Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Glenvue Health & Rehab during CMS and state inspections, most recent first.
Staff did not follow standardized recipes or correct portion sizes when preparing and serving meals, resulting in altered nutritional content for residents on pureed diets. The Dietary Manager confirmed the wrong scoop was used and could not verify that the nutritional needs of residents were met, as the intended recipe and serving sizes were not followed.
Surveyors found that food storage and preparation areas were not kept clean, with soiled equipment and surfaces, and that staff failed to follow proper food handling and temperature protocols. Ready-to-eat foods were handled with contaminated gloves, and hot foods were not heated to the required temperature before being placed in warming equipment. The juice dispenser was not cleaned as frequently as recommended, and the kitchen cleaning schedule was in transition under a new contractor.
A resident with severe cognitive impairment and multiple medical conditions did not receive or have documented assistance with bathing over several days, despite being scheduled and requiring substantial staff support. Staff interviews confirmed the process for scheduling and documenting baths, but no evidence was found that the resident was offered, received, or refused bathing during the period in question.
A resident with diabetes and a history of hemiplegia did not receive quarterly HbA1c lab tests as ordered by the physician. Despite pharmacy recommendations to update lab monitoring, there was no documentation that the required tests were completed, and the resident was not included on lab draw lists. The facility lacked a protocol to ensure physician orders for lab monitoring were followed.
A resident was readmitted after a hospital stay, but the physician's order for metoprolol tartrate 25 mg was not entered into the EMR. An LPN administered the medication based on pharmacy packaging and prior knowledge, but the administration was not documented due to the missing order. Staff interviews confirmed the omission, and the facility lacked a policy for ensuring complete and accurate medical records.
Staff failed to consistently perform hand hygiene during medication administration and housekeeping tasks, including not sanitizing hands between residents and after glove removal, and a personal drink was found on the medication cart. These lapses occurred with residents on Enhanced Barrier Precautions and those with various medical conditions, despite facility policies requiring proper infection control practices.
Failure to Follow Standardized Recipes and Portion Sizes During Meal Service
Penalty
Summary
Staff failed to follow the preplanned menu portion serving sizes and standardized recipes during meal preparation and service. Specifically, a staff member preparing the meal for residents with altered textured diets did not use the standardized recipe, adding cheese to the chicken pot pie and using biscuits instead of the specified pie crust. The staff member also used a four-ounce scoop to portion the entree for pureed diets, rather than the required six-ounce portion as indicated on the facility's menu extension and spreadsheet. This resulted in residents receiving incorrect portion sizes and altered nutritional content. The Dietary Manager confirmed that the scoop used was not the correct size and provided the appropriate six-ounce scoop after the error was identified. Additionally, the Dietary Manager was unable to explain how the amount of casserole prepared for pureed diets met the nutritional needs of the residents, as the standardized recipe and intended portion sizes were not followed. The facility's documentation showed that eight residents had physician orders for pureed diets, and the deviation from the recipe and portion sizes affected the nutritional value of the meals served to these residents.
Deficient Food Storage, Preparation, and Sanitation Practices
Penalty
Summary
Surveyors observed multiple failures in the facility's food storage, preparation, and distribution practices. The kitchen floor was soiled with food crumbs and particulate matter, and broken linoleum tiles exposed the sub-floor, with food debris adhered to the damaged areas. The reach-in refrigerator doors and handles were visibly soiled with food splashes and spills. A deep fryer had a heavily soiled splash guard, and the microwave handle and interior contained food crumbs. The juice dispenser spigots were only cleaned weekly, despite manufacturer instructions recommending daily cleaning. The steam table wells contained food spills and splashes, and the water had not been changed as required. The Dietary Manager acknowledged that the cleaning schedule was being revised and that a new contractor had recently taken over food service operations. During meal service, a staff member was observed handling ready-to-eat foods, such as biscuits, with gloved hands that had touched multiple surfaces, potentially contaminating the food before switching to tongs. Additionally, food items placed in the warming oven were not heated to the required temperature of 165°F before being held for service; a pureed meat item was found at below 100°F. The Dietary Manager confirmed that food should be heated to the appropriate temperature prior to hot holding. These deficiencies in food handling, equipment sanitation, and temperature control were observed during the survey and were not in accordance with professional standards.
Failure to Provide and Document Bathing Assistance for Dependent Resident
Penalty
Summary
A deficiency occurred when staff failed to provide and document assistance with activities of daily living, specifically bathing, for one resident who required substantial to maximal assistance. The resident, who had diagnoses including acute respiratory failure, epilepsy, cerebral palsy, cognitive communication deficit, bipolar disorder, and intellectual disabilities, was assessed as having severely impaired cognitive skills and was unable to complete a mental status interview. The resident's care plan indicated the need for one-person assistance with bathing. Record review showed no documentation that the resident was bathed or offered a bath from 02/23/24 through 02/28/24, despite being scheduled for a bath on 02/27/24. Staff interviews confirmed that residents are scheduled for baths according to a set schedule and refusals are to be documented, but there was no documentation of a bath being offered, completed, or refused for this resident during the specified period. The DON confirmed that the expectation was for the resident to be scheduled and provided a bath, but no documentation was found to support that this occurred.
Failure to Complete Ordered HbA1c Lab Monitoring for a Resident
Penalty
Summary
The facility failed to follow physician orders for laboratory monitoring for a resident with a primary diagnosis of hemiplegia and hemiparesis following a nontraumatic intracerebral hemorrhage. The resident had an order for HbA1c testing to be performed quarterly in January, April, July, and October. Record review showed that the last HbA1c was drawn in March 2024, with no evidence of the test being completed in October 2024 or January 2025 as ordered. Pharmacy progress notes in November 2024 and February 2025 recommended updating HbA1c lab monitoring, but there was no documentation that these recommendations were acted upon. Interviews with the DON and Corporate Compliance Nurse confirmed that the expected process was for labs to be drawn as ordered and for recommendations from pharmacy reviews to be communicated to the physician or nurse practitioner. However, the facility did not have a protocol or policy in place to ensure laboratory monitoring was completed, and the resident was not included on the lab draw lists generated by Clinical Laboratory Services for the relevant months. The facility was unable to provide proof that the required HbA1c tests were performed as ordered.
Failure to Maintain Accurate Medical Record Following Resident Readmission
Penalty
Summary
The facility failed to maintain a complete and accurate medical record for one resident following readmission from a hospital stay. Upon review, it was found that the physician's order for metoprolol tartrate 25 mg was not entered into the electronic medical record (EMR) after the resident's return. The resident's discharge medication orders from the hospital included metoprolol, but this order was not transcribed into the EMR by the nurse responsible for the readmission process. As a result, the medication was not listed in the resident's active orders, and there was no prompt for documentation of its administration in the EMR. Despite the absence of an active order in the EMR, an LPN administered metoprolol to the resident, relying on the medication packet provided by the pharmacy and her knowledge of the resident's history. The administration was not documented in the EMR due to the missing order. Interviews with staff confirmed that the facility's protocol required review and transcription of hospital discharge orders into the EMR, but this step was missed. Additionally, the facility did not have a policy related to maintaining complete and accurate medical records.
Failure to Maintain Infection Control During Medication Administration and Housekeeping
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices for five of 31 sampled residents, as evidenced by multiple staff not performing required hand hygiene during medication administration, meal service, and housekeeping tasks. During medication administration, one LPN was observed with an open can of soda on top of the medication cart, which she acknowledged was her personal drink and should not have been there. Another LPN was observed administering medications to three residents consecutively without performing hand hygiene between residents, which she confirmed was not in accordance with facility policy. Further deficiencies were observed in the care of residents on Enhanced Barrier Precautions. A housekeeper was seen cleaning the room of a resident with an unstageable chronic wound and then, without performing hand hygiene after glove removal, proceeded to clean another resident's room. The housekeeper acknowledged not following the posted hand hygiene instructions. Additionally, an LPN preparing to provide wound care for a resident on Enhanced Barrier Precautions exited and re-entered the room without performing hand hygiene before donning new PPE and completing the dressing change, which the LPN later confirmed was an error. The residents involved had varying medical conditions, including alcohol-induced persisting dementia, chronic pancreatitis, urinary tract infection, and a progressive neurological disease. Some residents were severely or moderately cognitively impaired, while others were cognitively intact. The facility's own policies required hand hygiene before and after medication administration, after glove removal, and when entering or leaving rooms under Enhanced Barrier Precautions, but these protocols were not consistently followed by staff.
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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 Glennville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tattnall Healthcare Center | 14.4 mi | ★★★★★ | 10 | 0 |
| Camellia Health & Rehabilitation | 15.4 mi | ★★★★★ | 3 | 2 |
| Coastal Manor | 19.3 mi | ★★★★★ | 0 | 0 |
| Jesup Ridge Of Journey Llc | 21.2 mi | ★★★★★ | 0 | 0 |
| Altamaha Healthcare Center | 22.6 mi | ★★★★★ | 7 | 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.