Nightingale at Glenwood

In the surveyor’s words

From the most serious findings on record at Nightingale at Glenwood, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 7, 2023

  Based on observation, interview and record review, the facility failed to ensure food items received and stored in the refrigerator, freezer and dry storage were dated with received date and use by date and expired food items were promptly removed/discarded by the expiration date to prevent potential food borne illnesses for residents who receive meals from the facility kitchen. These failed practices had the potential to affect all 40 residents who received meals from the facility kitchen according to a list provide by the Dietary Manager on [DATE] at 8:40 AM. The findings are: 1. On [DATE] at 10:00 AM the following observations were made in the upright freezer in the kitchen: a. Five bags of frozen broccoli with no received or expiration date. b. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2022

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the refrigerators and freezer were dated & labeled of when received, opened and/or prepared; foods stored in refrigerators and shelves were sealed/closed completely; and internal temperature of refrigerators were 41 degrees or lower to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen in facility. These failed practices had the potential to affect 45 residents who received meals from the kitchen, as documented by list of 1 resident NPO (nothing by mouth) 4/28/22 received from Director of Nursing (DON). The findings are: 1. On 04/25/22, during initial tour of kitchen with Dietary Manager (DM), the following observations were made: a. […]

• No harm, potential for more than minimal, widespreadF812Feb 11, 2021

  Based on observation and interview, the facility failed to ensure food items stored in the freezer were dated and labeled, and food items stored in the dry storage area were tightly sealed to maintain freshness and prevent potential cross-contamination and food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 36 residents who received meals from the kitchen (Total census: 37), according to the Diet list provided by the Administrator on 2/10/2021. The findings are: 1. On 2/8/2021 at 11:00 a.m., the following observations were made in the kitchen with the Dietary Manager: a. On 2/8/2021 at 11:01 a.m., two black bags were stored on a shelf in the reach-in freezer located in the storage room. […]

• No harm, potential for more than minimal, patternF695Jul 7, 2023

  Based on observation, interview and record review the facility failed to follow physician's orders for oxygen therapy and failed to change the oxygen tubing as ordered for 1 (resident #13) of three (Resident #8, #12 and #13) sampled residents who received supplemental oxygen. The failure had the potential to affect all 10 residents in the facility who received supplemental oxygen. The findings are: Resident #13 had a diagnosis of congestive heart failure (CHF) and obstructive sleep apnea. […]

• No harm, potential for more than minimal, patternF925Jul 7, 2023

  Based on observation, interview and record review, the facility failed to ensure the kitchen was free of pests to prevent potential cross contamination or bacteria growth. The failed practice had the potential to affect all 40 residents who received food from the facility kitchen, according to the list provided by the Dietary Manager on 7/07/2023 at 08:30 AM. The findings are: 1. On 7/03/2023 at 10:05 AM during the initial kitchen tour, observed two lifeless houseflies on a tray in the refrigerator which contained six individual servings of mandarin oranges and three individual servings of pineapple. 2. On 07/03/2023 at 10:28 AM three houseflies were observed flying in the air in the kitchen and four houseflies were sitting on the outside of a pan which was on a pan- rack by the stove. […]