Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Glenwood Healthcare Center during CMS and state inspections, most recent first.
A facility failed to keep resident areas free from accident hazards. An LPN found a resident’s fall mat improperly placed despite care plan and MD orders specifying its location, and a resident in a second-story room reported that screws had been removed so the windows could open fully. Staff also identified multiple wanderers and elopement-risk residents on the same hallway, including residents with very low BIMS scores.
Improper handwashing and glove use were observed during meal service when a cook plated lettuce, tomato, cheese, and a pickle with gloved hands without washing hands, changing gloves, or using utensils to prevent cross-contamination. The District Manager stopped the tray line after observing the practice, and the cook confirmed she did not use tongs or other utensils because she had gloves on.
A resident’s catheter drainage bag was left uncovered while eating lunch in the dining room with a visitor present, and another resident’s meal items were left on the service tray with tray trash beside the food. Staff confirmed both observations.
A resident was discharged home, but chart review showed no documentation that the Ombudsman was notified of the discharge. The Administrator acknowledged the social worker did not complete the notification because they were unaware it was required.
A resident was admitted with Sjogren syndrome, and a dementia diagnosis was later added to the chart. The most recent PASRR did not indicate dementia, and the Interim DON confirmed the omission during record review.
A resident with PTSD was admitted to the facility, but the most recent PASRR did not indicate the PTSD diagnosis. During record review, the missing diagnosis was identified, and the Interim DON confirmed that PTSD was not marked on the PASRR.
Care plans were not reviewed and revised for three residents. One resident had discharge planning and a 30-day discharge notice in the care plan, but there was no evidence a care plan meeting was held and the resident said she had never attended one. Another resident’s chart contained dialysis dry weights despite a care plan directing use of facility weights, and a third resident remained on a tube feeding-related care plan while receiving PEG tube water flushes and a regular diet order.
Adaptive Cup Positioned Incorrectly During Meals: A resident with an order for a two-handled cup and concave lid was observed unable to get thickened liquids from the cup because the opening was positioned incorrectly. Staff confirmed the resident could not drink until the cup was turned around or assisted, and the SLP stated the cup was intended to reduce bolus size because the resident takes large drinks.
The facility failed to ensure a clean and homelike environment, as PTAC units in several residents' rooms contained dirt and debris, including an adhesive bandage. The Housekeeping and Regional Managers confirmed the issue, and the Maintenance Director acknowledged the units are cleaned every three months, with the last cleaning documented two months prior.
A facility failed to revise a resident's care plan for weight management. The resident's care plan included interventions for weight monitoring, but the DON confirmed there was an order for no weights in February and no documented weight for January. The resident had refused weights multiple times and requested no weights, yet the care plan still required weights to be obtained and monitored.
A deficiency was identified when a nurse aide improperly disposed of a soiled brief by placing it on a fall mat on the floor during ADL care for a resident. The unit manager confirmed that soiled items should not be placed on the bare floor. The nurse aide later corrected the action by disposing of the items in a trash bag and cleaning the mat.
A facility failed to provide a resident with the ordered bilateral posey palm protectors, which were necessary to prevent further avoidable reduction of range of motion (ROM). Observations revealed the absence of a right palm protector, and an LPN confirmed it was missing, later finding it in the laundry. The resident was supposed to wear the protectors for 6-8 hours, but this was not followed.
A resident's indwelling catheter urine collection bag was observed lying on the floor, contrary to the facility's policy, which requires the bag to be properly secured and not on the floor. Despite having a plastic basin under the bed, the bag was not placed in it, and the dignity cover was not used as an infection control measure. Staff interviews confirmed the deficiency, and the Administrator had a misunderstanding about the use of the dignity cover.
The facility failed to administer oxygen therapy according to physician orders for two residents. One resident's oxygen concentrator was malfunctioning, preventing the prescribed flow rate, while another resident's oxygen was set below the ordered rate. These issues were confirmed by an RN.
The facility failed to maintain accurate medical records for two residents, leading to discrepancies in care. One resident had conflicting orders regarding medication administration, with a nurse later clarifying the correct method. Another resident had inconsistent orders for bilateral palm protectors, resulting in confusion about the care schedule.
A facility failed to maintain sanitary infection control practices when a NA placed a soiled brief and linens on a fall mat on the floor during ADL care for a resident. This was observed by a surveyor, and the RN confirmed the inappropriate action, stating that soiled items should not be placed on the floor.
Accident Hazards Not Controlled in Resident Rooms and Hallway
Penalty
Summary
The facility failed to ensure an environment free from accident hazards over which it had control. Resident #42 was observed in bed with a fall mat propped against the opposite wall of the room, even though the resident’s care plan and physician orders included a fall mat to the right side of the bed and a bed in the low position. During the observation, an LPN entered the room, stated she did not think the fall mat was permitted to be used with the table, moved the bed to the lowest position, left to get medication, then returned and said she had asked her superior and was wrong before placing the fall mat to the right side of the bed. Resident #1 reported that screws had been removed from the windows so the windows could go all the way up, and the screws were observed on the window sill. The resident’s second-story room had two large windows overlooking the lake, and the resident stated he liked the windows open to keep the room cool. Nursing staff reported there were three wanderers on that hallway, and an LPN later identified residents on the hallway as elopement risks and wanderers, including residents with BIMS scores of 0, 3, 4, and 6. The Administrator and Interim DON confirmed the open windows and stated they would be fixed.
Improper Handwashing and Glove Use During Meal Service
Penalty
Summary
The facility failed to ensure proper handwashing and glove use during meal service. During tray line observation of the first 10 of 10 meals prepared and served, a cook with gloved hands placed lettuce, tomato, cheese, and a pickle onto a plate without washing hands, changing gloves, or using utensils to prevent cross-contamination. The District Manager observed that the cook was not using utensils to prevent cross-contamination, stopped the tray line, and instructed the cook to change gloves, wash hands, and obtain utensils. In interview, the cook confirmed she did not use tongs or other utensils during meal plating and stated, "I didn't think about using tongs since I have gloves on."
Dignity and Meal Service Concerns
Penalty
Summary
The facility failed to maintain residents’ dignity and respect during meal service in the dining room. Resident #88 was observed at a table with a visitor eating lunch while the resident’s catheter bag was hanging uncovered from the bottom of the wheelchair. A nurse aide confirmed the catheter was not covered, and the facility policy stated drainage bags will be covered when the resident is out of the room for dignity and infection prevention. Resident #77 was observed being assisted with her meal by an Activities Leader, but her plate of food and drinks were left on the serving tray, and the lid from her meal was left on the table beside her food with trash from the tray in it. The Activities Leader confirmed the resident’s food and drink were not removed from the service tray.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to notify the Ombudsman of a resident's discharge from the facility and return home for Resident #97. The resident was discharged to home on [DATE], and a review of the medical chart on 06/16/26 showed no documentation that the Ombudsman had been notified of the discharge. During an interview on 06/17/26 at 12:51 PM, the Administrator acknowledged that the social worker did not complete the Ombudsman notification at that time and stated the social worker was unaware that the Ombudsman needed to be notified.
PASRR Not Updated for New Dementia Diagnosis
Penalty
Summary
The facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was updated for a resident after a new diagnosis of dementia was added to the medical record following admission. Resident #8 was admitted on 10/11/25, and the medical chart listed Sjogren syndrome as the primary diagnosis. On 10/24/25, a diagnosis of Dementia in other Diseases Classified Elsewhere, Unspecified Severity, With Other Behavioral Disturbance was added to the record, but dementia was not marked on the resident’s most recent PASRR dated 10/28/25. During record review on 06/15/26, the PASRR was reviewed and the omission was identified. On 06/16/26 at 2:15 PM, the Interim DON reviewed the PASRR and confirmed dementia was not indicated on it.
PASRR Not Accurately Completed for Resident With PTSD
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) was accurately completed on admission for a resident with a diagnosis of Post-Traumatic Stress Disorder (PTSD). The resident was admitted on 10/11/25, and the medical record documented PTSD on that same date. However, the resident’s most recent PASRR dated 10/28/25 did not mark PTSD. During record review on 06/15/2026, the missing PTSD indication on the PASRR was identified, and on 06/16/26 at 2:15 PM, the Interim DON reviewed the PASRR and confirmed that PTSD was not indicated on it.
Care plans were not reviewed and revised for discharge planning, dialysis weights, and tube feeding
Penalty
Summary
The facility failed to ensure care plans were reviewed and revised for three residents. One resident had a discharge-related care plan that included a 30-day discharge notice and multiple discharge planning interventions, but the resident reported wanting to go home and stated she had never attended a care plan meeting and was unsure what it was. Although a care plan meeting invitation dated 05/13/26 was in the chart, there was no evidence that a meeting was held that day. Social work staff later stated there was only a signature page with three staff signatures and no note explaining whether the resident attended or why she did not attend. For another resident, the care plan directed staff to obtain weights per practitioner order and to use facility weights rather than dialysis dry weights, yet the medical record contained only dialysis dry weights after the care plan date. Staff confirmed the process was to use dialysis weight, but the resident refused. A third resident was receiving enteral nutrition and water flushes via PEG tube, and the care plan still stated to administer tube feeding and water flushes as ordered, with Osmolite 1.5 and scheduled water flushes documented. The resident reported she was no longer receiving tube feedings and was not on a puree diet, while the physician order reflected a regular diet with regular liquids and a med pass product given six times daily.
Adaptive Cup Positioned Incorrectly During Meals
Penalty
Summary
The facility failed to ensure a resident was able to use adaptive eating equipment for safe fluid intake appropriately. Resident #51 was observed in the dining room with a two-handled cup and lid but could not get the thickened drink to come out because the hole in the adaptive cup was positioned on the top side of the cup instead of the bottom. The resident attempted several times to get a drink, and Nurse Aide #119 confirmed the resident was unable to drink until the cup was turned around. On a later observation, Resident #51 again attempted to drink from the cup and stated, "Can't drink," while trying to use the side of the cup where the hole was located beside the handle and moving the lid. Nurse Aide in Training #117 confirmed the resident could not get a drink and assisted the resident. The resident's order stated, "Two-handled cup for all meals," and the tray card stated, "Two Handled Cup with CONCAVE LID." The SLP reported the cup was intended to decrease bolus size because the resident takes large drinks.
Facility Fails to Maintain Clean PTAC Units
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by the condition of the packaged terminal air conditioner (PTAC) units in several residents' rooms. During observations, the PTAC unit in one resident's room contained debris, including an adhesive bandage, while another resident's unit had debris, and a third resident's unit was found to have dirt. The Housekeeping Manager and Regional Manager confirmed the presence of dirt and debris in these units, which are supposed to be cleaned by the Maintenance Department. The Maintenance Director stated that the PTAC units are scheduled for cleaning every three months and confirmed the presence of dirt and debris, despite documentation showing the units were last cleaned two months prior.
Failure to Revise Care Plan for Weight Management
Penalty
Summary
The facility failed to revise the care plan for a resident in the area of weight management. The resident had multiple care areas in the care plan that included interventions for weight management and monitoring. However, the Director of Nursing (DON) confirmed that there was an order for no weights in February, and there was no documented weight for January. Despite the care plan's requirements, the resident had multiple refusals for weights to be obtained and had requested no weights. The DON acknowledged that just about every care plan included the need for weights to be obtained and monitored, yet this was not adhered to for the resident in question.
Improper Disposal of Soiled Brief
Penalty
Summary
During a Long-Term Care Survey, a deficiency was identified involving the improper disposal of a soiled brief for a resident. The surveyor observed a nurse aide providing activities of daily living (ADL) care to the resident and placing a soiled brief on a fall mat on the floor beside the bed. The unit manager, a registered nurse, confirmed that soiled items should not be placed on the bare floor. The nurse aide later placed the soiled items in a trash bag and cleaned the floor mat. This incident was noted as a failure to appropriately dispose of soiled materials, which was observed during the survey process.
Failure to Provide Ordered Palm Protectors
Penalty
Summary
The facility failed to provide the necessary bilateral posey palm protectors for a resident, as ordered, to prevent further avoidable reduction of range of motion (ROM). The medical record indicated that the resident was supposed to have bilateral palm protectors. However, during two separate observations, it was noted that the resident did not have a right palm protector. On one occasion, an LPN confirmed the absence of the right palm protector and was unsure of its whereabouts, later reporting that it was found in the laundry. The order specified that the resident should wear the palm protectors for 6-8 hours, but this was not adhered to, leading to the deficiency.
Inadequate Indwelling Catheter Care
Penalty
Summary
The facility failed to provide appropriate care and services regarding indwelling catheter care for a resident. During an observation, the resident was found lying in bed with the indwelling catheter urine collection bag on the floor, contrary to the facility's policy. The policy, approved on 03/01/24, instructed that the collection bag should not be on the floor and should be draining properly to prevent urine reflux. Despite the presence of a plastic basin under the bed, the collection bag was not placed in it, and the dignity cover attached to the bag was not used as an infection control measure. The deficiency was confirmed during a second observation and through interviews with staff, including a Registered Nurse and the Administrator. The Administrator incorrectly believed that the dignity cover was folded under the collection bag to prevent it from lying on the floor, which was not the case. The Infection Preventionist noted that plastic basins are kept under urine collection bags in case they fall off the bed, but this measure was not effectively implemented. The product fact sheet for the collection bag did not provide instructions for using the dignity cover as an infection control measure.
Oxygen Therapy Deficiency
Penalty
Summary
The facility failed to administer oxygen therapy services in accordance with professional standards of treatment for two residents. Resident #42 was observed wearing oxygen via nasal cannula at a flow rate of 1.5 liters per minute (LPM), despite a physician's order for 2 LPM. Upon further observation, it was confirmed that the oxygen concentrator was malfunctioning and could not maintain the prescribed flow rate. Similarly, Resident #73 was observed with an oxygen flow rate of 2 LPM, contrary to the physician's order of 4 LPM for continuous use due to shortness of breath or signs of hypoxia. These discrepancies were confirmed by Registered Nurse #47, who acknowledged the incorrect settings and the need for a new oxygen concentrator for Resident #42.
Inaccurate Medical Records and Order Discrepancies
Penalty
Summary
The facility failed to maintain accurate medical records for two residents, leading to discrepancies in their care. For one resident, there was a conflicting order regarding their medication administration. The resident had an order indicating they were NPO (nothing by mouth), yet there was a subsequent order for an oral antibiotic. The Medication Administration Record (MAR) showed that the medication was administered by mouth, contradicting the NPO order. However, a registered nurse later clarified that the medication was actually given via a PEG tube, not orally, as the resident was not supposed to take anything by mouth. For another resident, there was a lack of clarity and consistency in the orders for bilateral palm protectors. The resident was observed with a palm protector on only one hand, despite having orders for bilateral protectors. The orders contained conflicting schedules for wearing the protectors, and a licensed practical nurse was unable to confirm the correct schedule when questioned. This inconsistency in the orders and lack of proper documentation led to confusion about the resident's care requirements.
Infection Control Breach: Soiled Items Placed on Floor
Penalty
Summary
The facility failed to adhere to safe and sanitary infection control practices during the provision of activities of daily living (ADL) care to a resident. A Nurse Aide (NA) was observed placing a soiled brief and linens on a fall mat that was lying on the floor in the resident's room. This incident was noted by a surveyor during a random observation as part of the Long-Term Care Survey process. The Unit Manager, a Registered Nurse (RN), confirmed the inappropriate placement of soiled items on the floor, acknowledging that such practices should not occur.
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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 Princeton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Princeton Health Care Center | 2.2 mi | ★★★★★ | 10 | 0 |
| Bluestone Health And Rehabilitation | 6.5 mi | ★★★★★ | 33 | 1 |
| Mercer Healthcare Center | 7.8 mi | ★★★★★ | 10 | 0 |
| Westwood Center | 8.2 mi | ★★★★★ | 0 | 0 |
| Bland County Nursing & Rehab Center | 11 mi | ★★★★★ | 8 | 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 October 2026) and official state health department websites.