Glenwood Skilled Nursing and Therapy

In the surveyor’s words

From the most serious findings on record at Glenwood Skilled Nursing and Therapy, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 31, 2023

  Based on record review and interview, the facility failed to provide supervision to prevent accident hazards related to the weather for one (#1) of three sampled residents. Resident #1 refused to return indoors from 11:00 p.m. until 3:30 p.m. and remained in the sun outside. This resulted in actual harm when Resident #1 was transferred to the emergency room and was diagnosed with heat stroke/heat exhaustion and sunburns. The Residents Census and Condition of Residents report documented 75 residents resided in the facility. Findings: Resident #1 had diagnoses which included vascular dementia. […]

• No harm, potential for more than minimal, patternF584Mar 15, 2024

  Based on observation, record review, and interview, the facility failed to ensure a homelike environment by providing clean, unstained carpeting throughout the facility. The DON identified 72 residents who resided at the facility. Findings: A Service Summary & Invoice, dated 09/07/23, documented commercial carpert cleaning was completed. This was the only invoice provided by the facility. On 03/13/24 at 7:04 a.m., a female housekeeper was observed to clean/vaccuum the carpet, the carpet remained stained. On 03/14/24 at 11:20 a.m., the carpet in the entry way and halls was observed to with multiple stained areas. The stains were observed in all the hallways. The carpet was observed to be worn down in areas of high traffic. […]

• No harm, potential for more than minimal, patternF677Mar 15, 2024

  Based on observation, interview, and record review, the facility failed to ensure baths were provided as scheduled for six (#6, 14, 65, 27, 33, and #42) of seven residents reviewed for activities of daily living. The DON identified 72 residents who resided at the facility. Findings: 1. Resident #6 admitted with diagnoses which included vascular dementia, cervical disc disorder, and barretts esophagus. Review of the task documentation for the previous 30 days revealed one documented shower on 03/01/24, and an order for a shower three times a week and as needed. Review of bath documentation, provided by the DON, revealed for the month of January three baths were provided out of 14 opportunities. […]

• No harm, potential for more than minimal, patternF725Mar 15, 2024

  Based on observation, record review, and interview, the facility failed to ensure sufficient staffing to meet the needs of the residents for six (#6, 14, 65, 27, 33, and #42) of seven residents reviewed for sufficient staffing. The DON identified 72 residents resided at the facility. Findings: 1. Resident #6 admitted with diagnoses which included vascular dementia, cervical disc disorder, and barretts esophagus. Review of the task documentation for the previous 30 days revealed one documented shower on 03/01/24, and an order for a shower three times a week and as needed. Review of bath documentation, provided by the DON, revealed for the month of January three baths were provided out of 14 opportunities. […]

• No harm, potential for more than minimal, patternF812Mar 15, 2024

  Based on record review, observation, and interview, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. The MDS coordinator identified 71 residents who received food from the kitchen. Findings: On 03/11/24 at 9:29 a.m., the handwashing sink was observed to be out of soap. On 03/11/24 at 9:32 a.m., the dietary manager was observed entering the kitchen without washing their hands. On 03/11/24 at 9:38 a.m., the walk-in cooler and freezer temperature logs were observed, both logs did not document temperatures had been recorded on 03/07/24, 03/08/24, 03/10/24, and 03/11/24. On 03/13/24 at 11:19 a.m., the dietary manager was observed preparing the pureed diet. […]