull) hemorrhage (bleeding), and a nontraumatic subarachnoid (fluid-filled space around the brain through which major blood vessels pass) hemorrhage, which required hospitalization.Findings included:A review of the facility policy titled Fall Prevention Program, revised 1/1/2025, revealed that each resident will be assessed for fall risk and will receive care and services in accordance with their… […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2025

  Based on observations and staff interviews, the facility failed to ensure the vents directly over the food preparation areas were free from dirt and debris and failed to prevent flies from contaminating the prepared food. This failure has the potential to affect 194 residents that consume the food prepared in the kitchen.Findings include:During an observation on 7/22/2025 at 11:25 am, a fly was observed on a carton that was sitting on the food preparation station/area.Further observation of the kitchen on 7/22/2025 at 11:30 am revealed a mold-like substance in one of the drop-in ceiling tiles. […]