Glendale Healthcare Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
cognitive skills that impact their daily life). The MDS indicated Resident 1 was receiving an anticoagulant and an antiplatelet medication. During a concurrent interview and record review on 9/16/2025 at 4:46 PM, with licensed vocational nurse (LVN) 1, LVN 1 stated Resident 1 did not have a resident specific care plan initiated for the use of apixaban. LVN 1 stated without a care plan, there would not be a goal or specific interventions regarding the use of the specific medication, and the facility could not provide specific care required for Resident 1. LVN 1 stated Resident 1 could potentially bleed out and die. During a concurrent
interview and record review on 9/16/2025 at 4:48 PM with LVN 1, LVN 1 stated Resident 1 did not have a resident specific care plan initiated for the use of clopidogrel bisulfate. LVN 1 stated without a care plan, there would not be a goal or specific interventions regarding the use of the specific medication and the facility would be lacking care since care was not resident specific. LVN 1 stated Resident 1 could potentially bleed out and die. During a concurrent interview and record review on 9/16/2025 at 5:14 PM, the Director of Nursing (DON) stated Resident 1 did not have a resident specific care plan for apixaban. The DON stated
the resident should have had an apixaban care plan because Resident 1 was receiving that medication and
the resident was at risk for bruising and discoloration. During a concurrent interview and record review on 9/16/2025 at 5:17 PM, the Director of Nursing (DON) stated Resident 1 did not have a resident specific care plan for clopidogrel bisulfate. The DON stated the resident should have had a clopidogrel bisulfate care plan because Resident 1 was receiving that medication and the resident was at risk for bruising and discoloration. During a review of the facilities policy and procedure (P&P) titled Care Plans, Comprehensive Person-Centered dated 3/2022, the P&P indicated The interdisciplinary team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident. The P&P indicated The comprehensive, person-centered care plan: includes measurable objectives and timeframes; describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being, includes
the resident's stated goals upon admission and desired outcomes; and reflects currently recognized standards of practice for problem areas and conditions. The P&P indicated Care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem areas and their causes, and relevant clinical decision making. When possible, interventions address the underlying source(s) of the problem area(s), not just symptoms or triggers. Assessments of residents are ongoing and care plans are revised as information about the residents and the resident's conditions change.
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If continuation sheet
GLENDALE HEALTHCARE CENTER in GLENDALE, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GLENDALE, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GLENDALE HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.