Glenwood Rehabilitation & Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Apr 30, 2026

  Based on observation, record review, and interviews, the facility failed to ensure food was protected from possible contamination at all times when staff failed to properly store and label food and when the stacked dishes while still wet. The facility had a census of 54.1. Review of the facility policy titled Food Storage (Dry, Refrigerated, and Frozen), undated, showed the following:-Foods shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety;-All food items will be labeled, that must include the name of the food and the date by which it should be sold, consumed or discarded;-Discard food that has passed the expiration date, and discard food that has been prepared in the facility after seven days of storing under proper… […]

• No harm, potential for more than minimal, patternF689Apr 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure the residents' environment was free of accident hazards when the resident accessible hot water temperatures in rooms of eight residents' (Resident #41, #27, #31, #42, #3, #7, #34, and #51) measured greater than 120 degrees Fahrenheit (F). The facility census was 54. Review showed the facility did not provide a policy regarding hot water temperature monitoring. Review of the American Burn Association website, updated 2002, showed the following:-Hot water caused third degree burns (full thickness burns which go through the skin and affect deeper tissue resulting in white or blackened, charred skin) at the following temperatures and time parameters:-In 1 second at 155 degrees F;-In 2 seconds at 148 degrees F;-In… […]

• No harm, potential for more than minimal, patternF880Apr 30, 2026

  Based on observation, interview and record review, the facility failed to maintain a complete infection prevention and control program when staff failed to follow Enhanced Barrier Precautions (EBP - an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO - microorganisms, predominantly bacteria that are resistant to one or more classes of antimicrobial agents. Although the names of certain MDROs describe resistance to only one agent, these pathogens are frequently resistant to most available antimicrobial agents) that employs targeted gown and glove use during high contact resident care activities)) when providing wound and incontinent care to one resident (Resident #3) with a wound. […]

• No harm, potential for more than minimal, patternF880Apr 25, 2024

  Based on observation and record review, the facility failed to maintain a complete infection prevention and control program when staff failed to ensure Tuberculin Skin Tests (TST) were completed in accordance with the requirements for tuberculosis (TB - a communicable disease that affects the lungs characterized by fever, cough, and difficulty breathing) testing for long-term care employees and per facility policy for three staff members (Director of Nursing (DON), Activity Director (AD), and Laundry E) of ten sampled staff members. […]

• No harm, potential for more than minimal, patternF602Jun 3, 2022

  Based on interview and record review, the facility failed to protect residents from misappropriation of property when staff discovered missing doses of controlled medications that were in possession of the facility for three residents (Resident #8, #97 and #98). The facility census was 48. Record review of the facility's Abuse Prohibition Protocol Manual, dated [DATE], showed misappropriation of resident property was defined as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of resident's belongings or money without the resident's consent. […]