Above 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 Glenwood Healthcare during CMS and state inspections, most recent first.
The facility failed to maintain a complete infection prevention and control program by not ensuring Tuberculin Skin Tests (TST) were completed for the DON, AD, and Laundry E. The required TB testing documentation was missing or incomplete, and interviews revealed inconsistencies in the administration and tracking of TB tests.
The facility failed to notify and coordinate with the State-designated authority for a resident with schizophrenia, intellectual disabilities, and anxiety disorder, who had a temporary approved level two PASARR. The necessary DA-124 forms were not completed or submitted, and staff interviews revealed a lack of knowledge and responsibility regarding the PASARR process.
The facility failed to retain a PASARR level one in the medical record for a resident with significant mental health issues, including schizophrenia and psychotic disorder. Incomplete documentation and unclear staff responsibilities contributed to the deficiency.
The facility failed to provide proper pressure ulcer care for a resident by not documenting a complete assessment of a new pressure ulcer and not updating the care plan timely. The resident's new pressure ulcer was not properly documented or communicated to the necessary parties, leading to inadequate care.
The facility failed to provide appropriate respiratory care for a resident using a CPAP machine by not obtaining a physician's order or including the CPAP use in the care plan and MDS. Staff interviews confirmed the oversight, and the resident's diagnoses included COPD, heart failure, and obstructive sleep apnea.
The facility failed to document an assessment of risk versus benefits of side rail use, obtain informed consent, address side rail use in the care plan, obtain physician orders, and complete ongoing assessments for two residents. The side rails were installed by hospice without proper follow-up or documentation.
The facility failed to accurately document a resident's ostomy on the MDS, despite the resident having a colostomy and physician orders for colostomy care every shift. Multiple MDS assessments did not reflect the presence of the ostomy, and interviews with staff confirmed that it should have been documented. The facility also lacked a policy on MDS documentation.
Failure to Maintain Complete Infection Prevention and Control Program
Penalty
Summary
The facility failed to maintain a complete infection prevention and control program by not ensuring Tuberculin Skin Tests (TST) were completed in accordance with tuberculosis (TB) testing requirements for long-term care employees. Specifically, the Director of Nursing (DON), Activity Director (AD), and Laundry E did not have the required TB testing documentation. The DON had an annual TB test from another facility but lacked documentation of a second step test or evidence of a Mantoux PPD test in the past two years. The AD and Laundry E had no documentation of step 1 or step 2 TB tests administered. The Business Office Manager (BOM) confirmed the absence of these records during interviews. The facility's policy and state regulations require a two-step PPD test within one month prior to employment, with documentation maintained for each employee's tuberculin status. Interviews with the BOM, DON, and Administrator revealed inconsistencies in the administration and tracking of TB tests. The social worker, who also serves as the infection control nurse, was responsible for tracking staff TB testing but was out of the office at the time. The DON and Administrator described the process for TB testing but acknowledged that it was not consistently followed, leading to the identified deficiencies.
Failure to Coordinate PASARR Requirements for Resident with Mental Illness
Penalty
Summary
The facility failed to notify and coordinate with the State-designated authority following newly evident or possible serious mental illness for a resident who had a temporary approved level two Preadmission Screening and Resident Review (PASARR). The resident, who was admitted with diagnoses including schizophrenia, intellectual disabilities, and anxiety disorder, had a Level 1 PASARR indicating no signs of major mental disorder but noted severe developmental disorder and cognitive delay. The resident's PASARR evaluation recommended short-term nursing facility placement with a transition to community living and required a new DA-124 form by a specified date, which was not completed by the facility. The resident's Conditional Temporary Approval letter from the Department of Health and Senior Services indicated the need for a new DA-124 form by a specific date, which the facility failed to submit. Interviews with facility staff, including the Business Office Manager, Director of Nursing, and Licensed Practical Nurse, revealed a lack of knowledge and responsibility regarding the PASARR process and the completion of the DA-124 forms. The Administrator confirmed that the DA-124 should be completed by the social worker and sent to the Medical Director for signature, but this process was not followed. The deficiency was identified during a review of the resident's records, which showed no additional DA-124 or Level 1 forms were submitted. The Administrator admitted to being unaware of the temporary approval status and the requirement for a new DA-124 form. The failure to complete and submit the necessary forms resulted in non-compliance with PASARR requirements, as the facility did not ensure proper coordination with the State-designated authority for the resident's mental health needs.
Failure to Retain PASARR Level One Documentation
Penalty
Summary
The facility failed to ensure a PASARR (Preadmission Screening and Resident Review) level one was retained in the medical record and accessible for one resident. The resident, who had diagnoses including schizophrenia, anxiety disorder, psychotic disorder with delusions, and encephalopathy, was admitted on an unspecified date. The resident's care plan indicated a history of significant mental health issues, including hollering, cursing, and talking to voices, as well as experiencing trauma. A review of the resident's electronic submission for the Level One Nursing Facility Pre-Admission Screening showed incomplete documentation, including an unsigned physician's authorization and an incomplete level of care determination by the Division of Regulation and Licensure (DRL) Central Office Medical Review Unit (COMRU). No additional screening forms or Level 1 forms were found in the resident's record, and an email exchange with Missouri COMRU confirmed that a new application was needed as the previous Level 2 was outdated. Interviews with facility staff revealed a lack of clarity and responsibility regarding the PASARR process. The Business Office Manager, who was the previous social worker, described a process where the Director of Nursing (DON) completed the medical information on the DA-124 form, which was then sent to the state's COMRU. However, the current DON and Licensed Practical Nurse (LPN) indicated that the social worker was responsible for the PASARR process. The social worker was unavailable for an interview, and the Administrator confirmed that the facility did not have a record showing submission, completion, and level of care determination for the resident. Additionally, the facility did not provide a policy regarding PASARR requirements.
Failure to Document and Update Care Plan for Pressure Ulcer
Penalty
Summary
The facility failed to provide pressure ulcer care consistent with professional standards of practice for one resident. Staff did not document a complete assessment of a new pressure ulcer and failed to update the care plan timely regarding the skin breakdown and intervention changes. The resident, who had a history of skin breakdown and was at risk for pressure ulcers due to poor nutrition and prolonged time in bed or wheelchair, developed a new pressure ulcer that was not properly documented or communicated to the necessary parties. The resident's Braden Scale Assessment indicated a mild risk for pressure ulcer development, but no new interventions were noted. The resident's care plan, revised in February, did not reflect the new pressure ulcer that was observed in April. Staff failed to document the exact location, measurements, wound bed assessment, peri-wound condition, exudate, pain, or wound approximation. Additionally, there was no documentation of notification to the family, physician, or DON about the new wound. Interviews with staff revealed that the resident had an open area on the coccyx that had worsened due to bowel issues. The DON admitted that measurements were not taken immediately upon discovering the wound and that the initial treatment was calazime cream. The facility's policy required detailed documentation and timely updates to the care plan, which were not followed in this case. The lack of proper documentation and communication led to inadequate pressure ulcer care for the resident.
Failure to Document CPAP Use and Obtain Physician Orders
Penalty
Summary
The facility failed to provide respiratory care consistent with standards of practice for a resident using a CPAP machine. The resident, who had diagnoses including COPD, heart failure, shortness of breath, obstructive sleep apnea, and hypoxemia, did not have a physician's order for the CPAP machine documented. Additionally, the use of the CPAP machine was not included in the resident's care plan or the Minimum Data Set (MDS). Observations confirmed the presence of the CPAP machine on the resident's nightstand, and interviews with staff revealed that the machine was used at night, but no formal orders or care plan documentation existed for its use. Interviews with the CNA, LPN, DON, and QA Nurse indicated that the CPAP machine should have had a physician's order and should have been included in the care plan. The admitting nurse or staff were responsible for obtaining these orders, but this was not done. The QA Nurse confirmed that the CPAP should be listed on the MDS and included in the care plan, but these steps were not taken, leading to the deficiency in providing appropriate respiratory care for the resident.
Failure to Document and Assess Side Rail Use
Penalty
Summary
The facility failed to document an assessment of risk versus benefits of side rail use for one resident and failed to obtain informed consent for the use of side rails prior to installation. Additionally, the facility did not address the use of side rails in the care plan, did not obtain physician orders for the use of side rails, and did not obtain gap measurements for the risk of entrapment. The facility also failed to complete ongoing assessments to ensure the side rails were secure and appropriate for use for two residents. The facility census was 36. Resident #1, who had diagnoses including major depressive disorder, malignant neoplasm of the esophagus, type two diabetes, and chronic obstructive pulmonary disease, was observed with half side rails on both sides of the bed in the upright position. The resident's care plan did not address the use of side rails, and there was no physician's order, side rail assessment, gap measurements, or informed consent documented in the resident's medical record. Interviews with facility staff revealed that the side rails were installed by hospice without proper follow-up or documentation. Resident #20, who had diagnoses including malignant neoplasm of the rectosigmoid junction, chronic kidney disease, type two diabetes, and high blood pressure, was also observed with half side rails on both sides of the bed in the upright position. The resident's care plan did not address the use of side rails, and there was no physician's order, gap measurements, or informed consent documented in the resident's medical record. Interviews with facility staff indicated that the side rails were installed by hospice, and the family requested them to stay in place without proper documentation or follow-up assessments.
Failure to Accurately Document Ostomy on MDS
Penalty
Summary
The facility failed to ensure the accuracy of the Minimum Data Sets (MDS) for a resident with an ostomy. The resident, who had a colostomy, was admitted with a diagnosis that included colostomy status and had physician orders for colostomy care every shift. Despite this, the resident's quarterly and annual MDS assessments repeatedly failed to document the presence of the ostomy under the bladder and bowel appliance care area. This discrepancy was observed in multiple MDS assessments over a period of time, even though the resident's care plan clearly indicated the need for frequent monitoring and care of the colostomy. Interviews with the Director of Nursing (DON), a Licensed Practical Nurse (LPN), and the Administrator confirmed that the ostomy should have been documented on the MDS. The DON and LPN both stated that the MDS should accurately reflect the resident's care needs, and the Administrator emphasized that any applicable appliance or care area should be included in the MDS. The MDS Coordinator, who was responsible for completing the MDS assessments, was unavailable for comment during the survey. The facility also lacked a policy regarding MDS documentation, contributing to the oversight.
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Illustrative
What surveyors actually found near you
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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 Seymour
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Marshfield Care Center For Rehab And Healthcare | 14.4 mi | ★★★★★ | 8 | 0 |
| Webco Manor | 15.3 mi | ★★★★★ | 5 | 0 |
| Rocky Ridge Manor | 15.7 mi | ★★★★★ | 3 | 0 |
| Heart Of The Ozarks Healthcare Center | 15.9 mi | ★★★★★ | 0 | 0 |
| Hartville Care Center | 16.1 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.