Deficiency Records for Glendale Post Acute Center

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Updated as of April 01, 2024

A list of the most recent deficiencies for Glendale Post Acute Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-21 2023-12-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-07 2023-12-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-01 2023-12-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-01 2023-12-01 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-10-19 2023-11-17 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-10-19 2023-11-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-19 2023-11-17 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-19 2023-11-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-10-19 2023-11-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-19 2023-11-17 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-10-19 2023-11-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-19 2023-11-17 N
Dispose of garbage and refuse properly. Health 2023-10-19 2023-11-17 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-10-19 2023-11-17 N
Provide and implement an infection prevention and control program. Health 2023-10-19 2023-11-17 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-10-19 2023-11-17 N
Provide emergency officials' contact information. Fire Safety 2023-10-19 2023-11-17 N
Implement emergency and standby power systems. Fire Safety 2023-10-19 2023-11-17 N
Construct fire resistant interior walls. Fire Safety 2023-10-19 2023-11-17 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-10-19 2023-11-17 N
Install an approved automatic sprinkler system. Fire Safety 2023-10-19 2023-11-17 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-10-19 2023-11-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-19 2023-11-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-10-19 2023-11-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-19 2023-11-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-19 2023-11-17 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-08-10 2023-08-31 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-08-10 2023-08-31 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-06-21 2023-07-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-13 2022-11-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-13 2022-11-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-13 2022-11-12 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-10-13 2022-11-12 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2022-10-13 2022-11-12 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-13 2022-11-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-21 2022-09-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-13 2022-09-13 Y
Respond appropriately to all alleged violations. Health 2022-08-26 2022-08-26 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-08-05 2022-08-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-19 2022-06-22 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-05-19 2022-06-10 Y
Provide and implement an infection prevention and control program. Health 2022-01-28 2022-02-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-15 2021-11-01 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2021-10-15 2021-11-01 Y
Respond appropriately to all alleged violations. Health 2021-06-30 2021-07-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-16 2021-06-14 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-04-20 2021-05-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-20 2021-05-07 Y
Implement emergency and standby power systems. Fire Safety 2019-05-01 2019-06-24 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-05-01 2019-06-24 N
Construct fire resistant interior walls. Fire Safety 2019-05-01 2019-06-24 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2019-05-01 2019-06-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-01 2019-06-24 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2019-05-01 2019-06-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-05-01 2019-06-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-05-01 2019-06-24 N
Have power receptacles that are properly grounded. Fire Safety 2019-05-01 2019-06-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-05-01 2019-06-24 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2019-05-03 2019-06-18 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-05-03 2019-06-18 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2019-05-03 2019-06-18 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2019-05-03 2019-06-18 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-05-03 2019-06-18 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-05-03 2019-06-18 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-05-03 2019-06-18 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-05-03 2019-06-18 N
Provide activities to meet all resident's needs. Health 2019-05-03 2019-06-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-03 2019-06-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-05-03 2019-06-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-05-03 2019-06-18 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-05-03 2019-06-18 N
Post nurse staffing information every day. Health 2019-05-03 2019-06-18 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-05-03 2019-06-18 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2019-05-03 2019-06-18 N
Provide and implement an infection prevention and control program. Health 2019-05-03 2019-06-18 N
Provide enough space and equipment to meet each resident's needs Health 2019-05-03 2019-06-18 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-05-03 2019-06-18 N
Meet other general requirements that are deficient. Fire Safety 2018-05-23 2018-06-12 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2018-05-23 2018-06-12 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2018-05-23 2018-06-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-05-23 2018-06-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-05-23 2018-06-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-05-23 2018-06-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-05-10 2018-06-04 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2018-05-10 2018-06-04 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-05-10 2018-06-04 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2018-05-10 2018-06-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-05-10 2018-06-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-05-10 2018-06-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-05-10 2018-06-04 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2018-05-10 2018-06-04 N
Provide enough food/fluids to maintain a resident's health. Health 2018-05-10 2018-06-04 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2018-05-10 2018-06-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-05-10 2018-06-04 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-05-10 2018-06-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-05-10 2018-06-04 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2018-05-10 2018-06-04 N
Implement a program that monitors antibiotic use. Health 2018-05-10 2018-06-04 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2018-05-10 2018-06-04 N