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Complaint Investigation

Glenoaks Senior Living Campus

September 12, 2025 · New London, MN · 100 Glen Oaks Drive
Citations 5
CMS Rating 1/5
Beds 52
Provider ID 245360
Healthcare Facility
Glenoaks Senior Living Campus
New London, MN  ·  View full profile →
Inspection Summary

Glenoaks Senior Living Campus in NEW LONDON, MN — inspection on September 12, 2025.

Found 5 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of facility policy Nursing Facility Abuse Prevention, Identification, Investigation and Reporting Policy dated 7/8/24 indicated the following: -Personal degradation of a dependent adult, means a will act or statement by a caretaker intended to shame, degrade, humiliate, or otherwise harm the personal dignity of a dependent adult, or where the caretaker knew or reasonably should have known the act or statement would cause shame, degradation, humiliation, or harm to the personal dignity of a reasonable person.-Mental abuse is the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation, or degradation.

Mental abuse includes agitating a resident to solicit a response, derogatory statement directed to the resident.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Glenoaks Senior Living Campus

100 Glen Oaks Drive New London, MN 56273

SUMMARY STATEMENT OF DEFICIENCIES

Review of facility policy Nursing Facility Abuse Prevention, Identification, Investigation and Reporting Policy dated 7/8/24 indicated the following:Reporting:-All allegation of resident abuse, neglect, exploitation, mistreatment, injuries of unknown origin and misappropriation of property should be reported immediately to the administrator.-All allegations of resident abuse shall be reported to the appropriate state entity not later than two hours after the allegation is made.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Glenoaks Senior Living Campus

100 Glen Oaks Drive New London, MN 56273

SUMMARY STATEMENT OF DEFICIENCIES

immediately.The administrator will complete documentation of allegation of resident abuse and collect any supporting documents relative to the alleged incident.-Review documentation in resident record.-Assess the resident for injury if the allegation involves physical or sexual abuse.-provide proper notification of primary care provider, responsible party, etc.-attempt to obtain witness statements (oral and/or written) form all known witnesses.-If there is physical evidence that can be preserved, attempt to do so, maintain in a safe location to minimize risk of evidence being tampered with.Upon receiving a report of an allegation of resident abuse, neglect, exploitation or mistreatment, the facility shall immediately implement measures to prevent further potential abuse of residents from occurring while the facility investigation is in process. If this allegation of abuse is by an employee, this will be accomplished by separating the employee accused of abuse from all residents through the following process or a combination of the following, if practicable:1) suspending the employee; 2) segregating the employee by moving the employee to an area of the facility where there will be no contact with any residents of the facility.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Glenoaks Senior Living Campus

100 Glen Oaks Drive New London, MN 56273

SUMMARY STATEMENT OF DEFICIENCIES

to prevent rolling issues.Occupant Restraints:-the occupant must be secured in the wheelchair in case of an accident. A seat belt will prevent the occupant from being ejected from the chair, protecting them from additional injury.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Glenoaks Senior Living Campus

100 Glen Oaks Drive New London, MN 56273

SUMMARY STATEMENT OF DEFICIENCIES

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Based on interview and record review the facility failed to ensure performance evaluations for 4 of 4 nursing assistants (NA-P, NA-D, NA-S, and NA-L) were provided within the past 12 months.Findings include:Review of nursing assistant (NA)-P employee record identified a hire date of 10/25/23 and did not include a performance evaluation since NA-P's hire date.

During interview on 9/12/25, nursing assistant (NA)-P could not remember receiving a performance evaluation since she was hired.

Review of (NA)-D's employee record identified a hire date of 11/10/22 and included a performance evaluation dated 3/13/23; there were no subsequent performance evaluations included in her record.Review of NA-S employee record identified a hire date of 4/15/22 and included a performance review dated 3/13/23; there were no subsequent performance evaluations included her the record.

During interview on 9/12/25 at 8:27 a.m., NA-S could not remember receiving a performance evaluation since 2023.

Review of NA-L's employee file identified a hire date of 2/18/20, a performance evaluation for 2022 was found but no other performance evaluation were located in her file.

During an interview on 9/12/25 at 7:40 a.m., director of nursing (DON) indicated she had not done any performance evaluations for nursing assistants in her three years as DON at the facility.During an interview on 9/12/25 at 12:30 p.m., Administrator indicated there was no policy for annual evaluations of nursing assistants but was an expectation they were completed.

Facility ID:

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 NEW LONDON, MN, (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 Glenoaks Senior Living Campus or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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