Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Nhc Healthcare, Glasgow during CMS and state inspections, most recent first.
The facility failed to maintain complete and accurate medical records for multiple residents by not consistently documenting controlled substance administration on MARs in accordance with pharmacy policy. Pharmacy audits showed repeated instances where narcotic doses such as Norco, hydrocodone-APAP, and oxycodone were signed out or removed on narcotic records but had no corresponding MAR entries, and in one case, MAR documentation of oxycodone-acetaminophen administration conflicted with a negative urine opiate screen. Several residents with dementia, fractures, chronic pain, and other comorbidities were affected, including both cognitively intact and severely impaired individuals. Staff interviews confirmed that narcotics were expected to be documented on both the narcotic sheet and MAR, but the pharmacist reported ongoing concerns about poor documentation, while the staff educator and DON described uncertainty or lack of clear processes for MAR documentation training and chart audits, and the administrator stated she would have considered such inconsistencies to be medication errors.
The facility failed to maintain a safe, clean, comfortable, and homelike environment when handrails were removed and left with exposed metal wall anchors protruding from the hallway walls where residents used the walls for support. In addition, observations found stained ceiling tiles, an exposed cable wire, a partially disengaged ventilation screen, hoyer slings, medication carts, an unlocked rollator, and an obstructed crash cart in a dining area, while another dining area stored exercise equipment and a wheelchair scale where residents ate. The DON, Administrator, and other staff did not view several of these conditions as safety concerns.
A resident with dementia and a femur fracture, who took pills whole, was involved in an incident where an RN asked an LPN to witness wasting a spilled, crushed narcotic that did not match the resident’s usual medication form. The concern was reported internally to the DON and Administrator and later triggered an internal investigation after an anonymous hotline report and documentation that the RN had administered multiple doses of oxycodone-acetaminophen to the resident. Despite a facility policy requiring all alleged violations of abuse, neglect, misappropriation, or exploitation to be reported to the SSA, leadership, including a Regional Nurse, the DON, and the Administrator, determined the situation did not constitute misappropriation or abuse and did not report it to the SSA, limiting external reporting to the state nursing board.
The facility failed to timely report a suspected misappropriation of narcotic medication involving a cognitively impaired resident. A unit manager raised concerns to the DON after an RN asked an LPN to witness waste of a crushed narcotic, even though the resident reportedly took pills whole. An anonymous complaint was later made to the company hotline about the RN and narcotics, prompting an internal investigation. A regional nurse identified multiple documented doses of oxycodone-acetaminophen given to the resident over several days, and a drug screen ordered by the Medical Director was negative for opiates. Although the DON, ADON, Administrator, and regional staff were aware of these concerns, the allegation of misappropriation was not reported to the State Survey Agency within the required 24-hour timeframe.
The facility failed to thoroughly investigate an allegation of narcotic misappropriation involving a resident with dementia and a history of fracture and anxiety. A UM reported concerns about how a narcotic dose was wasted and noted that one RN appeared to be the only nurse administering the resident’s PRN oxycodone-acetaminophen. An anonymous Values Line complaint and a regional nurse’s review showed repeated narcotic administrations by the same RN over several days, and a pharmacist’s audit identified extensive wasting and frequent PRN use tied to one nurse and select residents. Despite these findings and facility policy requiring investigation of possible abuse or misappropriation, the facility did not conduct or document staff or resident interviews, did not perform a drug screen on the RN, and did not document required notifications to state agencies, resulting in a deficient investigation.
Two residents did not receive care in accordance with professional standards and facility expectations. For one resident with dementia and a femur fracture, an RN documented multiple administrations of oxycodone-acetaminophen on the MAR, but a subsequent urine opiate screen was negative, and the facility concluded the narcotic had not been given despite the documentation. For another resident with a gastrostomy, dysphagia, and prior traumatic brain injury, a CNA reported pausing the TF pump during repositioning, while the unit manager, DON, and LPNs indicated that only licensed nurses were authorized to manage the TF pump and that such tasks were outside CNA scope; the facility also could not produce a TF management policy.
The facility failed to operate an effective QAPI system that incorporated pharmacy and controlled substance issues into its quality review and performance improvement activities. Although the QAPI policy assigned the committee responsibility for ongoing systemwide quality improvement, the HIM Director reported that QAPI meetings focused on other topics and did not address controlled substances or known pharmacy issues identified over several months. The DON stated that medication concerns, including internal findings of extra narcotic sheets, were not brought to QAPI and that related checks were not documented. The Administrator acknowledged concern about wasted medications but stated the facility did not track them and that such issues were not presented to QAPI or the Medical Director. The Medical Director confirmed he had not been informed of prior pharmacy audit concerns and believed these discrepancies should have been addressed through QAPI.
Failure to Maintain Resident Dignity During Personal Care: A cognitively intact resident with multiple chronic conditions was left on her bed wearing only a brief after toileting/personal care, with her blanket off and no clothing on, according to the resident, her roommate, and a CNA. The resident said she was cold and upset by the incident, and staff interviews confirmed expectations to provide privacy, complete ADL assistance before leaving the room, and maintain resident dignity.
Failure to review advance directives during care planning: A resident with intact cognition and post-stroke diagnoses was not documented as having advance directives discussed at the quarterly care conference. The SSD, Admission Coordinator, DON, and Administrator each described admission-based discussion or uncertainty about follow-up, while the resident said he did not recall any advance directive discussion and wanted to appoint his brother as POA.
Improper Food Storage and Handling: Food service staff stored dented cans of apple pie filling and mushroom stems in active rotation, left dry goods open to air, and kept an undated hot chocolate container in the pantry. In the refrigerator, leftover tomato soup was left unsealed, door seals had dark discoloration, and flour and sugar bins were stored near a sink and exposed piping with visible droplets on the flour bin lid.
The facility did not deliver mail to residents on Saturdays, as required by their policy. A resident reported this issue during a Resident Council meeting, and it was confirmed by others. The Activities Director stated that mail was not distributed on Saturdays due to a lack of weekend staff. The Administrator acknowledged the lapse and confirmed the activities department's responsibility for mail delivery during weekdays.
The facility failed to comply with food safety standards, as food items were improperly stored and labeled, and dietary staff did not secure hair and beards as required. Observations revealed open, unlabeled, and undated food items in the refrigerator, and staff not wearing proper hair and beard restraints, contrary to facility policies.
Inaccurate and Incomplete Documentation of Controlled Substances on MARs and Narcotic Records
Penalty
Summary
The deficiency involves the facility’s failure to maintain complete and accurate medical records, specifically related to documentation of controlled substance administration on Medication Administration Records (MARs) and Accountability Records (ARs)/Controlled Substance Inventory Records (CSIRs). Facility pharmacy policies required that the individual administering a medication immediately document the dose on the MAR after administration and, for controlled substances, also record the date and time, amount administered, remaining quantity, and initials on the AR, completed after the medication was actually given. Pharmacy audits and record reviews showed repeated discrepancies where narcotic doses were signed out or removed on ARs/CSIRs but not documented as administered on the corresponding MARs, and in one case, MAR documentation of narcotic administration was inconsistent with a negative urine opiate screen. For one resident with Alzheimer’s disease, dementia, and Parkinson’s disease who was cognitively intact per a BIMS score of 14, the pharmacy’s PRN controlled substance audits showed multiple dates on which Norco 5-325 mg doses were documented as removed on the AR, but there was no corresponding documentation of administration on the MAR. These undocumented MAR entries occurred on several consecutive days, indicating that either the administration was not recorded as required or the medication was removed without proper MAR documentation. Another resident with osteomyelitis, Alzheimer’s disease, and dementia, assessed with severe cognitive impairment (BIMS score of 5), had numerous hydrocodone-APAP 5-325 mg doses documented as removed on the AR across multiple dates, yet none of these doses were documented on the corresponding MAR. A third resident admitted with a right femur fracture and additional diagnoses including dementia, hypertension, and anxiety disorder, and assessed with severe cognitive impairment (BIMS score of 6), had MAR entries showing oxycodone-acetaminophen 5-325 mg administered twice daily over several days. However, a urine opiate screen obtained during that period was negative, with a normal reference range of negative, indicating the resident had not received the narcotic pain medication as documented on the MAR for those days. For another resident with mild dementia, a displaced left femur fracture, Type 2 diabetes, and chronic pain, the CSIR for oxycodone 5 mg showed four doses removed during a specified period that were not documented as administered on the MAR. Additional review showed doses removed from stock that were documented on the MAR only later, sometimes hours after removal, and some removed doses were never documented as administered on the MAR. For a fifth resident with an unspecified displaced fracture of the right humerus, unspecified dementia, and hypertensive chronic kidney disease, and who was cognitively intact with a BIMS score of 14, the pharmacy’s PRN controlled substance audit showed multiple Norco 5 mg doses documented as removed on the AR on different dates without corresponding documentation on the MAR. Staff interviews confirmed that facility practice and expectation were that narcotic medications must be signed out on both the narc sheet (AR) and the MAR, and that discrepancies in narcotic counts should be reported to the ADON or DON. The pharmacist reported that PRN and periodic audits comparing narcotic sign-outs to MAR documentation revealed poor documentation, and that these concerns had been shared with the DON. The staff educator was unsure whether anyone specifically educated new hires on MAR documentation or whether chart audits were performed, and the DON acknowledged being made aware of documentation concerns by the pharmacist but stated she had not seen inconsistencies and that the pharmacist’s concerns were not brought to the QAPI committee. The administrator stated she was unaware of the pharmacist’s concern and would have considered inconsistencies between AR and MAR to be medication errors.
Unsafe and Unhomelike Environment in Hallways and Dining Areas
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment when hallway handrails were removed for painting and left unreplaced, exposing metal wall anchors protruding about two inches from the wall at a height of about 33 inches. Observations showed residents using the hallway walls to propel wheelchairs and to balance while walking in the same area where the anchors were exposed. The maintenance staff person stated he would reinstall the handrail after the surveyor pointed out the exposed anchors, but he did not see how they would be harmful. The DON and Administrator both stated they did not view the exposed anchors as a safety issue and compared them to door handles. The dining and lounge areas also contained multiple environmental issues. In station 2, observations revealed discolored ceiling tiles with stains, handprints, and fingerprints, an exposed cable wire suspended from the ceiling to the lower outer wall, a ventilation screen door not fully engaged into the ceiling, hoyer sling pads hung against the wall, medication carts left in the dining room, and an unlocked rollator walker left in the dining area. A crash cart was later observed obstructed by equipment and not easily accessible in the event of a medical emergency. Staff stated the cable wire, ventilation cover, and storage of items in the dining area were known conditions, and the LPN said the medication carts were usually stored there and the hoyer slings and wheelchairs had always been stored there. In station 4 restorative dining, observations over several days showed two exercise machines, cornhole gaming activity, and a wheelchair scale stored along the perimeter of the dining room while residents ate there. The Unit Manager acknowledged the exercise machines could be stored elsewhere, and the wheelchair scale was used by only one resident. The DON stated she had no concerns with the exposed wall mounts or the exercise equipment in the dining area, though she expected crash carts to be easily accessible. The Administrator stated daily rounds and maintenance logbooks were used to monitor the environment and said she did not see harm in the exposed wall mounts or the stored equipment.
Failure to Report Alleged Narcotic Diversion to State Survey Agency
Penalty
Summary
The facility failed to implement its written policy to ensure abuse allegations were reported to the State Survey Agency (SSA) as required by Federal and State law for one resident. The facility’s policy, revised 02/01/2023, required that any patient event reported be considered an allegation of abuse, neglect, misappropriation of property, or exploitation, and that all alleged violations be reported immediately, or within 24 hours if not involving abuse with serious bodily injury, to the Administrator. The policy further required that all alleged violations be reported to other officials, including the SSA, in accordance with State law and Federal regulations. Despite this, the incident involving a concern about possible narcotic diversion for one resident was not reported to the SSA. The resident involved was admitted with a fracture of the head of the right femur, dementia, and anxiety disorder, and had a BIMS score of 6/15, indicating severe cognitive impairment. On 11/04/2025, the Station 3 Unit Manager reported to the DON a concern that an RN had wasted a narcotic medication for this resident, witnessed by an LPN, in a manner inconsistent with the resident’s known practice of taking pills whole; the wasted medication was described as a spilled crushed medication. The DON notified the Administrator of the concern on 11/05/2025. On 11/10/2025, the DON was informed by a Regional Nurse that an anonymous call had been made to the company’s Values Line regarding the RN and narcotics, prompting an internal investigation involving the DON, ADON, RN, and Administrator. Further review showed that on three consecutive days later in November, the RN documented administering six doses of the resident’s oxycodone-acetaminophen 5-325 mg, leading to notification of the Medical Director and an order for a drug screen for the resident. Interviews revealed that Regional Nurse 1 considered reporting to be “extremely situational” and stated that the incident did not meet misappropriation criteria and therefore was not reported to the SSA, though it was reported to the state nursing board. The DON stated she believed the situation had been handled correctly and did not view the concern as a reasonable suspicion until a negative drug screen result was obtained, characterizing it as one nurse complaining about another. The Administrator stated she believed there had been no abuse and that the only required reporting was to the nursing board, demonstrating that the facility did not follow its own policy requiring reporting of all alleged violations to the SSA.
Failure to Timely Report Suspected Misappropriation of Narcotic Medication
Penalty
Summary
The facility failed to report a suspected misappropriation of a resident’s narcotic medication to the State Survey Agency within 24 hours as required by its own policy and federal and state regulations. The facility’s policy defined any event reported by a resident as an allegation of abuse, neglect, misappropriation of property, or exploitation, and specified that misappropriation included the deliberate misplacement, exploitation, or wrongful use of a resident’s belongings or money without consent. The policy further required that all alleged violations involving misappropriation of resident property be reported immediately, or no later than 24 hours, to the Administrator and to other officials, including the State Survey Agency, and that investigative files be maintained as working documents of the Quality Improvement Committee. Despite these requirements, the facility did not report the allegation involving suspected diversion of narcotic medication for one resident to the State Survey Agency within the required timeframe. The resident involved was admitted with anxiety disorder, a right femur head fracture, and dementia, and had a BIMS score of 6/15, indicating severe cognitive impairment. An internal handwritten investigation document showed that on 11/04/2025 the Station 3 Unit Manager reported to the DON a concern about wasting a narcotic medication for this resident: the waste was witnessed by an LPN and an RN, but the concern was that the resident took pills whole while the waste presented for witnessing was a spilled crushed medication. On 11/05/2025 the DON informed the Administrator, and on 11/10/2025 an anonymous call was made to the company’s Values Line about the concern. A regional nurse later notified the DON that an anonymous Values Line call had been received regarding the RN and narcotics, prompting an internal investigation. Documentation from a regional nurse showed that over three days the RN documented administering six doses of oxycodone-acetaminophen to the resident, and a drug screen ordered by the Medical Director for the resident was negative for opiates. These events were known to the DON, ADON, Administrator, and others, but there is no indication that the suspected misappropriation was reported to the State Survey Agency within 24 hours as required.
Failure to Thoroughly Investigate Alleged Misappropriation of Narcotic Medication
Penalty
Summary
The facility failed to thoroughly investigate an allegation of misappropriation and possible diversion of narcotic medications for one resident. Facility policy required that all events reported as possible abuse, neglect, or misappropriation of resident property be investigated, and when in doubt, an investigation should be conducted. The resident involved had been admitted with a right femur head fracture, anxiety disorder, and dementia, and was assessed as having severely impaired cognition with a Brief Interview for Mental Status score of 6 out of 15. An initial concern arose when the Station 3 Unit Manager reported to the DON that a nurse had requested a witness for wasting a crushed medication for this resident, even though the resident took pills whole, and the Unit Manager also noted that one nurse appeared to be the only one administering the resident’s narcotic pain medication. Subsequently, an anonymous call was made to the company’s Values Line regarding concerns about a specific RN and narcotics, which was relayed to the DON and regional nursing staff. Documentation from a regional nurse showed that on three consecutive days, the same RN documented administering multiple doses of the resident’s PRN oxycodone-acetaminophen. The Medical Director was notified and an order for a drug screen for the resident was obtained. The Pharmacist, at the DON’s request, audited narcotic sheets on the cart and identified a pattern of significant wasting and frequent PRN use involving one particular nurse and select residents, and she reported these concerns to the DON. Despite these concerns and the facility’s own policy, the facility’s investigation was limited and lacked key components. The Administrator stated that the facility viewed the initial concern as a matter between employees and did not want to accuse someone without proof, and that review of MARs, narcotic sheets, and additional rounding had not raised red flags in their view. No staff interviews were conducted, and there was no documented evidence that residents were interviewed as part of the investigation. The Administrator also stated that a drug screen was not conducted on the implicated RN, and the facility’s documentation did not show that all required state agencies were notified. The survey found no documented evidence that a thorough investigation, consistent with policy and reporting requirements, was performed in response to the suspicion of narcotic misappropriation for this resident.
Failure to Administer Ordered Narcotic and Improper Delegation of Tube Feeding Management
Penalty
Summary
The facility failed to ensure that one resident received ordered narcotic pain medication as documented, and that another resident’s tube feeding (TF) was managed only by qualified staff, in accordance with professional standards and facility policy. For one resident with dementia, a right femur head fracture, and anxiety disorder, the MAR showed that a schedule II narcotic (oxycodone-acetaminophen 5-325 mg) was documented as administered six times over three consecutive days by the same RN. Facility pharmacy policy required medications to be administered as prescribed, documented immediately after administration on the MAR, and the MAR reviewed at the end of each pass to ensure doses were given and recorded. However, a urine opiate screen performed shortly after these documented administrations was negative for opiates, and facility documentation concluded that the resident had no oxycodone in her system despite the RN’s MAR entries indicating administration. The lab technician confirmed the test was sensitive for synthetic opiates, including oxycodone, and stated that if the medication had been given as documented, the test would have been positive. The Medical Director, when informed of the negative drug screen, concluded the resident had not received the narcotic medication as ordered. The facility also failed to ensure that TF management for another resident was performed only by licensed nurses, consistent with standards of practice and regulatory requirements. The facility could not produce a policy related to staff responsible for TF management despite multiple requests. Job descriptions for RNs and LPNs required integration of current standards of practice and applicable regulations into resident care, and state regulations specified that delegation of nursing tasks must fall within sound nursing judgment. The resident involved had a gastrostomy, dysphagia, abnormal weight loss, and a history of traumatic brain compression with bilateral craniotomy and revision, and was assessed as unable to complete a BIMS interview. A CNA reported that this resident was mostly in bed, that she turned the resident every two hours, and that she paused the TF pump when getting the resident up and down. One LPN stated she knew CNAs paused the TF pump but was unsure if this was within their scope of practice, while another LPN stated pausing TF was not within CNA scope. The unit manager reported that licensed nurses were responsible for managing the TF pump and that no caregivers other than nurses were authorized to touch the pump; CNAs were expected to get a nurse if the pump needed to be paused for repositioning. The DON stated that licensed nurses were responsible for controlling the TF pump, that pausing and restarting the pump was outside CNA scope, and that CNAs should notify a nurse if repositioning was needed. The Administrator stated her expectation that CNAs act within their scope of practice.
Failure to Integrate Pharmacy and Controlled Substance Issues into QAPI
Penalty
Summary
The facility failed to develop, implement, and maintain an effective, comprehensive QAPI system that addressed adverse events and pharmacy-related issues, including controlled substances and wasted medications. The facility’s QAPI policy stated that the QAPI committee was responsible for implementing and maintaining an ongoing systemwide process of quality improvement. However, the Director of Health Information Management (HIM) reported that although the QAPI committee met monthly and had recently held an emergency meeting related to a resident fall, she did not recall controlled substances being discussed in QAPI and was not aware of pharmacy issues identified in October and November 2025 and January 2026. She stated the current performance improvement plan focused on Medicare certification and inventory sheets, not on the pharmacy concerns cited by surveyors. The DON stated that medication concerns were never brought to QAPI meetings and that an internal audit involving extra narcotic sheets had been a concern, but those checks were not documented. She indicated that topics typically brought to QAPI included mealtime delivery, falls, and pressure ulcers, and that medication issues would only be sent to QAPI if not addressed by nursing. The Administrator acknowledged that wasted medication was a concern but stated the facility did not track wasted medications and that wasted medication issues, which she believed should have been brought to QAPI and to the Medical Director, were not addressed there. She described medication errors as wrong medications given or controlled substances pulled and not documented in the eMAR. The Medical Director reported he had not been informed of pharmacy audit concerns from October and November 2025 and stated he would want to know about discrepancies affecting his residents and believed such issues should be brought to QAPI to determine root causes and corrective actions.
Failure to Maintain Resident Dignity During Personal Care
Penalty
Summary
The facility failed to ensure a resident was treated with respect and dignity and provided care in a manner and environment that promoted maintenance or enhancement of quality of life. The resident was admitted with diagnoses including atherosclerotic heart disease, lymphedema, anxiety disorder, and a history of venous thrombosis and embolism, and had a BIMS score of 15 out of 15, indicating she was cognitively intact. She reported that about two weeks before the interview, a CNA left her lying on her bed in her room and did not return to assist her with getting dressed, leaving her wearing only a brief. She stated she was very cold and did not like being left that way, and later that evening another CNA assisted her into night clothes and provided a blanket. The resident’s roommate stated she had awakened and seen a male walking out of the room and observed the resident lying on her bed without clothing, believing she had been naked. A CNA who worked the resident’s hall stated she had seen the resident lying on her bed wearing only a brief with her blanket on the floor and reported it to an LPN. Other staff stated the resident preferred to sleep in a brief and gown or t-shirt, but the DON stated staff were expected to meet all of a resident’s needs before leaving the room after assisting with ADLs, and the Administrator stated staff were expected to provide adequate privacy and maintain dignity in all circumstances.
Failure to Review Advance Directives During Care Planning
Penalty
Summary
The facility failed to inform and provide written information to all residents about the right to formulate an advance directive for one sampled resident, R113. The facility policy stated the interdisciplinary care planning team was to review advance directives with residents during quarterly care planning sessions to determine whether any changes were desired, but the 02/09/2026 quarterly care conference for R113 had no documentation that advance directives were discussed. R113 was admitted with diagnoses of hemiplegia and hemiparesis after a cerebral infarction on the left non-dominant side, and the 01/20/2026 quarterly MDS assessment showed a BIMS score of 15/15, indicating intact cognition. During interviews, the SSD stated advance directives were addressed on admission but was unsure about follow-up timing or documentation for R113 during quarterly care planning. The Admission Coordinator stated admission paperwork asked about advance directives, but she was unsure of follow-up procedures; if residents or families had questions, they were given state legal aid contact information, and advance directive documents were attached to the medical chart if provided. R113 stated he did not remember the facility addressing advance directives on admission or afterward, and he said his brother knew his preferences and he wanted to appoint him as his POA. The DON stated Social Services staff had not initially understood advance directives and she was unfamiliar with when directives were to be revisited, and the Administrator stated advance directives were reviewed at admission but had not been discussed in care planning meetings she attended.
Improper Food Storage and Handling
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards for food service safety. Review of facility policy showed opened food items were to be securely closed, dented or damaged cans were to be removed from use and handled separately, non-TCS foods were to be stored in clean, dry locations away from contamination, and leftover foods were to be covered, labeled, dated, and stored properly. During the initial kitchen tour, the dry pantry contained five dented 120-ounce cans of apple pie filling and two dented 120-ounce cans of mushroom stems and pieces still in active rotation for resident use. The same area also had graham cracker crumbs stored in an open box with flaps and inner plastic packaging unsealed, and an opened, undated 97-ounce cannister of hot chocolate. Additional kitchen observations found a large unsealed container of leftover tomato soup exposed to air in the 3-door refrigerator. The refrigerator door seals had a dark-colored substance in multiple areas, and the Food Service Director stated she knew about the discoloration but had not reported it for replacement. Two large storage bins labeled flour and sugar were located between the refrigerator and a staff-accessible sink, beneath exposed pipes, and the flour bin had dried liquid droplets on the lid near the opening. The Food Service Director stated she was not aware the storage location was a concern until the soiled top was observed, and the Administrator stated dented cans were not to be served, food items were to be stored in appropriate sealed containers, and anything possibly contaminated was to be discarded.
Failure to Deliver Resident Mail on Saturdays
Penalty
Summary
The facility failed to ensure that all residents had the right to send and receive mail on Saturdays, as required by their policy. The policy, revised on 09/01/2014, stated that mail should be distributed to residents within 24 hours of delivery by the postal service. However, during a Resident Council meeting, a resident reported that mail was not delivered on Saturdays, and this was confirmed by other residents. The Activities Director acknowledged that mail was not distributed on Saturdays due to a lack of weekend staff in the activities department. The Administrator was aware of the issue and confirmed that the activities department was responsible for mail delivery from Monday to Friday, but there was a lapse in service on Saturdays.
Non-compliance with Food Safety Standards
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. Food items in the three-door refrigerator were found open to air, not labeled, and undated, contrary to the facility's policy which requires food to be stored in original or approved containers, wrapped tightly, and clearly labeled with contents and use-by dates. Specific instances included an open box of hot dogs, a container of sliced raw carrots with an expired use-by date, and a container of sliced pineapple that exceeded the seven-day storage period. Additionally, a mislabeled container of vegetable soup and undated containers of oatmeal and gravy were found. The Food Service Manager acknowledged these discrepancies during the survey. Further observations revealed that dietary staff did not properly secure their hair and beards, as required by the facility's hygienic and safety practices policy. A cook was seen with a hair restraint that did not fully cover her hair, and an assistant cook was observed without a beard guard while handling food. Interviews with the Food Service Manager, Dietary Aide, Director of Nursing, and Administrator confirmed the expectation for staff to adhere to these policies to prevent food contamination. However, the observed practices did not align with these expectations, indicating a lapse in compliance with food safety standards.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 11 citations issued within 25 miles in the last 12 months — 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Glasgow
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Glasgow State Nursing Facility | 0.4 mi | ★★★★★ | 3 | 0 |
| Glenview Health And Rehabilitation | 0.4 mi | ★★★★★ | 2 | 0 |
| Tj Samson Community Hospital | 0.4 mi | — | 0 | 0 |
| Barren County Nursing And Rehabilitation | 2.2 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Glasgow Rehab & Wellness C | 2.2 mi | ★★★★★ | 0 | 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.