Inspection Reports for
Glenmaura Senior Living

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection identified multiple deficiencies including delayed incident reporting, breaches of resident record confidentiality, improper storage of poisonous materials, elevated hot water temperatures, improper food storage, lint accumulation in dryers, incomplete annual medical evaluations, medication storage and record discrepancies, and incomplete preadmission cognitive screenings. Plans of correction were accepted and implemented with ongoing monitoring.

The inspection was complaint-related and involved review of medication administration errors and documentation. The plan of correction was accepted and fully implemented.

The facility was found to have implemented the submitted plan of correction related to medication administration errors and documentation deficiencies. Retraining of medication technicians and improved documentation procedures were completed and verified.

No regulatory citations or deficiencies were identified as a result of this inspection.

No regulatory citations or deficiencies were identified as a result of this inspection.

The facility failed to provide a system to safeguard residents' money and property, resulting in a resident suffering a loss from their dresser top. A plan of correction was submitted and accepted, with policies implemented to safeguard residents' valuables through lock boxes or cabinet locks.

The inspection identified multiple deficiencies including failure to report a fire alarm incident, delayed criminal background checks, unqualified direct care staff, unlocked poisonous materials accessible to residents, unsecured trash receptacles, missing emergency telephone numbers, inaccurate medication records, and unsecured resident records. Plans of correction were accepted and implemented with ongoing monitoring.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified as a result of this inspection.

The complaint involved the facility's failure to provide immediate access to employee timecards requested by a Department agent. The plan of correction was accepted and fully implemented by 07/02/2024.

The submitted plan of correction related to delayed access to employee timecards was reviewed and determined to be fully implemented. The facility was found to have delayed providing requested payroll records to a DHS inspector due to legal consultation and access issues, but corrective actions were completed.

The submitted plan of correction was determined to be fully implemented as of the inspection date. The deficiency involved omission of body positioning or movement information on a resident's medical evaluation form, which was corrected and monitored by the Director of Wellness.

The inspection identified multiple deficiencies including lack of verification of required staff training, improper storage of poisonous materials, uncovered trash receptacles, damaged window, incomplete first aid kits, combustible storage violations, missing posted menus, medication storage and administration issues, and incomplete staff training related to dementia care. Plans of correction were submitted and accepted with follow-up monitoring.

The visit was complaint-related, involving allegations that a staff member tightly grasped the hand of resident #1 while wandering, witnessed by a family member. The incident was not reported timely to the appropriate agencies. The complaint was investigated and plans of correction were accepted and implemented.

The submitted plan of correction was determined to be fully implemented. The facility was found to have addressed the issues related to suspected resident abuse and reporting requirements, with ongoing monitoring planned to ensure continued compliance.

The visit was complaint-related. The facility initially refused access to records requested by Department agents due to ongoing litigation. The plan of correction was accepted and implemented.

The facility refused to grant access to medication administration records for Resident #1 to agents of the Department, citing ongoing litigation. The submitted plan of correction was accepted and fully implemented by May 2, 2023.

The inspection found multiple deficiencies related to medication management, record confidentiality, combustible storage, and adherence to prescriber orders. The facility submitted and implemented a plan of correction for all identified deficiencies.

Multiple deficiencies were identified including unsigned resident contracts, hot water temperature exceeding limits, missing emergency telephone numbers, lack of operable bedside lamps, overdue annual medical evaluations, medication storage and administration issues, and delayed updates to resident support plans. Plans of correction were accepted and documented as implemented.

The visit was a follow-up to a complaint involving an incident on 11/28/2020 where a family member alleged rough transfer of resident #1 by staff person A. The home investigated and concluded no abuse occurred, but failed to report the incident as required. The complaint was not substantiated.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. Previous deficiencies included failure to report suspected resident abuse, failure to report incidents to the department, and failure to update a resident's support plan to reflect behavioral and physical changes.

No inspection findings are reported in this document. It confirms receipt of the renewal application and issuance of a regular license, with a reminder of the upcoming annual inspection requirement.

The inspection found that the submitted plan of correction was fully implemented. Specific deficiencies included failure to evacuate a resident during a fire alarm caused by burnt toast and inadequate documentation and monitoring related to a resident's elopement risk and window safety locks.

The visit was complaint-related and involved an incident of alleged neglect in wound care. The plan of correction was accepted and implemented, with no explicit substantiation status stated.

The submitted plan of correction was determined to be fully implemented following the review. The main deficiency involved neglect in providing wound care to a resident, which the facility disputed but ultimately addressed with corrective actions.

No regulatory citations were identified as a result of this inspection.

No regulatory citations were identified as a result of this inspection.

No inspection findings are reported in this document. It confirms issuance of a regular license following the renewal application and advises that an onsite inspection will be conducted within the next twelve months.

No regulatory citations were identified as a result of this inspection.

The inspection was triggered by a complaint incident. The plan of correction was reviewed and found to be fully implemented as of March 30, 2020.

The facility was found to have a deficiency related to the admission support plan for a resident admitted to the Secure Dementia Care Unit. The resident's initial support plan was not completed within the required 72 hours prior to admission.

The waiver allows Glenmaura Senior Living to use alternative documentation forms for medical evaluation and preadmission screening. The waiver remains effective as long as conditions are met and will be reviewed annually during the facility's inspection.

The inspection was complaint-driven, triggered by a new complaint. The report does not explicitly state substantiation status.

The inspection found multiple violations including hot water temperature exceeding 120°F, lack of accessible first aid kits outside the memory care unit, obstructed egress doors in the secured dementia unit, and absence of required written approval for key-locking devices on certain doors. All violations were corrected or addressed with approved plans of correction.