Glenoaks Senior Living Campus
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.
Inspection Findings
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.
245360 09/12/2025
Glenoaks Senior Living Campus 100 Glen Oaks Drive New London, MN 56273
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.
245360 09/12/2025
Glenoaks Senior Living Campus 100 Glen Oaks Drive New London, MN 56273
residents from occurring while the facility investigation is in process. If this allegation of abuse is by
the employee; 2) segregating the employee by moving the employee to an area of the facility where
245360 09/12/2025
Glenoaks Senior Living Campus 100 Glen Oaks Drive New London, MN 56273
During and interview on 9/12/25 at 12:43 p.m., MM-A stated he did not read the directions on how to fill out the Drivers Skills Validation checklist, just remembers signing SCH-A's sheet and marking her as qualified.Review of manufacturer's owner's manual for [NAME] Century 2 wheelchair lift, dated 3/2010, for lift model number NCL917FIB-2 and serial number: EA-03856 included:Lift terminology:-the inner roll stop, and outer barrier sense weight to prohibit lift operation.
The lift will not function if the inner rolls stop, or outer barrier are occupied.-The inner roll stop features a locking mechanism that prohibits the platform from lowering if the lock does not engage.
The lift platform cannot be raised more than three inches above the ground level unless the outer barrier is in the vertical position.Lift Operation Safety:-read manual and supplements before operating lift.
Read and become familiar with all safety precautions, pre-lift operation notes and details, operating instructions and manual operating instructions before operating the lift.-whenever a wheelchair passenger (or standee) is on the platform, the passenger must be positioned fully inside yellow boundaries, wheelchair brakes must be locked, inner roll stop and outer barrier must be up (vertical), outer barrier latches must be fully engaged, and passenger should grip both handrail (if able).-lift attendants must ensure that lift occupants keep hands, arms and all other body part within the lift occupant area and clear of moving parts-accidental activation of control switch(es) may cause unintended operation(s)-observe the passenger during lift operations.-do not use outer barrier as a brake-always keep owner's (operator's) manual in lift-mounted manual storage pouch-failure to follow these safety precautions may result in serious bodily injury and/or property damage.Review of facility policy entitled Fleet Safety dated 5/2025, included the following:Wheelchair securement- loading and unloading:-employees must be trained on how to use the proper equipment to board wheelchairs in passenger vans.
This includes understanding how the lift works, operation of the lift and how to position wheelchair on the lift.-employees should make sure that lift gate is level with the ground before loading a wheelchair onto the lift.
Employees should ensure that any stops are utilized 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.
245360 09/12/2025
Glenoaks Senior Living Campus 100 Glen Oaks Drive New London, MN 56273
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.