Deficiency Records for Glenburney Health Care and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Glenburney Health Care and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-09-22 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-01-20 | 2022-02-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-20 | 2022-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-20 | 2022-02-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-02-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-20 | 2022-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-19 | 2022-02-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-23 | 2021-09-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-05 | 2019-06-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-05 | 2019-06-18 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-05 | 2019-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-05 | 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 | 2019-05-05 | 2019-06-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-05 | 2019-06-18 | N |
| 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 | 2019-05-05 | 2019-06-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-05-05 | 2019-06-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-05 | 2019-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-05 | 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 | 2019-05-05 | 2019-06-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-05 | 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 | 2019-05-05 | 2019-06-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-05-05 | 2019-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-05 | 2019-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-05 | 2019-06-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-03 | 2019-06-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-02 | 2017-07-27 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-06-02 | 2017-07-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-02 | 2017-07-27 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-06-02 | 2017-07-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-02 | 2017-07-27 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-02 | 2017-07-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-02 | 2017-07-27 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-02 | 2017-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-02 | 2017-07-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-02 | 2017-07-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-02 | 2017-07-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-02 | 2017-07-27 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-06-02 | 2017-07-27 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-06-02 | 2017-07-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-02 | 2017-07-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-06-02 | 2017-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-02 | 2017-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-02 | 2017-07-27 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-06-02 | 2017-07-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-06-02 | 2017-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-02 | 2017-07-27 | N |
