Inspection Reports for Glenville Health &Amp; Rehab

The document is a plan of correction related to a previous inspection, accepted in lieu of an onsite revisit to verify correction of previously cited deficient practices.

The facility, Glenville Health & Rehabilitation, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficiencies addressed through credible evidence and plans of correction.

The document is a Plan of Correction related to deficiencies identified during a facility inspection.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements and without waivers.

An unannounced annual recertification, annual relicensure, and complaint/facility reported incident (FRI) investigation survey was conducted at Glenville Center from November 21-24, 2024.

The facility was found deficient in multiple areas including quality of care, care planning, pressure ulcer treatment, resident rights, environment, infection control, staffing data posting, and discharge/transfer notices. Specific failures included not following physician orders for wound care, incomplete care plans, failure to provide hand hygiene before meals, and inadequate notification of transfers and discharges.

An unannounced onsite revisit survey was conducted at Glenville Health and Rehab for the annual survey concluding on October 24, 2024.

The facility was found out of compliance with deficiencies related to nurse staffing information posting accuracy and resident medical record accuracy. The staffing data posted for two of four shifts reviewed was incorrect, and the medical record for one resident was not accurately maintained during a hospital stay.

Routine inspection of Glenville Health & Rehab to assess compliance with NFPA standards and other regulatory requirements related to fire safety, electrical systems, emergency preparedness, and resident rights.

The facility was found deficient in multiple areas including improper installation and maintenance of kitchen hood extinguishing equipment, sprinkler system maintenance, fire barrier and smoke barrier penetrations, HVAC fire and smoke dampers, fire drills documentation, emergency generator testing and maintenance, electrical equipment testing, and fire door maintenance. Deficiencies could affect all residents, staff, and visitors.

An unannounced complaint survey was conducted at Glenville Health and Rehab from 02/20/24 to 02/21/24 to investigate allegations of abuse and review care plan compliance.

The facility failed to report a substantiated abuse allegation involving Licensed Practical Nurse (LPN) #70 and Resident #29 to the West Virginia LPN Board within the required timeframe. Additionally, the facility failed to develop or implement a comprehensive person-centered care plan with measurable objectives for behaviors for Resident #63.

Complaint #29690 was substantiated with a related citation. Complaint #29253 and #31404 were unsubstantiated. The substantiated abuse involved LPN #70 and Resident #29. The facility failed to report the substantiated abuse to the WV LPN Board until the survey date.

The investigation survey was conducted to review previously cited deficient practices and verify compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility is in substantial compliance with the previously cited deficient practices based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Investigation survey concluding on 02/21/24 was conducted in lieu of an onsite revisit to verify correction of previously cited deficiencies.

The inspection was conducted as a complaint investigation survey concluding on 09/13/2023, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Glenville Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with no new deficiencies cited during this complaint investigation.

The complaint investigation survey concluded on 09/13/2023 with the facility found in substantial compliance and previously cited deficient practices addressed.

An unannounced complaint investigation survey was conducted at Glenville Center from September 11-13, 2023, triggered by Complaint #28609 which was substantiated with related deficiencies.

The facility was found deficient in providing adequate grooming assistance to residents, notifying medical power of attorney of medication changes related to sexually inappropriate behaviors, maintaining a safe and clean environment, and ensuring residents' drug regimens were free from unnecessary drugs. Environmental and maintenance issues were also noted in resident rooms and common areas.

Complaint #28609 was substantiated with related deficiencies.

The inspection was conducted as a complaint investigation survey to review previously cited deficient practices and verify compliance.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. Plans of correction and credible evidence were accepted in lieu of an onsite revisit.

The complaint investigation survey concluded on 02/28/2023 with the facility found in substantial compliance and previously cited deficient practices corrected.

An unannounced complaint investigation survey was conducted at Glenville Center from February 27-28, 2023, based on complaints #27966 and #27968.

Complaint #27966 was substantiated with no deficiencies cited. Complaint #27968 was substantiated with a related deficiency cited at F580 for failure to notify residents' families or emergency contacts of significant changes in health status for three sampled residents (#61, #59, and #60).

Complaint #27966 was substantiated with no deficiencies cited. Complaint #27968 was substantiated with a related deficiency cited at F580 for failure to notify families or emergency contacts of significant health changes.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with long term care facility regulations.

The facility was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with credible evidence accepted in lieu of an onsite revisit.

An unannounced complaint investigation survey was conducted at Glenville Center from January 17-18, 2023.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaint #27912 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #27912 was unsubstantiated with no related or unrelated deficiencies cited.

The document is a statement of deficiencies and plan of correction related to a facility survey conducted to assess compliance with federal, state, and local Emergency Preparedness requirements.

The facility was found in compliance with all applicable Federal, State and local Emergency Preparedness requirements.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Glenville Center from November 28-30, 2022.

The facility was found deficient in multiple areas including accuracy of assessments, nurse aide performance reviews, nutrition and hydration status maintenance, infection prevention and control, comprehensive care planning, baseline care plans, nurse staffing postings, discharge planning, food safety, hospice services coordination, resident records completeness, and psychotropic medication management.

Complaint #27647 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #27119 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to assess compliance with NFPA standards related to electrical systems and gas equipment storage, as well as to evaluate resident rights and facility policies.

The facility failed to ensure that the emergency generator had a remote manual stop switch external to the weatherproof enclosure and that oxygen cylinders were properly secured in approved storage containers. These deficiencies could affect all residents, staff, and visitors.

The visit was conducted as a complaint investigation survey, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Glenville Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

The complaint investigation survey concluded on 05/10/2022, and the facility was found in substantial compliance with previously cited deficient practices.

An unannounced complaint survey was conducted at Glenville Center on 05/09/22 and 05/10/22 based on complaints #25844 and #25651. Complaint #25844 was unsubstantiated with no deficiencies, while complaint #25651 was substantiated with deficiencies cited.

The facility failed to maintain a safe, clean, and homelike environment, including visibly soiled and worn hallway carpeting and an unclean urinal for resident #43. The facility also failed to ensure interventions for diabetic ulcer prevention and failed to complete an accurate assessment of a pressure ulcer upon admission for resident #43.

Complaint #25844 was unsubstantiated with no related or unrelated deficiencies. Complaint #25651 was substantiated with deficiencies cited under F584, F684, and F686.

The inspection was conducted to assess the facility's compliance with COVID-19 reporting requirements to the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN).

The facility failed to report complete information about COVID-19 to the NHSN during a seven-day period from 09/13/2021 to 09/19/2021, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia state nursing home licensure rules.

The facility was found to be in substantial compliance with the cited federal and state regulations based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Glenville Center from June 21-23, 2021.

The survey identified multiple deficiencies including failure to identify and report possible abuse, incomplete and inaccurate assessments, failure to follow physician orders, expired medications, improper food storage, and incomplete discharge documentation.

Routine inspection conducted to assess compliance with fire safety, building safety, and facility maintenance regulations including NFPA standards and advance directives requirements.

The facility was found deficient in multiple areas including means of egress obstructions, fire and smoke barrier penetrations, kitchen range hood cleaning, sprinkler system maintenance, electrical wiring safety, and generator battery testing. All deficiencies were acknowledged by facility leadership and corrective action plans were submitted.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on June 23, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to emergency preparedness, and CMS and CDC recommended practices to prepare for COVID-19.

An unannounced complaint investigation was conducted at Glenville Center from 02/04/20 to 02/06/20 to investigate allegations related to complaints #23719 and #23741.

The allegations were unsubstantiated with no related or unrelated deficient practices identified. The facility was found to be in substantial compliance with applicable federal and state nursing home regulations.

Complaint #23719 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #23741 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced revisit was conducted at Glenville Center on 01/24/20 for the complaint investigation survey concluding on 01/07/20.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

Complaint reference: #23556 and #23526. The revisit was conducted to investigate these complaints and verify correction of deficiencies.

An unannounced complaint survey was conducted at Glenville Center on 01/06/20 to 01/07/20 based on complaints #23526 and #23556, both substantiated with related deficiencies cited.

The facility was found deficient in providing a safe, clean, comfortable, and homelike environment, ensuring residents were free from neglect resulting in a fall with fracture, implementing comprehensive care plans for high fall risk residents, maintaining a safe environment free from accident hazards, and maintaining infection control standards. Specific issues included overflowing trash and stained floors in resident rooms, a resident fall due to improper transfer assistance causing a fractured femur, and multiple clothing items and gloves found on floors in resident rooms.

Complaint #23526 and Complaint #23556 were substantiated with related deficiencies cited. Resident #2 sustained a fractured femur due to neglect when left standing without required assistance by two staff members during transfer.

An unannounced complaint investigation was conducted at Glenville Center on 10/28/19 to 10/29/19 due to multiple complaints.

The allegations were unsubstantiated with no related or unrelated deficient practices identified. The facility was in substantial compliance with applicable regulations.

Complaint #22791, #22840, #22842, and #23091 were unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted as a complaint investigation survey related to complaint reference #22357, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Glenville Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint reference number #22357; the investigation concluded with acceptance of plans of correction and credible evidence without an onsite revisit.

An unannounced complaint survey was conducted at Glenville Center from 06/17/19 to 06/19/19 based on complaint #22357, which was not substantiated but resulted in an unrelated deficiency citation.

The facility failed to ensure administration of enteral nutrition was consistent with physician orders and facility policy, specifically regarding proper checking of feeding tube placement and residuals prior to feeding. Licensed Practical Nurse #41 did not follow required procedures, posing potential risk to all residents with feeding tubes.

Complaint #22357 was investigated and found not substantiated; however, an unrelated deficiency was cited at F693 related to enteral feeding management.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia state nursing home licensure rules.

The facility was found to be in substantial compliance with federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. No new deficiencies were cited during this survey.

The inspection was conducted to assess compliance with fire safety codes, HVAC maintenance, and resident rights notification as part of a routine facility survey.

The facility was found deficient in maintaining interior fire and smoke wall and ceiling finishes, corridor fire doors, and HVAC fire damper inspections according to NFPA 101 standards. Deficiencies included non-rated sealant in fire walls, missing screws and gaps in fire door frames, and lack of fire damper inspection documentation.

An unannounced annual re-certification and annual re-licensure survey was conducted at Glenville Center from 04/22/19 through 04/24/19.

The facility was found deficient in multiple areas including resident rights, care planning, infection control, medication management, dental services, food safety, and environmental safety. Specific issues included failure to provide dignified dining assistance, incomplete care plans, improper medication administration, inadequate infection control practices, and unsafe storage of food and refuse.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations, with credible evidence accepted in lieu of an onsite revisit.

The document is a statement of deficiencies and plan of correction related to a regulatory inspection of Glenville Health & Rehab.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual recertification survey, relicensure survey and complaint investigation was conducted at Glenville Center from May 14, 2018 through May 17, 2018.

The survey identified multiple deficiencies including failure to fully implement comprehensive care plans, failure to revise care plans based on changing resident needs, incomplete and inaccurate medical records, lack of policies for timely medication regimen review, inadequate infection control practices including laundry room sanitation, and failure to implement an antibiotic stewardship program.

Complaint #19307 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to assess compliance with fire safety and life safety codes, including sprinkler system installation, maintenance, portable fire extinguishers, corridor doors, and smoke barriers.

The facility was found deficient in multiple areas related to NFPA 101 standards, including improper sprinkler head placement near light fixtures, lack of documentation for sprinkler system five-year inspection, fire extinguishers installed too high, corridor doors not meeting clearance requirements, and breaches in smoke barrier construction. Corrective actions and re-education plans were outlined for each deficiency.

The inspection was conducted as a complaint investigation, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit for the complaint investigation concluding on 2017-12-28.

The facility, Glenville Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint Reference #18641; the facility was found in substantial compliance with previously cited deficient practices following the complaint investigation.

An unannounced complaint survey was conducted at Glenville Center on December 27-28, 2017, triggered by Complaint #18641 which was substantiated with a related deficiency cited.

The facility failed to maintain daily nurse staffing postings for 16 of 31 days reviewed and failed to maintain complete staff postings for 6 of 31 days reviewed. On entrance, no nurse staff posting was located, and incomplete census information was noted for multiple dates. Interviews confirmed the failure to post nurse staffing data as required.

Complaint #18641 was substantiated with a related deficiency cited based on observations, record reviews, and interviews.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey concluding on 03/30/17, accepted in lieu of an onsite revisit.

The facility, Glenville Center, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through plans of correction and credible evidence.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Glenville Center from 03/27/17 through 03/30/17 to assess compliance with federal and state regulations.

The facility was found deficient in multiple areas including inaccurate resident assessments, incomplete care plans, failure to implement care plan interventions, failure to monitor dialysis AV shunts, failure to manage and monitor drug regimens including missing lab results, unsanitary conditions of the ice machine in the dining room, and incomplete clinical records for dialysis residents.

The inspection was conducted to assess compliance with fire safety and electrical equipment maintenance standards, specifically related to smoke barrier construction and patient-care electrical equipment testing.

The facility failed to maintain smoke barriers to the required fire resistance rating and did not maintain proper testing and maintenance documentation for fixed and portable patient-care electrical equipment. These deficiencies could affect all residents, staff, and visitors.

The inspection was conducted as a complaint investigation, concluding on 2016-10-13, to review previously cited deficient practices at Glenville Health & Rehab.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. Credible evidence and plans of correction were accepted in lieu of an onsite revisit.

Complaint investigation concluded on 2016-10-13 with reference number #16690. The facility was found in substantial compliance with previously cited deficiencies.

An unannounced complaint survey was conducted at Glenville Center from October 11 to October 13, 2016, triggered by Complaint #16690 which was substantiated with related and unrelated deficiencies cited.

The facility was found deficient in multiple areas including failure to thoroughly investigate and report possible abuse and neglect, failure to provide care according to residents' plans including wound care and medication administration, failure to maintain accurate and complete medication and clinical records, failure to ensure secure storage and proper reconciliation of controlled substances, and failure to properly stage and treat pressure ulcers.

Complaint #16690 was substantiated with related and unrelated deficiencies cited. The complaint investigation focused on incidents of possible abuse and neglect, medication errors, wound care, and record keeping.

The document is a plan of correction related to a Quality Indicator Survey for Glenville Health & Rehab, accepted in lieu of an onsite revisit.

The facility is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with previously cited deficient practices addressed through plans of correction and credible evidence.

An unannounced annual Quality Indicator Survey was conducted from February 2, 2016 through February 5, 2016 to assess compliance with federal regulations.

The facility was found deficient in several areas including failure to maintain a current surety bond for residents' personal funds, failure to assess and authorize resident self-administration of medications, inadequate housekeeping and maintenance services, failure to investigate and report an injury of unknown origin, inaccurate resident assessments, improper wound care technique, failure to offer pneumococcal conjugate vaccine (PCV13) to eligible residents, and deficiencies in infection control and quality assurance processes.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including smoke barriers, sprinkler systems, and electrical wiring in the facility.

The facility failed to maintain smoke barrier walls with the required fire resistance rating, had sprinkler piping with low voltage wiring draped across it, and electrical wiring issues including exposed wires and missing junction box covers. The maintenance manager acknowledged these deficiencies during the inspection.

The inspection was conducted as a complaint investigation concluding on 2015-10-14, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Glenville Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and with previously cited deficient practices.

Complaint Reference: 14576. The complaint investigation concluded with the facility in substantial compliance and no onsite revisit was required.

An unannounced off-hour complaint investigation survey was conducted at Glenville Center from October 12, 2015 through October 14, 2015, triggered by complaint #14576 which was substantiated with related deficiencies.

The facility was found deficient in multiple areas including inaccurate comprehensive Minimum Data Set (MDS) assessments for residents, failure to protect residents from resident-to-resident verbal and physical abuse, failure to revise care plans to reflect current treatments, improper maintenance of intravenous access devices, provision of medications beyond manufacturer storage recommendations, and incomplete clinical records documentation.

Complaint #14576 was substantiated with related deficiencies based on observations, clinical record reviews, resident, family and staff interviews, and other documentation.

The document is a plan of correction submitted by Glenville Health & Rehab following a Quality Indicator and Licensure Survey concluding on 01/16/15, accepted in lieu of an onsite revisit.

The facility was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected as evidenced by the accepted plan of correction and credible evidence.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on generator maintenance and testing.

The facility failed to maintain its generator in accordance with NFPA 110 chapter 8, as there was no documented evidence that the starting battery electrolyte had ever been checked. Observation confirmed the battery was a wet cell type requiring electrolyte checks, and maintenance personnel confirmed no testing had been done.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Glenville Center from January 12, 2015 through January 16, 2015 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including housekeeping and maintenance services, comprehensive resident assessments, employee background checks, care plan revisions and implementation, pharmaceutical services, medication labeling and reconciliation, infection control practices, and dining room accommodations.

The inspection was conducted as a complaint investigation based on complaint reference 13260 / 9041.

The complaint was unsubstantiated and no citations were issued during the investigation.

Complaint reference 13260 / 9041 was investigated and found to be unsubstantiated with no citations.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Glenville Health & Rehab.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation based on complaint references 13229 / 8823, to determine the validity of the complaint and assess compliance with regulatory requirements.

The facility was found to have multiple deficiencies including failure to develop a comprehensive care plan for a resident with a traumatic head injury, administration of unnecessary medications without adequate monitoring or documentation, and incomplete and inaccurate medical records for several residents.

Complaint Reference: 13229 / 8823. The complaint was unsubstantiated with unrelated deficiencies found during the investigation.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Glenville Health & Rehab.

The document includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits.

Routine Quality Indicator Survey conducted from 07/15/13 to 07/18/13 to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to provide timely Medicare termination notices, inaccurate resident assessments, incomplete care plans, failure to follow care plans for dialysis access, use of unnecessary medications without proper monitoring, failure to ensure timely physician visits, failure to provide needed dental services, unclean dining room chairs, and inadequate quality assessment and assurance committee actions.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on smoke barrier walls and ventilation systems in the facility.

The facility failed to maintain smoke barrier walls to provide at least a one half hour fire resistance rating, with openings found around communication wires and use of non-rated materials. Additionally, the laundry soiled holding room ventilation was inadequate, with the exhaust fan not operational, causing positive pressure in relation to the corridor.

The inspection was conducted as a complaint investigation referenced by complaint number 13152 / 8373.

The complaint was found to be unsubstantiated and no citations were issued.

Complaint Reference: 13152 / 8373. Unsubstantiated complaint record with no citations.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Glenville Health & Rehab.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a substantiated complaint investigation regarding failure to timely notify a resident's legal representative of a change in condition.

The facility failed to ensure timely notification of a resident's legal representative after the resident sustained injuries from a fall. Documentation showed only one attempt to notify the legal representative before the resident was transferred to the hospital later that day.

Complaint Reference: 12129 / 7151. Substantiated complaint with citation dated 06/18/12.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Glenville Health & Rehab.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand. The deficiency is identified under tag F 156 with a severity of SS=C.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on the maintenance and condition of the facility's automatic sprinkler systems and electrical wiring.

The facility failed to maintain the sprinkler system in accordance with NFPA 25, with observations of corroded sprinkler heads and missing escutcheons. Additionally, the facility used relocatable power taps for kitchen appliances, which is not compliant with NFPA 70 electrical wiring standards.

The inspection was a Quality Indicator Survey (QIS) and Licensure Survey conducted from 03/12/12 to 03/15/12 to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in several areas including failure to ensure residents had access to personal funds after business hours, failure to ensure residents were free from unnecessary medications, lack of registered nurse coverage for at least 8 consecutive hours 7 days a week, unsanitary food storage conditions, improper medication storage including expired medications, and failure to prevent cross contamination of supplies.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically regarding the frequency and documentation of fire drills.

The facility failed to conduct fire drills at the required rate of one per shift per quarter, with no documentation of fire drills during a four-month period from November 2008 through February 2009.

The inspection was conducted as a complaint investigation (reference #9244) concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was found to have an unsubstantiated complaint with no related deficiencies cited. However, deficiencies were noted including failure to maintain a clean shower room, failure to develop comprehensive care plans for several residents including those with comfort measures and special needs, and failure to revise a resident's care plan after choking incidents.

Complaint reference #9244 was unsubstantiated with no related deficiencies cited. The complaint investigation was conducted concurrently with the annual certification resurvey and licensure inspection.

The facility was entered on 02/12/09 to conduct a follow-up survey to assure the correction of deficient practices cited during the 11/13/08 annual certification resurvey.

The facility failed to ensure that a licensed practical nurse (LPN) was functioning within her scope of practice by delegating duties that must be performed by a registered nurse (RN). Additionally, one resident did not receive ordered Vancomycin treatment for an MRSA infection, one resident with a Stage IV pressure ulcer did not receive proper pressure relief treatment, and the soiled utility room door lock was broken, posing a hazard to residents.

The inspection was conducted as an annual survey to assess compliance with federal regulations for nursing facilities, including resident rights, safety, care, and staffing.

The facility was found deficient in multiple areas including failure to maintain adequate surety bond coverage for resident funds, failure to conduct criminal background checks for employees, failure to provide dignified care, incomplete comprehensive assessments after significant changes, improper staffing of MDS coordinator by an LPN instead of an RN, medication administration errors, failure to complete timely PASRR, failure to provide ordered care such as TED hose, inadequate pressure sore treatment, unsafe storage of hazardous aerosols, inadequate supervision to prevent falls, improper infection control practices, failure to update POST forms, and employment of an uncertified nursing assistant.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the Life Safety Code provisions.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on the facility's obligation to inform residents of their rights and services. No new inspection findings are detailed beyond the plan of correction context.

This document is a plan of correction related to a paper revisit survey conducted at Glenville Health & Rehab.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as well as providing written descriptions of legal rights.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal regulations regarding resident rights, nutrition, and drug regimen review at Glenville Health & Rehab.

The facility was found deficient in informing residents of their rights, failed to implement necessary nutritional interventions for a resident with significant weight loss, and did not ensure timely pharmacist notification of medication irregularities to the attending physician and director of nursing.

The inspection was conducted to assess compliance with life safety code standards and other regulatory requirements at Glenville Health & Rehab.

The inspection identified deficiencies related to the obstruction of sprinkler discharge by resident room privacy curtains and the use of a relocatable power tap in a patient care area, both of which do not meet NFPA standards.

Paper revisit to review the facility's plan of correction related to previously identified deficiencies.

The document contains a statement of deficiencies and the provider's plan of correction addressing the cited issues, specifically regarding resident rights and notification requirements.

The inspection was conducted in response to complaint reference #2-6268, which was found to be unsubstantiated, with unrelated deficiencies cited during the investigation.

The facility failed to provide reasonable accommodations by not supplying chairs in seven resident rooms for residents and visitors. Additionally, housekeeping and maintenance deficiencies were noted, including soiled equipment, worn bed rail padding, and loose window curtains, indicating the facility did not maintain a sanitary and comfortable environment.

Complaint reference #2-6268 was unsubstantiated, with unrelated deficiencies cited during the investigation.

The inspection was conducted in response to complaint reference #2-6251.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-6251 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-6133, which was ultimately unsubstantiated but resulted in unrelated deficiencies being cited.

The facility failed to post the results of the most recent survey for resident examination, did not provide timely written notice of the bed-hold policy to residents transferred out, and did not comply with posting current and accurate nursing staff information as required by federal regulations.

Complaint reference #2-6133 was unsubstantiated but unrelated deficiencies were cited during the investigation.

The document is a statement of deficiencies and plan of correction related to regulatory compliance for Glenville Health & Rehab.

The report includes a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges as required by regulations.

The inspection was a routine survey to assess compliance with federal regulations related to resident rights, comprehensive assessments, care plans, accident prevention, medication management, food quality, physician visits, and use of outside resources.

The facility was found deficient in multiple areas including failure to accommodate resident preferences by using the dining room for staff activities, incomplete and inaccurate resident assessments, failure to revise care plans with changes in resident status, inadequate supervision to prevent falls, improper use and monitoring of antipsychotic medications, serving stale bread, failure to ensure timely physician visits, and failure to provide rehabilitation therapy screening by a qualified therapist.

The inspection was conducted to assess the facility's compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document contains a statement of deficiencies related to resident rights notification and a plan of correction. No new deficiencies or severity levels are explicitly stated.

The inspection was conducted to review the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101 Life Safety Code, 2000 Existing Edition.

The inspection was conducted as a complaint investigation with substantiated and unsubstantiated complaints regarding resident privacy, transfer and discharge procedures, resident assessment, quality of care, and infection control.

The facility was found deficient in maintaining resident privacy during care, providing required written transfer/discharge notices, ensuring licensed staff performed assessments within their scope, administering medications correctly, maintaining adequate personal hygiene for residents, and establishing an effective infection control program.

Complaint reference #2-5149 was substantiated with deficiencies cited. Complaint reference #2-5154 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted to review the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101 Life Safety Code, 2000 Existing Edition.

The inspection was conducted due to a complaint investigation triggered by concerns about staff treatment of residents and failure to properly investigate and report injuries of unknown source.

The facility failed to investigate and report an injury of unknown source for Resident #36, did not apply ordered hand splints and rolls for Resident #41, failed to ensure medication administration was properly supervised for Resident #49, and did not re-evaluate medication for Resident #62 as ordered. Documentation inaccuracies were also found regarding care provided to Resident #41.

The complaint investigation revealed that the facility did not properly investigate or report an incident involving Resident #36 with injuries of unknown source. The facility also failed to meet professional care standards and documentation requirements for other residents as part of the complaint.

The inspection was conducted as a complaint investigation referenced as #2-4131, focusing on substantiated complaints regarding the facility's maintenance and documentation of clinical records.

The facility failed to maintain accurate clinical records, specifically dietary information, and improperly altered and destroyed medical record documentation related to action plan meetings. The dietary manager was asked to rewrite progress notes and removed original pages from records before shredding, which compromised safeguarding of medical records.

Complaint reference #2-4131 was substantiated with deficiencies cited related to inaccurate documentation and improper handling of medical records.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal regulations governing nursing facilities, including resident rights, quality of life, environment, care, and medication management.

The facility was found deficient in multiple areas including failure to ensure proper appointment of health care decision makers, inadequate promotion of resident dignity and respect, failure to accommodate individual resident preferences, unsanitary environment conditions, improper medication administration, unsafe use of equipment, and failure of the pharmacist to report medication irregularities.

The document is a plan of correction related to deficiencies identified during a facility inspection, specifically addressing life safety code violations.

The facility failed to maintain all storage rooms with quantities of combustibles enclosed in a one-hour fire rated assembly. Specifically, the 100 wing clean linen storage room corridor door failed to close and latch due to an inoperable latching mechanism.

The inspection was conducted based on complaint records and staff interviews to investigate allegations including lost personal funds, unnecessary drug use, failure to report incidents, and infection control issues.

The facility failed to report lost personal funds for a resident, did not ensure residents were free from unnecessary drugs with adequate monitoring, failed to maintain the emergency electrical power system, did not provide medications timely, failed to protect immunocompromised residents from MRSA cross-contamination, and did not maintain complete restorative documentation.

The complaint investigation revealed failure to report lost personal funds, medication errors, infection control breaches, and documentation deficiencies.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, including fire safety measures such as enclosure of hazardous areas, operability of fire exit hardware, and adherence to smoking regulations.

The facility failed to maintain soiled linen rooms enclosed with one-hour fire-rated construction, had inoperable panic hardware on fire exit doors, and did not post 'No Smoking' signs in rooms with oxygen in use. Specific doors failed to latch or release properly during testing, and three resident rooms with oxygen lacked appropriate signage.

The inspection was conducted to assess compliance with the Life Safety Code 101 - 1973 New and to evaluate the facility's emergency electrical power system and related safety requirements.

The facility was found to be in compliance with the Life Safety Code 101 - 1973 New. However, the emergency power system (generator) was not fully exercised according to NFPA 110 standards, with no documentation of required monthly load testing for eight of the preceding twelve months.

This document is a Statement of Deficiencies and Plan of Correction for Glenville Health & Rehab, detailing regulatory deficiencies identified during a survey completed on July 31, 2001.

The report identifies multiple deficiencies related to resident rights, protection of resident funds, staff treatment of residents, quality of life, resident assessment, physical environment, and dietary services. Each deficiency is accompanied by a severity level and a required plan of correction.

The inspection was conducted as a standard regulatory survey to assess compliance with federal regulations governing nursing facilities, including resident rights, protection of resident funds, quality of life, resident assessments, and dietary services.

The facility was found deficient in multiple areas including failure to safeguard resident funds due to an expired surety bond, failure to report allegations of abuse timely, failure to promote resident dignity and timely assistance, failure to accommodate resident preferences regarding social activities and room temperature, failure to complete significant change assessments, and failure to provide dietary substitutes for food dislikes.

The inspection was conducted as a complaint investigation (Complaint 2-1062) regarding resident privacy, call light accessibility, catheterization, quality of care, and infection control.

The facility failed to ensure resident privacy for two residents, failed to provide call light accessibility to two alert residents, failed to catheterize one resident per physician's orders, failed to provide proper perineal care to prevent urinary tract infections for one resident, and failed to ensure staff washed their hands after direct resident contact affecting five residents.

Complaint 2-1062 involved allegations of failure to ensure resident privacy, call light accessibility, catheterization per physician orders, quality of care related to urinary tract infection prevention, and infection control practices including handwashing.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with the provisions of 483.70 Physical Environment.

The facility was found to be in compliance with the provisions of 483.70 Physical Environment based on the review and observations.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with the provisions of NFPA 101, Life Safety Code, 1973.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 1973.

The inspection was conducted to assess the facility's compliance with quality of care standards, specifically regarding the provision of necessary care and services to residents as per their care plans.

The facility failed to provide necessary care and services to maintain the highest practicable physical, mental, and psychosocial well-being for two of six alert residents reviewed. Specifically, residents experienced delays in toileting assistance during meal times, contrary to their care plans, resulting in incontinence and distress.