Glendale Post Acute Center
GLENDALE POST ACUTE CENTER in GLENDALE, CA — inspection on November 13, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of the facility's undated P&P titled, Intravenous Administration of Fluids and Electrolyte, the P&P indicated to Notify physician, supervisor, and on coming shift of complications. of treatment and report other information in accordance with. professional standards of practice.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Glendale Post Acute Center
250 N.
Verdugo Road Glendale, CA 91206
SUMMARY STATEMENT OF DEFICIENCIES
During a phone interview with MD 1 on [DATE] at 1:00 pm, MD 1 stated that she assessed Resident 1 on [DATE] and found the resident to be debilitated (in a very weakened or feeble state), unresponsive, and edematous (swollen with an abnormal accumulation of fluid in the tissues).
MD 1 further stated Resident 1 was drowsy and ordered labs to be drawn after that assessment.
During a phone interview on [DATE] at 1:41 p.m, RN 2 stated she was unable to start an IV for Resident 1 and contacted the third-party IV provider at 6:00 p.m. on [DATE].
However, an IV nurse was not available until 7:00 a.m. the next day. RN 2 did not notify the physician about the delay and instead endorsed the information to RN 3.
During a concurrent record review and interview with RN 4 on [DATE][FC2] at 4:02 pm, Resident 1's Progress Notes from [DATE] to [DATE] were reviewed. RN 4 stated that a resident with a CIC for low potassium should be monitored for abnormal heartbeat by palpating (feeling) the resident's pulse and auscultating (listening to) cardiac sounds with a stethoscope. RN 4 further stated that the progress notes did not show documentation of licensed nurses monitoring Resident 1 for abnormal heartbeat.
During a phone interview with the Director of nursing (DON) on [DATE] at 4:22 pm, the DON stated that if a resident required an IV line and the RN supervisor or the IV Nurse is unable to place one, the RN supervisor is responsible for notifying the doctor for further orders with options to send the resident to the hospital if they are unstable or placing an order for a PICC line/midline.
The DON stated RN 3 should have attempted to establish an IV for Resident 1 at least two to three times to start the D5W IV fluids.
The DON further stated Resident 1 had elevated sodium levels of 158 and high sodium levels have the potential to cause seizures, dehydration, and kidney issues if left untreated.
During a phone interview with the Director of nursing (DON) on [DATE] at 4:22 pm, licensed nurses are expected to notify the physician and initiate a CIC for critical labs.
The DON stated it was a delay in care when LVN 1 failed to act right away on Resident 1's low potassium.
The DON further stated that residents with low potassium can experience cardiac complications.
The DON further stated the licensed nurses should have notified the doctor promptly for low potassium and other abnormal labs to provide interventions as soon as possible.
During a concurrent record review and interview with the DON on [DATE] at 4:25 pm, Resident 1's PN for the dates [DATE] to [DATE] were reviewed.
The DON stated that RN 3 did not document that she tried to start an IV for Resident 1 when she should have instead of waiting for the IV Nurse to come in the morning.
During a review of the facility's Job Description titled Registered Nurse Supervisor, the job description indicated the RN will make sound independent decisions when circumstances warrant such action and their essential duties and responsibilities included passing out medications when needed.
Facility ID: