Glendale Place Care Center: Infection Control Failure - OH
The resident was Resident 52. A sign on the door said to wear a gown and gloves. The nurse, identified in inspection records as LPN 6, saw the sign. She wore gloves. She did not wear a gown.
LPN 6 told inspectors she had assumed the resident was not on contact precautions. She acknowledged she knew the required protective equipment for contact isolation was gloves, a mask, and a gown. She acknowledged she should have double-checked rather than assumed. "It was important to wear PPE to protect the resident and herself from disease causing micro-organisms," she told inspectors, describing her own reasoning for why the gear mattered, after the fact.
The procedure she was performing was a finger stick blood sugar check, a routine task that breaks the skin.
Both of the facility's top nursing officials told inspectors the same thing: LPN 6 was wrong.
The Assistant Director of Nursing, who also served as the facility's Infection Preventionist, said she expected staff to put on protective equipment before providing care to any resident on contact precautions. She described the gear as "a barrier to anything that could be spread through physical contact." She said a gown should have been worn for the finger stick, along with gloves.
The Director of Nursing went further. She said she expected PPE use to be specific to each resident, and that for any resident on transmission-based precautions, staff should wear gloves, a gown, and a mask. All three. For a finger stick blood sugar check.
The sign on the door had said gown and gloves. LPN 6 had seen it. She had the training. Her supervisors had the expectations. None of it translated into what actually happened in that room.
Contact precautions exist because certain infections spread through physical contact, including contact with a patient's skin or surfaces they have touched. A gown is not a formality. It covers the clothing and arms of the person providing care, reducing the chance that whatever a resident is carrying moves from that room to the next one, on the hands or sleeves of the person who just left. When a nurse skips a gown, she carries that risk with her down the hallway.
Inspectors cited the facility under F0880, the federal tag covering infection prevention and control. The level of harm was listed as minimal harm or potential for actual harm. Few residents were identified as affected.
What the inspection record does not say is whether Resident 52 was harmed. It does not say what condition required the contact precautions in the first place. It does not say whether LPN 6 had skipped protective gear before, or whether this was the first time anyone had noticed.
What it does say is that a nurse walked past a sign telling her what to wear, decided it probably didn't apply, and performed a procedure that broke a resident's skin without the protection that sign required. And that when inspectors asked the people responsible for nursing care at Glendale Place whether that was acceptable, not one of them said yes.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Glendale Place Care Center from 2025-08-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
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Last verified: October 25, 2026 · Our methodology
GLENDALE PLACE CARE CENTER in CINCINNATI, OH was cited for violations during a health inspection on August 12, 2025.
A sign on the door said to wear a gown and gloves.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.