Wood Glen Alzheimer's Community

In the surveyor’s words

From the most serious findings on record at Wood Glen Alzheimer's Community, in the surveyor’s own words.

• Actual harm, isolatedF600May 24, 2023

  Based on medical record review, staff and resident interview, review of the facility self-reported incidents (SRIs) and investigations, and policy review, the facility failed to ensure residents were free from physical abuse by a facility resident. This resulted in Actual Physical and Psychosocial Harm, based on a reasonable person's response to fear and anxiety, for Resident #06, who had impaired cognition, when Resident #59 struck Resident #06 in the face and Resident #06 reported being fearful of Resident #59 and they remained on the same unit. This affected five (#06, #18, #44, #56, and #75) of eight residents reviewed for resident-to-resident abuse. The facility census was 91. Findings include: 1. Review of the medical record for Resident #59 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observation, interview and policy review, the facility failed to ensure food preparation equipment was maintained in a clean and sanitary manner and further failed to ensure foods were defrosted appropriately to prevent foodborne illness. Additionally, the facility failed to ensure foods stored in resident refrigerators were properly labeled and the refrigerator temperatures were monitored. This had the potential to affect all residents of the facility, except for one (#4) resident identified by the facility as receiving no food by mouth. The facility census was 141. Findings include:1. Observation on 04/19/26 at 8:34 A.M. of the kitchen revealed the blade of the can opener was unclean. […]

• No harm, potential for more than minimal, widespreadF812May 24, 2023

  Based on observation, staff interview, and policy review, the facility failed to ensure safe and sanitary storage practices were in place, failed to store kitchen and service equipment in a safe and sanitary manner, failed to ensure the high temperature dishwasher was getting to proper temperature, and failed to ensure food preparation and cooking services were maintained in clean and sanitary manner. This had the potential to affect all 91 residents who eat from from the kitchen. The facility census was 91. Findings include 1. Observation and interview on 05/21/23 at 9:33 A.M. […]

• No harm, potential for more than minimal, widespreadF727Feb 9, 2022

  Based on daily staffing schedule review and staff interview, the facility failed to ensure there was Registered Nurse (RN) coverage eight hours a day and seven days a week. This had the potential to affect all 105 residents residing in the facility. Findings include: Review of the daily staffing schedules, dated 01/26/22 through 02/01/22, revealed there was no RN coverage of eight hours on 01/29/22 and 01/30/22. Interview with the Director of Nursing (DON) on 02/07/22 at 11:00 A.M. confirmed there wasn't any RN coverage on 01/29/22 or 01/30/22. She said the corporate RN and herself had been off sick with COVID-19 and there wasn't anyone to cover the shift. This deficiency substantiates Complaint Number OH 773.

• No harm, potential for more than minimal, widespreadF880Jan 11, 2022

  Based on medical record review, observation, staff interview, policy review, and review of the Centers for Disease Control (CDC) website, the facility failed to ensure residents under transmission-based precautions did not participate in communal dining. Additionally, the facility failed to ensure staff wore personal protective equipment (PPE) in a manner to prevent the potential spread of coronavirus disease 2019 (COVID-19). This had the potential to affect all 116 residents in the facility. The census was 116. Findings include: 1. Review of the medical record of Resident #57 revealed an admitted [DATE]. Resident #57 transferred to the hospital on 12/31/21 and readmitted to the facility on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]