Complete Care at Glendale West: Infection Control Failures - WI
The hand hygiene failures were not a matter of interpretation. When the inspector sat down with the facility's Assistant Director of Nursing, identified in the inspection report as ADON-D, and asked what the expectation was, the answer was unambiguous. ADON-D said that with all her training and years of experience, the expectation is to wash hands when changing gloves, change gloves when they are visibly soiled, and change gloves when providing perineal care.
The inspector pushed further. After cleaning a resident who had a bowel movement, should a staff member remove their gloves and perform hand hygiene before moving to the next task? ADON-D said yes, and explained that they were dealing with an area involving fecal matter.
The inspector then told ADON-D what she had actually observed.
Five minutes later, at 3:05 p.m., the Nursing Home Administrator, the Director of Nursing, and a Regional Registered Nurse were gathered for the end-of-day meeting. The inspector informed all three of the hand hygiene concerns and the urine bag on the floor.
The violation was cited under F0880, the federal infection control tag, with a harm level of minimal harm or potential for actual harm, affecting a few residents.
That classification deserves some unpacking. "Minimal harm or potential for actual harm" is the lower end of the federal harm scale, but infection control failures during perineal and bowel care are not abstract risks. Fecal bacteria transferred on unwashed hands or ungloved hands can cause urinary tract infections, gastrointestinal illness, and wound infections in residents who are already medically vulnerable. A urine collection bag resting on the floor can introduce pathogens into a closed drainage system.
The inspection report does not describe how many times inspectors observed these lapses, which staff members were involved beyond the deputy nursing director's acknowledgment, or whether residents were harmed. What the report does document is that when the inspector described what she saw, the facility's own second-ranking nursing official confirmed, without dispute, that it was wrong.
Complete Care at Glendale West is a skilled nursing facility in Glendale, Wisconsin. This inspection was triggered by a complaint, not a routine survey cycle, meaning someone, a resident, a family member, or a staff member, contacted regulators before the inspector walked through the door.
The facility's leadership was notified before the inspector left the building. Whether that notification produced immediate corrective action, the inspection report does not say.
What the report leaves behind is a straightforward picture: staff responsible for the most intimate and infection-sensitive care in a nursing home were not following the hand hygiene steps that their own deputy nursing director described, without hesitation, as the standard. The floor held a urine bag. The sink, apparently, went unused.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Complete Care At Glendale West from 2025-11-12 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.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 3, 2026 · Our methodology
Complete Care at Glendale West in GLENDALE, WI was cited for violations during a health inspection on November 12, 2025.
The hand hygiene failures were not a matter of interpretation.
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.