Hawthorn Glen Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 31, 2025

  Based observation, staff interview, record review, and facility policy review, the facility failed to ensure food was stored in a safe and sanitary manner. This had the potential to affect all residents. The facility census was 61.Findings include:Observation of the nourishment room on 07/30/25 starting at 3:08 P.M. revealed six packages of fruit, one container of cheese and a Styrofoam takeout container with unidentified food unlabeled and undated stored in the refrigerator. Interview with Director of Nursing (DON) #96 verified that the food was unlabeled and undated. Further observations in the bottom drawer of the fridge revealed two packages of raspberries, a package of cheese, and a package of bologna that were covered in a grey, fuzzy substance. […]

• No harm, potential for more than minimal, widespreadF727Jun 15, 2022

  Based on record review and staff interview, the facility failed to ensure a Registered Nurse (RN) was present for eight consecutive hours on 04/30/22, 05/08/22, 05/27/22, 05/28/22, 06/04/22, and 06/05/22. This had the potential to affect all 51 residents residing in the facility. The census was 51. Findings include: Review of staffing sheets dated 04/30/22, 05/08/22, 05/28/22, and 06/04/22 revealed there was not an RN scheduled on any of the dates. Review of the staffing sheet for 05/27/22 revealed an RN was scheduled for only three consecutive hours. Review of the staffing sheet for 06/05/22 revealed there was not an RN scheduled on 06/05/22. […]

• No harm, potential for more than minimal, patternF645Jul 31, 2025

  Based on interviews and record review, the facility failed to timely initiate and complete Preadmission Screening and Resident Review, (PASRR). This affected four residents (Resident #57, # 74, 35 and #5) of six residents reviewed for preadmission screening. The facility total census was 61. Findings Include: 1.Record review of Resident #57 revealed the resident was admitted to the facility on [DATE]. Diagnoses for Resident #57 include hypertension, morbid obesity, diabetes, schizophrenia, depressive disorder and anxiety. Review of the Minimum Data Set, (MDS) comprehensive assessment dated [DATE] revealed the resident had intact cognition and required set up assistance with Activity of Daily Living skills. […]

• No harm, potential for more than minimal, patternF761Jul 31, 2025

  Based on observation, staff interview, and policy review the facility failed to ensure medications were dated, labeled, and not expired. This had the potential to affect 36 (Resident #25, Resident #32, Resident #3, Resident #19, Resident #29, Resident #1, Resident #62, Resident #18, Resident #51, Resident #63, Resident #34, Resident #9, Resident #52, Resident #45, Resident #54, Resident #50, Resident #56, Resident #71, Resident #72, Resident #39, Resident #28, Resident #73, Resident #55, Resident #76, Resident #46, Resident #20, Resident #40, Resident #41, Resident #10, Resident #11, Resident #8, Resident #30, Resident #61, Resident #17, Resident #36, and Resident #63) residents. The facility also failed to ensure medications were disposed of properly. […]

• No harm, potential for more than minimal, patternF690Apr 11, 2023

  Based on medical record review, observation and staff interview, and policy review, the facility failed to ensure residents received timely assistance with toileting and incontinence care. This affected four (#43, #44, #45, and #54) of nine residents reviewed for toileting assistance. The census was 53. Findings include: 1. Review of the medical record for Resident #43 revealed an admitted [DATE]. Diagnoses included but were not limited to unspecified cerebral infarction, unspecified anxiety disorder, and unspecified dementia without behavioral disturbance. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #43 had severely impaired cognition. […]