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Facility profile · CCN 375359

Glenhaven Retirement Village

29 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $14,433.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
29
Total citations
15
Last 3 years
2
Actual harm+
2
Federal penalties
$14,433
Total fines
3
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

29 on record
SurveyF-TagViolationSeveritySource
Jan 16, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Dec 19, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Oct 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Oct 12, 2023F909Regularly 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.EStandard
Oct 12, 2023F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Oct 12, 2023F700Try 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.EStandard
Oct 12, 2023F688Provide 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.EStandard
Oct 12, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Oct 12, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Oct 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Oct 12, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Oct 12, 2023F637Assess the resident when there is a significant change in conditionDStandard
Oct 12, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard
Oct 12, 2023F578Honor 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.DStandard
Dec 8, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Dec 8, 2022F880Provide and implement an infection prevention and control program.EStandard
Dec 8, 2022F770Provide timely, quality laboratory services/tests to meet the needs of residents.EStandard
Dec 8, 2022F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard
Dec 8, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Dec 8, 2022F692Provide enough food/fluids to maintain a resident's health.EStandard
Dec 8, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Dec 8, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Dec 8, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Dec 8, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 8, 2022F641Ensure each resident receives an accurate assessment.EStandard
Dec 8, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Dec 8, 2022F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Dec 8, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $14,433 and 1 payment-denial actions spanning 3 days.

DateTypeFinePayment denial
Sep 5, 2024Fine$14,433
Sep 5, 2024Payment DenialNov 12, 2024 · 3 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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