Glenburnie Rehab: 14 Deficiencies, Care Plan Gaps - VA
The deficiency, cited under F0657, covered care planning failures that affected some residents. Inspectors rated the harm level as minimal or potential for actual harm, meaning the failures had not necessarily caused documented injury yet, but the conditions were there for it.
The violations centered on pressure injuries, which are wounds that develop when sustained pressure cuts off blood flow to skin and tissue, typically over a bony prominence. They can begin as intact skin with no visible break, or present as open ulcers. Left unaddressed, they worsen.
Part of what inspectors documented involved a specific wound dressing product, ManukaMed HD Superlite, a dressing impregnated with medical-grade Manuka honey designed for daily changes. The manufacturer specifies daily dressing changes to monitor wound progress. The honey releases into the wound bed continuously while the dressing absorbs drainage and necrotic tissue, the dead material that blocks healing. Whether care plans reflected that daily-change requirement, or whether that requirement was being followed, sits at the center of what inspectors were examining.
Wound beds complicated by necrotic tissue, slough, or eschar, the dry black crust that forms over dead tissue, do not heal without intervention. Eschar and slough block the wound from closing. A care plan that does not account for the specific dressing in use, or the frequency its manufacturer requires, leaves nursing staff without a clear roadmap.
Glenburnie Rehab & Nursing Center sits at 1901 Libbie Ave in Richmond. The inspection covered 26 pages. This deficiency ran through page 11.
The residents whose wounds were being treated with that dressing, and whether their care plans were updated before or after inspectors arrived, the report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Glenburnie Rehab & Nursing Center from 2025-10-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
GLENBURNIE REHAB & NURSING CENTER in RICHMOND, VA was cited for violations during a health inspection on October 29, 2025.
The deficiency, cited under F0657, covered care planning failures that affected some residents.
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.