Glenview Health and Rehabilitation

Based on interview, record review, and review of the facility's policy, the facility failed to report allegations of abuse to the State Agencies for two (2) of 13 sampled residents, (Resident (R)8, and R9). The findings include:Review of the facility's policy titled Abuse, Neglect, and Exploitation, reviewed 06/2025, revealed the facility was required to report all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies immediately, but not later than two hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury. Further policy review revealed the results of all investigations were to be reported to the appropriate state agency within 5 working days of the alleged violation's initial report.1.Review of R8's Face Sheet revealed the facility admitted the resident on 11/07/2016 with diagnoses which included unspecified dementia with other behavioral disturbance, bipolar disorder, and hyperlipidemia. Review of R8's Quarterly Minimum Data Set (MDS) Assessment…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review and review of the facility's policy, it was determined the facility failed to ensure allegations of abuse were thoroughly investigated to prevent further potential abuse for two (2) of 13 sampled residents, (Residents (R)8 and R9). The findings include:Review of the facility's policy titled Abuse, Neglect, and Exploitation, reviewed 06/2025, revealed an immediate investigation was warranted when suspicion of abuse, neglect, or exploitation, or reports of abuse, neglect, or exploitation occurred. Further review of the policy revealed the facility was to identify and interview all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of the allegations, and provide complete and thorough documentation of the investigation. 1.Review of R8's Face Sheet revealed the facility admitted the resident on 11/07/2016 with diagnoses which included unspecified dementia with other behavioral disturbance, bipolar disorder, and hyperlipidemia. Review of R8's Quarterly Minimum Data Set (MDS) Assessment with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

4. Review of the Resident Face Sheet for R44 revealed the facility admitted the resident on 06/14/2024, with diagnoses that included cerebral infarction, unspecified, and hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. Review of R44's Quarterly MDS Assessment, with an ARD date of 03/21/2025, revealed the facility assessed the resident to have a BIMS score of 15 out of 15, indicating the resident was cognitively intact. Review of the physician's orders dated 11/12/2024, revealed an order for R44 to have an L [left] ankle brace placed on L ankle daily to increase support, remove before bed with a start date of 11/12/2024. Continued review of the physician's orders revealed an order for R44 to have L resting hand splint to L hand 4-6 hours daily to avoid contractures to L hand and wrist with a start date of 11/12/2024. Review of R44's care plan revealed the facility identified ADLs Functional Status/Rehabilitation Potential problem dated 11/12/2024, that noted, Resident requires splint/brace assistance to left hand and ankle. Continued review…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and review of facility policy, the facility failed to meet professional standards of quality during medication administration for 1 of 3 sampled resident out of the 23 total sampled residents (Resident (R)51). The findings include: Review of the facility policy titled, Medication Administration, last revised date of 02/20/2025, revealed medications were to be administered as ordered by the physician and in accordance with professional standards of practice. Further review of the policy revealed the Compliance Guidelines included obtaining and recording vital signs when applicable and holding medication for vital signs outside the physician's prescribed parameters. Review of R51's Resident Face Sheet revealed the facility admitted the resident on 10/31/2024, with diagnosis that included essential hypertension, Alzheimer's disease, and chronic kidney disease. Review of the physician's orders dated 10/31/2024 revealed an order for Lisinopril 20 milligram (mg) one tablet daily which was to be held if the resident's systolic blood pressure…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 3 of 7 residents sampled for range of motion (ROM) and orthotic devices out of the 23 total sampled residents, (Resident (R)15, R45 and R22). The finding include: In interview on 06/02/2025 at 2:18 PM, the Administrator informed the State Survey Agency (SSA) Surveyor the facility did not have a policy for splinting/orthotic devices, or for Restorative Nursing Services. 1. Review of the Resident Face Sheet for R45 revealed the facility admitted the resident on 03/18/2024, with diagnoses that included hemiplegia, and hemiparesis following unspecified cerebrovascular disease affecting the left side. Review of the Annual Minimum Data Set (MDS) Assessment with an Assessment Reference Date (ARD) of 3/26/2025, revealed the facility assessed R45 to have a Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating the resident had…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure residents with limited range of motion (ROM) received appropriate treatment and services to prevent further decrease in ROM for 3 of 7 residents sampled for limited ROM out of the 23 total sampled residents, (Resident (R15), R22, and R45). The findings include: In interview on 06/02/2025 at 2:18 PM, the Administrator informed the State Survey Agency (SSA) the facility did not have a policy regarding Restorative Nursing Services or splinting/orthotic devices. 1. Review of the Resident Face Sheet revealed the facility admitted R45 on 03/18/2024, with diagnoses that included hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left side, and personal history of transient ischemic attack. Review of the Annual Minimum Data Set (MDS) Assessment with an Assessment Reference Date (ARD) of 03/26/2025, revealed the facility assessed the resident as having a Brief Interview for Mental Status (BIMS) score of 14 out…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of facility policy, the facility failed to provide a communication system that relayed the call directly to a staff member or to a centralized staff work area from toileting and bathing facilities. The findings include: Review of the facility policy titled, Call Lights: Accessibility and Timely Response, with a revision date of 08/30/2024, revealed the purpose of the policy was to ensure the facility is adequately equipped with a call light at each resident's bedside, toilet, and bathing facility to allow residents to call for assistance. Per policy review, the call system must be accessible to the resident at each toilet and bath or shower facility and should be accessible to a resident lying on the floor. Observation of the private bathroom in resident room [ROOM NUMBER] on 06/01/2025 at 10:30 AM, revealed a walk-in shower situated to the left immediately upon entering the bathroom. Per observation, to the right, upon entry, a sink and countertop were present.…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of facility policy, it was determined the facility failed to include the resident and/or the resident's representative in the care planning process. The facility failed to either invite the resident and/or their representative or include an explanation in the resident's medical record as to why their participation in the development of the resident's care plan was not practicable. This failure affected five (Resident (R) 45, R15, R10, R43, and R48) of twenty-five (25) sampled residents. The findings include: Review of the facility policy titled, Care Planning-Resident Participation, dated 03/20/2023, revealed that the facility would discuss the plan of care with the resident and or representative at regularly scheduled care plan conferences and allow them to see the care plan initially, at routine intervals, and after significant changes. The facility would make an effort to schedule the conference at the best time of day for the resident or the resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and review of the facility's policy, the facility failed to ensure all drugs and biological agents were properly labeled, stored, and/or secured in accordance with accepted professional principles. Medication was not kept under lock as required. Expired medication was not discarded per policy. Medication was not completely labeled so as to identify the resident to whom it was prescribed and/or dated as required. Temperatures for medication storage were not monitored and/or maintained at a level to protect the safety/efficacy of the drugs. These failures involved two (2) of two medications rooms, two of five medication carts, and one treatment cart. The findings include: 1.Unlocked Medications: Review of the facility policy, titled Medication Storage in the Facility, dated 05/2022, revealed medications must be stored safely, securely, and properly. a. Observation on 04/08/2024 at 8:15 AM on the 200 Hall revealed Certified Medication Technician (CMT) 5 left the medication cart unlocked and unattended as the survey team entered the building for the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, review of grievance logs, and review of the Kentucky Food Guide 2013 Food Code guidance, the facility failed to provide food that was at a palatable temperature and flavorful. Hot foods were below the acceptable levels for the point of service temperatures, while the cold food/beverages were above the acceptable temperatures for the point of service. In addition, food was bland and in need of seasoning/condiments. This failure affected three (Resident (R) 47, R62, and R36) of twenty-five (25) sampled residents out of a total census of 59 resident. In addition, this failure had the potential to affect any of the 34 residents who live on the two of three halls (200 Hall and 300 Hall) who prefer to eat in their rooms (rather than the main dining room). The findings include: 1. Review of the admission Record revealed Resident (R) 47's Quarterly Minimum Data Set (MDS), dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 15/15, indicating the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, record review, and review of facility policy and competency documentation, the facility failed to maintain an infection prevention and control program designed to help prevent the development and transmission of infection for one (1) (Resident (R) 47) of six (6) residents reviewed for wounds out of a sample of twenty-five (25) residents. During wound care, one Licensed Practical Nurse (LPN) failed to utilize a barrier to lay out wound supplies and failed to change gloves and/or perform hand hygiene when indicated. The findings include: Review of the facility policy titled, Infection Prevention and Control Program, revised on 02/21/2024, revealed that the facility would establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Review of the facility skills review (competency check-off form) for wound care, titled Clean Wound Dressing Change, revealed staff were to implement the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.