A list of the most recent deficiencies for Glendale Care and Rehab Center LLC. 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 | 2023-11-29 | 2023-12-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-29 | 2023-12-26 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-19 | 2022-11-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-24 | 2022-11-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-24 | 2022-11-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-24 | 2022-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-24 | 2022-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2022-11-18 | 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 | 2022-10-24 | 2022-11-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-24 | 2022-11-18 | 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 | 2022-10-24 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-24 | 2022-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-24 | 2022-11-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-05 | 2022-11-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-11-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-11-18 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-05 | 2022-11-18 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2022-10-19 | 2022-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-19 | 2022-11-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-19 | 2022-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-19 | 2022-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-19 | 2022-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-13 | 2021-08-11 | 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 | 2021-07-13 | 2021-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-13 | 2021-08-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-13 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-13 | 2021-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-13 | 2021-08-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-07 | 2021-08-11 | 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 | 2021-07-07 | 2021-08-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-07 | 2021-08-11 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-07-07 | 2021-08-11 | 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 | 2021-04-20 | 2021-04-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-20 | 2021-04-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-31 | 2021-04-24 | 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 | 2019-05-28 | 2019-07-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-28 | 2019-07-10 | 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 | 2019-05-28 | 2019-07-10 | N |
| 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 | 2019-05-28 | 2019-07-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-28 | 2019-07-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-28 | 2019-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-28 | 2019-07-10 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-28 | 2019-07-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-28 | 2019-07-10 | 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 | 2019-05-28 | 2019-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-28 | 2019-07-10 | 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 | 2019-05-28 | 2019-07-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-28 | 2019-07-10 | 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 | 2019-05-28 | 2019-07-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-05-28 | 2019-07-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-05-28 | 2019-07-10 | 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 | 2019-05-28 | 2019-07-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-28 | 2019-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-28 | 2019-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-28 | 2019-07-10 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-05-28 | 2019-07-10 | 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 | 2019-05-22 | 2019-07-10 | 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 | 2019-05-22 | 2019-07-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-22 | 2019-07-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-05-22 | 2019-07-10 | N |
