Below average — CMS composite of the measures below.
The next survey window likely opens around September 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 Glencliff Home For The Elderly during CMS and state inspections, most recent first.
Lack of Antibiotic Stewardship Monitoring: The facility failed to maintain an antibiotic stewardship program with antibiotic use protocols and a system to monitor appropriate antibiotic use. Review of the policy showed no use protocols or monitoring system, and the antibiotic line list showed 8 residents received antibiotics with no evaluation of appropriateness. The IP stated antibiotic use was not tracked or trended, and QAPI minutes showed only total infections treated were reported, with no antibiotic use data discussed.
The facility failed to ensure the IP had enough time to direct the IPCP for 63 residents. The DON stated the IP worked only about 7 to 8 hours per week and also handled MDS and QAPI duties, and the DON did not know the IP’s schedule. The IP confirmed the limited hours. Record review showed the IP job description did not include infection prevention duties, and the IP failed to direct the IPCP by not implementing infection control policies for EBP, not developing an antibiotic stewardship program, and not educating or offering staff the COVID-19 vaccine.
Failure to timely report monthly DRR irregularities: A consulting pharmacist did not submit DRR findings to the attending MD, medical director, and DON within the required timeframe. The delayed reviews included medication recommendations for several residents, such as reducing aspirin pill burden, clarifying statin indications, specifying PRN hydroxyzine dosing intervals, and adding an end date to a PRN antipsychotic order that exceeded the allowed duration.
The facility's Facility Assessment did not determine the amount of time needed for the designated IP role to meet residents' needs. Review of the assessment showed this information was missing, and the Deputy Administrator confirmed the finding.
Failure to implement EBP was identified for two residents. One resident had MRSA and the other had a suprapubic catheter, and both were listed for EBP, but observation found no EBP signage or PPE supplies for one resident and staff reported using gloves only, not gowns, during care. The DON and RN stated both residents were on EBP, while the facility’s IPC manual lacked procedures for who required EBP.
The facility failed to provide a MNA with education on the benefits and potential risks of the COVID-19 vaccine and failed to offer information on where to obtain the vaccine. Record review showed the staff member had two prior COVID-19 vaccinations in 2022, but there was no evidence of vaccine education or access information since then. The IP confirmed the facility does not offer COVID-19 vaccination or staff education on vaccine risks and benefits.
The facility did not have a water management program to minimize Legionella risk, potentially affecting 67 residents. Interviews revealed that the Maintenance Assistant could not provide the program, and the Infection Preventionist was unaware of its existence.
A facility failed to follow the manufacturer's instructions for administering eye drops, leading to a deficiency. An MNA administered Brimonidine and Lubricant eye drops to a resident without the required 5-minute interval between them, as specified by the manufacturer's guidelines. The resident had orders for these medications due to unspecified glaucoma. The MNA confirmed the oversight during an interview.
A resident with a Full Code status was found unresponsive with no pulse or respirations, but staff failed to initiate CPR as required by facility policy. The LPN noted mottling and coldness, but these did not meet the criteria for irreversible signs of death, leading to a deficiency in following CPR protocols.
Lack of Antibiotic Stewardship Monitoring
Penalty
Summary
The facility failed to have an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use to improve resident outcomes and reduce antibiotic resistance for a census of 63 residents. Review of the facility’s Antibiotic Stewardship Program policy, dated April 2025, showed no antibiotic use protocols and no system to monitor appropriate antibiotic use. Review of the facility antibiotic line list for September 2025 showed 8 residents were prescribed antibiotics, and there was no evaluation of the appropriateness of antibiotic use. During interview, the Infection Preventionist confirmed that appropriate antibiotic use was not tracked or trended and could not explain a process for determining appropriateness of antibiotic treatments, such as using antibiotic use protocols. The Infection Preventionist also stated that total infections were reported to the QAPI committee. Review of QAPI meeting minutes dated 10/22/25 showed only total infections treated were reported, and the Medical Director stated there was no antibiotic use data presented in QAPI or discussion of tracking and trending the appropriateness of antibiotic treatments.
Infection Preventionist Lacked Time to Direct IPCP
Penalty
Summary
The facility failed to ensure that the Infection Preventionist (IP) had sufficient time to properly assess, develop, implement, monitor, and manage the Infection Prevention and Control Program (IPCP) for a census of 63 residents. Interview with the DON revealed that the IP worked approximately 7 hours weekly and also coordinated resident MDS assessments and the QAPI program. The DON further stated that the IP did not work the previous day and was not available by phone, and the DON did not know when the IP was working that week. Interview with the IP confirmed that they did not work the previous day, were available only until 1:15 p.m. that day, and worked approximately 8 hours per week at the facility. Review of the IP job description, dated 7/10/19, for the Registered Nurse III position showed no infection prevention responsibilities. Review of the facility policy titled Overview of the Infection Prevention and Control Program stated that the IP is responsible for directing the IPCP and that the program includes infection precautions and/or isolation, an employee health program, and antibiotic review. Record review and observation from 10/28/25 to 10/30/25 showed the IP failed to direct the IPCP by failing to implement infection control policies for EBP, failing to develop and implement an antibiotic stewardship program with antibiotic use protocols and a system to monitor antibiotic appropriateness, and failing to educate and offer staff the COVID-19 vaccination.
Failure to Timely Report Monthly Drug Regimen Review Irregularities
Penalty
Summary
The facility failed to ensure that a licensed pharmacist completed monthly drug regimen reviews and reported irregularities to the attending physician, the medical director, and the DON within the required timeframe for 2 of 3 months reviewed. On 10/29/25, review of the facility’s DRRs for August, September, and October 2025 showed that the reports were not received by the facility until 10/29/25. The facility’s pharmacy contract required a prospective/concurrent drug utilization review every 30 days and submission of completed reviews, including irregularities, to the attending physician, Medical Director, and DON within 15 days of the review date. The August and September pharmacy recommendations identified several medication-related issues for residents #13, #17, #19, #25, and #58. These included a recommendation to reduce pill burden for Resident #13 by changing Aspirin 81 mg EC, 4 tablets, to one Aspirin 325 mg tablet; concerns that Residents #17 and #19 had no clinical ASCVD diagnosis listed for Atorvastatin 30 mg daily and 40 mg daily, respectively; a recommendation for Resident #25 to specify the minimum time interval between doses for Hydroxyzine 25 mg by mouth three times daily as needed for anxiety; and a recommendation for Resident #58 to add an end date to Seroquel 100 mg every 8 hours as needed because antipsychotic PRN orders cannot exceed 14 days. Staff A, the consulting pharmacist, confirmed the DRR reports were not provided to the facility until 10/29/25, and Staff B, the nurse practitioner, stated that the August and September 2025 pharmacy recommendations had not been received or reviewed.
Facility Assessment Did Not Determine Infection Preventionist Time Requirements
Penalty
Summary
The facility failed to ensure that its Facility Assessment determined the amount of time required to fulfill the role of the designated Infection Preventionist in order to meet residents' needs. Review of the Facility Assessment, last reviewed in 7/2025, showed that it did not include a determination of the time needed for the Infection Preventionist role. During interview, Staff M, the Deputy Administrator, confirmed this finding.
Failure to Implement Enhanced Barrier Protection
Penalty
Summary
The facility failed to implement its Enhanced Barrier Protection (EBP) policy for 2 residents reviewed for EBP. One resident had a history of MRSA, an MDRO, and review of the medical record showed the resident required EBP. However, observation on the Gold floor revealed no EBP signage and no PPE supplies in or outside the resident’s room. Staff interviews also indicated there were no residents requiring EBP on the Gold floor, and one LNA stated that when providing care such as changing linens and transferring the resident, gloves were used but no gown. The second resident had a suprapubic catheter for neurogenic bladder, and observation showed a urinary leg bag in place. The DON stated that a resident with a suprapubic catheter would be on EBP, with signage on the chart and staff wearing a gown and gloves for high-contact care such as catheter care. An RN also stated that both residents were on EBP. Review of the facility’s EBP list confirmed both residents were listed, but the Infection Prevention Control Manual reviewed in 7/2025 did not include procedures for who required EBP.
Failure to Educate Staff on COVID-19 Vaccination
Penalty
Summary
The facility failed to provide staff with education regarding the benefits and potential risks associated with the COVID-19 vaccine and failed to offer staff information on how to obtain the vaccine for 1 of 1 staff reviewed for COVID-19 immunization. Review of Staff N, a Medication Nursing Assistant, showed two prior COVID-19 vaccinations in 2022, but the facility could not provide evidence that Staff N had been given education about COVID-19 vaccines or information on where to obtain them since 2022. Review of the facility Infection Prevention and Control Manual showed a vaccination policy referencing the CDC Adult Vaccination Schedule 2025. During interview, the Infection Preventionist confirmed that the facility does not offer COVID-19 vaccination and does not provide staff education on the risks and benefits of COVID-19 vaccines. Review of the CDC website showed that a 2024-2025 COVID-19 vaccine is recommended for most adults ages 18 and older.
Failure to Develop Water Management Program for Legionella Prevention
Penalty
Summary
The facility failed to develop a water management program to minimize the risk of Legionella, which could potentially affect the 67 residents residing at the facility. During an interview, the Maintenance Assistant, identified as Staff B, was unable to provide the facility's water management program. Additionally, the Infection Preventionist, identified as Staff C, was not aware of the existence of such a program. These interviews highlight the facility's lack of preparedness in managing water safety and preventing Legionella outbreaks.
Failure to Follow Eye Drop Administration Protocol
Penalty
Summary
The facility failed to adhere to the manufacturer's specifications for administering eye drops, resulting in a deficiency. During a medication administration observation, a Medication Nursing Assistant (MNA) administered Brimonidine eye drops followed immediately by Lubricant eye drops to a resident without the required spacing between the two medications. The resident had active physician orders for Brimonidine 0.2% for unspecified glaucoma and Lubricant eye drops. The manufacturer's instructions for Brimonidine specified that different ophthalmic products should be instilled at least 5 minutes apart. The MNA confirmed the failure to wait and space out the administration of the two eye drops.
Failure to Initiate CPR for Full Code Resident
Penalty
Summary
The facility failed to adhere to its Cardiopulmonary Resuscitation (CPR) policies, which are based on professional standards, by not initiating CPR for a resident who was designated as Full Code. The resident, identified as Resident #67, was found expired with no pulse, no respirations, and mottling on the body, but without documented irreversible signs of death such as lividity or rigor mortis. Despite the resident's Full Code status, indicating that resuscitation should be performed, CPR was not initiated by the staff. The incident involved Staff F, a Licensed Practical Nurse, who discovered the resident face down on the floor and noted the absence of a pulse and respirations, as well as mottling and coldness to touch. However, these observations did not meet the facility's criteria for irreversible signs of death, which would justify not starting CPR. The facility's policy requires documentation of such signs, which was not adequately provided in this case, leading to a failure in following the established CPR protocol for a resident with a Full Code status.
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 8 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
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 Glencliff
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grafton County Nursing Home | 11.2 mi | ★★★★★ | 8 | 0 |
| Lafayette Center | 17 mi | ★★★★★ | 0 | 0 |
| Hanover Terrace Health And Rehabilitation | 27.6 mi | ★★★★★ | 4 | 0 |
| Morrison Nursing Home | 29 mi | ★★★★★ | 7 | 0 |
| Lebanon Center, Genesis Healthcare | 30.1 mi | ★★★★★ | 19 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Glencliff Home For The Elderly.
100% money-back within 48 hours.
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.