Above average — CMS composite of the measures below.
A standard survey is most likely before 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 Glendale Adventist Medical Center Dp/snf during CMS and state inspections, most recent first.
Surveyors found that food items, including an open box of cocoa mix, a container of lentils, metal trays with various foods, and a torn bag of carrots, were not properly labeled or dated in the kitchen and storage areas. The Dietary Director confirmed that these items should have been labeled and dated according to facility policy, and that failure to do so could lead to product misidentification and compromised food safety.
Surveyors found that appropriate care was not consistently provided for residents who were continent or incontinent of bowel and bladder, including inadequate catheter care and insufficient measures to prevent UTIs. These lapses were identified through direct observation and documentation review.
The facility did not provide and implement an infection prevention and control program as required. The report does not specify the actions or events that led to this deficiency, nor does it mention any particular residents or staff involved.
A resident with a seizure disorder and brain tumor did not receive a scheduled dose of Keppra while on NPO status for a CT scan. Nursing staff did not communicate with the physician or pharmacy to clarify or arrange for IV administration, resulting in the resident missing the medication for over 12 hours. Documentation of interventions or communication was also lacking, contrary to facility policy.
Two residents were not treated with dignity during dining as an LVN assisted them with eating while standing, rather than being at eye level. This occurred despite the facility's policy emphasizing the importance of promoting residents' well-being and self-esteem. The DON confirmed the need for staff to be at eye level to ensure residents' comfort and dignity.
The facility failed to properly label and date food items, including cookies, slaw, and meat, and did not dispose of expired vegetables and dirty soda cans. An ice scoop was improperly stored, and conflicting expiration dates were found on a bag of cabbage. These actions violated the facility's food safety policies, posing potential health risks to residents.
A resident at risk for blood clots did not have a sequential compression device (SCD) applied as ordered by the physician. Despite an active order, the SCDs were found on the floor and not in use for two days. The resident had conditions including diabetes, obesity, and a hip fracture. Staff confirmed the importance of SCDs in preventing deep vein thrombosis (DVT) and other complications, but the device was not applied as required.
A resident's peripheral IV line was not labeled with the date of insertion, contrary to facility policy, leading to a potential risk of infection. The resident confirmed the IV was inserted that morning, and the RN acknowledged the oversight. The DON emphasized the importance of labeling to ensure timely changes and prevent infections.
Failure to Properly Label and Date Food Items in Kitchen and Storage Areas
Penalty
Summary
Surveyors observed multiple instances where food items in the facility's kitchen and storage areas were not labeled or dated according to professional standards and the facility's own Food Storage policy. Specifically, an open box of individually wrapped dark chocolate cocoa mix packets in the dry storage area was found without an open date or use-by date. Additionally, a plastic container of lentils with a partially opened lid was not labeled to identify its contents or indicate a use-by date. In the walk-in refrigerator, several metal trays on a multi-rack were found with food items, some of which lacked labels, preparation dates, or use-by dates. A bag of carrots with a large tear at the top was also found unsealed, unlabeled, and without a use-by date. During interviews conducted at the time of observation, the Dietary Director (DD) acknowledged that these items should have been properly labeled and dated, and that failure to do so increases the risk of product misidentification and use of expired items. The DD also stated that not sealing, labeling, and dating food items could compromise food safety and quality. Review of the facility's Food Storage policy confirmed that all stored food must be labeled with the product name, date opened or prepared, and use-by date. These findings demonstrate noncompliance with food storage, preparation, and distribution standards.
Deficient Bowel/Bladder and Catheter Care Leading to UTI Risk
Penalty
Summary
The report identifies a deficiency related to the provision of care for residents who are continent or incontinent of bowel and bladder, as well as the management of catheter care and the prevention of urinary tract infections (UTIs). Surveyors found that appropriate care was not consistently provided in these areas, which includes failures in maintaining proper hygiene, monitoring, and interventions necessary to prevent complications such as UTIs. The deficiency is based on direct observations and documentation review indicating lapses in the standard of care required for residents with these needs.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified by surveyors, but the report does not provide specific details regarding the actions, inactions, or events that led to the deficiency. No information is given about the involvement of particular residents, staff, or the circumstances under which the deficiency was observed.
Failure to Administer Seizure Medication During NPO Status
Penalty
Summary
The facility failed to ensure that a resident with a history of seizures and glioblastoma received their prescribed Keppra (an anti-seizure medication) when placed on NPO status for a scheduled abdominal CT scan. The resident was scheduled to receive Keppra twice daily, but did not receive the 9:00 a.m. dose after being made NPO. There was no documented communication between nursing staff and the physician regarding alternative routes of administration, nor was there clarification with the pharmacy about the medication order. The resident ultimately went over 12 hours without receiving Keppra. Interviews with nursing staff and the Director of Nursing confirmed that the facility had the capability to administer IV medications and that seizure medications could be given in the facility. The medical record showed that an order for IV Keppra was present, but it was not administered before the resident was transferred to the hospital later that day. There was no documentation of any interventions, communication with the physician, or pharmacy regarding the missed dose, despite facility policy requiring such documentation.
Failure to Promote Dignity During Dining
Penalty
Summary
The facility failed to promote dignity and respect during dining for two residents, Resident 102 and Resident 153. Resident 102, who was admitted with diagnoses including generalized weakness and hypertension, was observed being assisted with eating by an LVN who stood over the resident, rather than being at eye level. This was noted during a dining observation, and the LVN later admitted to not recalling why she did not feed the resident at eye level, acknowledging the importance of doing so for the resident's comfort and dignity. Similarly, Resident 153, who was admitted with dementia and sepsis, was also assisted with eating by the same LVN while standing. The LVN expressed uncertainty about the requirement to be at the same level as the resident during feeding. The Director of Nursing confirmed that staff should be at eye level with residents during feeding to ensure comfort and dignity, as per the facility's policy on promoting residents' well-being and self-esteem.
Food Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards and its own policies regarding food storage, preparation, and distribution, leading to potential health risks for residents. During observations, several deficiencies were noted, including a tub of cookies in the freezer without a label or expiration date, an opened bottle of slaw in the refrigerator without a date, and a package of meat without a label or date. Additionally, a bag of cabbage was found with two conflicting expiration date stickers, and dirty soda cans were stored improperly next to regular sodas. Further observations revealed that food in cart trays was not labeled, and expired vegetables were not disposed of. An ice scoop was improperly stored on top of the ice machine, which could lead to contamination. These practices were in direct violation of the facility's policy, which mandates that all food must be properly labeled and dated to prevent contamination and ensure safety. The Interim Dietary Director acknowledged these issues during interviews, recognizing the potential for residents to become ill from consuming improperly stored or expired food.
Failure to Apply SCDs as Ordered for Resident at Risk of Blood Clots
Penalty
Summary
The facility failed to provide necessary care and services for a resident at risk for developing a blood clot by not applying a sequential compression device (SCD) as ordered by the physician. The resident, who was admitted with diagnoses including type 2 diabetes, morbid obesity, and a closed fracture of the right hip, had a physician's order dated 8/13/24 for the application of SCDs. However, during an observation on 8/16/24, the SCDs were found on the floor and not applied to the resident's legs. A registered nurse confirmed that the SCDs should have been in use to prevent deep vein thrombosis (DVT). Interviews with the resident's family member and the Director of Nursing (DON) revealed that the SCDs had not been used for two days, despite an active doctor's order for their application. The DON and another registered nurse emphasized the importance of SCDs in preventing blood clots, which could lead to serious complications such as pulmonary embolism, heart attack, or stroke. The facility's policy on SCDs also highlighted their role in improving circulation and preventing DVTs and PEs, yet the device was not applied as required.
Failure to Label IV Line Leads to Potential Infection Risk
Penalty
Summary
The facility failed to provide a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable diseases for a resident by not labeling the peripheral intravenous (IV) line with the date of insertion. This deficiency was identified during an observation and interview with Resident 8, who had an IV line inserted in the right hand without a label indicating the date of insertion. The resident stated that the IV line was inserted that morning, and the registered nurse confirmed that the IV was not labeled with the date, which is crucial for ensuring timely changes to prevent infections. The Director of Nursing acknowledged the importance of labeling the IV line with the date to verify when it should be changed, as failure to do so could lead to phlebitis or other skin infections. The facility's policy and procedure for dressing changes of vascular access devices required labeling the dressing with the date and nurse's initials, which was not followed in this instance. This oversight had the potential to result in the IV not being changed timely, increasing the risk of infection.
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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.
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Nursing homes near Glendale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glendale Post Acute Center | 0.6 mi | ★★★★★ | 24 | 0 |
| Autumn Hills Health Care Center | 0.6 mi | ★★★★★ | 7 | 0 |
| Ararat Convalescent Hospital | 0.9 mi | ★★★★★ | 16 | 0 |
| Solheim Senior Community | 1 mi | ★★★★★ | 17 | 0 |
| Ararat Post Acute | 1 mi | ★★★★★ | 20 | 0 |
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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.