Health Center at Glenburn Home

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF921Oct 1, 2024

  Based on observation, interview, and record review, the facility failed to ensure sit to stand lift foot platforms were clean for 4 of 4 sit to stand lifts observed. Findings include: 1. On the following dates and times, a non-mechanized sit to stand lift was observed in the hallway outside of room [ROOM NUMBER] with the foot platform containing food crumbs and debris: - On 9/27/24 at 10:10 a.m. - On 9/30/24 at 1:20 p.m. - On 10/1/24 at 11:45 a.m. 2. On the following dates and times, a non-mechanized sit to stand lift was observed in the hallway outside of room [ROOM NUMBER] with the foot platform containing food crumbs and debris: - On 9/27/24 at 10:20 a.m. - On 9/30/24 at 1:30 p.m. - On 10/1/24 at 11:55 a.m. 3. […]

• No harm, potential for more than minimal, patternF812Oct 31, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was stored in a sanitary manner for 3 of 3 kitchen observations. Expired food was not discarded, juice in damaged cans were not separated for return, and food was stored beneath a leaking condenser. Findings include: During tours of the facility kitchen on [DATE] at 1:55 P.M., [DATE] at 10:45 A.M., and [DATE] at 12:30 P.M., the following was observed: 1. On a shelf in the walk-in refrigerator were two 5 pound containers of cottage cheese with the best by date of [DATE]. 2. In the walk-in freezer, beneath a condenser upon which water had leaked and formed ice was an open 29.7 pound box of biscuit dough upon and within which ice had fallen. 3. […]

• No harm, potential for more than minimal, isolatedF641Aug 28, 2025

  Based on interview and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for 1 of 4 residents reviewed for significant weight loss. (Resident 10)Findings include:On 8/27/25 at 2:49 p.m., Resident 10's clinical record was reviewed. The diagnoses included, but were not limited to, Parkinson's disease (a progressive neurological disorder affecting movement), congestive heart failure (a condition where the heart muscle is weakened and cannot pump blood effectively), and type 2 diabetes (a chronic condition where your body becomes resistant to insulin).A review of the quarterly MDS assessment, dated 8/18/25, section K0300: Weight Loss was marked No for a significant weight loss of 5% or more in the past 30 days or 10% or more in the last 180… […]

• No harm, potential for more than minimal, isolatedF880Aug 28, 2025

  Based on observation, interview, and record review, the facility failed to implement infection control practices for 1 of 1 residents reviewed for urinary catheters. The urinary catheter drainage bag was touching the floor. (Resident 72)Findings include: On 8/26/25 at 3:06 p.m., Resident 72 was observed to be resting in a low bed. The urinary catheter drainage bag was observed to be hanging on the side of the low bed and was touching the floor. On 8/27/25 at 9:13 a.m., Resident 72 was observed to be resting in a low bed. The urinary catheter drainage bag was observed to be hanging on the side of the low bed and was touching the floor. On 8/28/25 at 9:43 a.m., Resident 72 was observed to be resting in a low bed with a mattress beside the bed. […]

• No harm, potential for more than minimal, isolatedF641Oct 1, 2024

  Based on interview and record review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for 1 of 1 residents reviewed for Resident Assessment. (Resident 40) Finding includes: During an interview on 9/26/24 at 10:51 a.m., Resident 40 indicated she had limitation of her upper and lower extremities and staff assisted her with range of motion (ROM) exercise. On 9/30/24 at 3:15 p.m., Resident 40's clinical record was reviewed. The diagnoses included, but were not limited to, cerebral infarction (stroke), right side hemiparesis (partial paralysis on one side of the body), and contracture (shortening of muscles that causes joints to stiffen). […]