Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nightingale At Glenwood during CMS and state inspections, most recent first.
A facility failed to accurately code an Annual MDS Assessment for a resident with serious mental illness, impacting continuity of care. The resident, diagnosed with depression, anxiety, and bipolar disorder, was incorrectly documented as not requiring a Level II PASARR. The MDS Coordinator later confirmed the coding error, and the facility lacked a specific policy on MDS accuracy, relying on the federal RAI manual.
A resident with severe cognitive impairment required extensive assistance for transfers. Two CNAs were observed transferring the resident without using the gait belt properly. Instead, one CNA placed her forearm under the resident's armpit and grabbed the pants, which was confirmed as improper by the DON.
A resident with severe impairments and a history of neurogenic bladder was prescribed Levaquin for a UTI without a urine culture being performed, contrary to the facility's antibiotic stewardship protocol. Despite the presence of symptoms like foul-smelling urine, the facility did not adhere to its infection surveillance criteria, which required a urine culture to confirm the infection. Interviews revealed challenges in assessing the resident's condition due to their non-verbal and incontinent status.
Inaccurate MDS Coding for Resident with Mental Illness
Penalty
Summary
The facility failed to ensure that an Annual Minimum Data Set (MDS) Assessment was accurately coded for a resident with a serious mental illness, leading to a deficiency in the continuity of care. The resident, who had diagnoses of depression, anxiety, and bipolar disorder, was documented as cognitively intact on the Brief Interview for Mental Status (BIMS) with a score of 15. However, the MDS inaccurately indicated that the resident was not considered by the state Level II PASARR process to have a serious mental illness or intellectual disability, which was incorrect. The care plan for the resident, revised earlier in the year, noted mood problems related to depression and anxiety, requiring staff to monitor for symptoms and report to a medical doctor as needed. Upon review, the PASARR packet from 2021 indicated that the resident did not require specialized services beyond the nursing facility's capabilities. However, the MDS Coordinator later confirmed that the resident did require a PASARR Level 2, acknowledging the coding error in the Annual MDS assessment. The facility lacked a specific policy on the accuracy of MDS assessments, relying instead on the federal RAI manual.
Improper Transfer Technique Using Gait Belt
Penalty
Summary
The facility failed to ensure a proper transfer using a gait belt for a resident with severe cognitive impairment. The resident, who required extensive assistance for transfers, was observed being transferred by two CNAs. Instead of using the gait belt as trained, one CNA placed her forearm under the resident's armpit and grabbed the back of the resident's pants. This improper technique was confirmed by the CNA during an interview. The Director of Nursing later confirmed that the correct procedure involves placing hands on the gait belt, and that the observed method could potentially harm the resident.
Failure to Follow Antibiotic Stewardship Protocol
Penalty
Summary
The facility failed to adhere to its antibiotic stewardship protocol by not obtaining a urine specimen for culture before administering antibiotics to a resident. The resident, who was severely impaired and unable to verbalize pain, was diagnosed with a urinary tract infection (UTI) and prescribed Levaquin without a urine culture being performed. The resident had a history of neurogenic bladder, non-Alzheimer's dementia, cognitive communication deficit, and a traumatic brain injury, which contributed to their inability to communicate pain effectively. Despite the presence of foul-smelling urine and increased sediment, the facility did not follow the established criteria for infection surveillance, which required a urine culture to confirm the infection. Interviews with facility staff revealed that the resident was non-verbal and incontinent, making it difficult to assess the urine's appearance. The Infection Control Nurse confirmed that the facility typically collects a urine sample to diagnose a UTI but may treat based on symptoms if a sample cannot be obtained. The Director of Nursing acknowledged that the resident experienced daily pain and moaned throughout the day. The facility's policy on antibiotic stewardship emphasized the importance of using standardized tools and criteria for assessing infections and making therapeutic decisions based on appropriate evidence, which was not followed in this case.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 21 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Glenwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Montgomery County Nursing Home | 15.6 mi | ★★★★★ | 0 | 0 |
| Murfreesboro Rehab And Nursing, Inc | 20 mi | ★★★★★ | 21 | 1 |
| Lake Hamilton Health And Rehab | 22.9 mi | ★★★★★ | 0 | 0 |
| Quapaw Care And Rehabilitation Center Llc | 27 mi | ★★★★★ | 0 | 0 |
| Twin Rivers Rehabilitation And Healthcare Center | 29.7 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.