Glenbridge Health And Rehabilitation

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2026-03-27.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.

for mopping and cleaning of the front and rear common area hallways that week.An interview with the

minimal harm department and normally would only buff the floors. He stated he had been responsible for mopping the floors that week as a favor for the Housekeeping Director. He indicated he had no knowledge of

indicated he felt the floors were getting cleaned how he mopped and did not identify the reason the water/fluid spots remained in areas he had already mopped.

During a follow-up interview with the Housekeeping Director on 03/27/26 at 9:26 AM she indicated that while the floors had been mopped by the Maintenance Staff Member #1, they still appeared dirty in areas.A walkthrough of the facility with observations of the front and rear common hallway floors with the Director of Nursing on 03/27/26 at 9:35 AM conducted in conjunction with an interview, revealed she felt that the areas where the Maintenance Staff Member #1 had reportedly already mopped were not clean and indicated it did not appear as though there had been any effort into removing water/fluid spots or getting dirt and debris removed.

The Director of Nursing reported she felt the floors throughout the facility were in an unacceptable condition with the amount of dirt, debris, and water/fluid spots.

The Director of Nursing also reported she had voiced her concerns to the Administrator previously but did not know if it had been addressed.

During an interview and walkthrough of the facility's front and rear common hallway floors with the Administrator on 03/27/26 at 10:09 AM, the Administrator revealed she was not happy with the condition of the floors throughout the entire facility.

She verified that it was the responsibility of the Maintenance Staff Member #1 to keep the floors clean.

She explained the floors throughout the facility had been stripped and waxed approximately 2 weeks prior but due to the salt from the winter, it broke down the wax quickly, and the floors needed to be rebuffed.

She reported the floors in the facility definitely needed to be cleaner and reported it appeared to her as though more effort needed to be exercised into ensuring that dirt, debris, and fluid/water spots were removed when the floors were mopped.

345163 03/27/2026

Glenbridge Health and Rehabilitation 211 Milton Brown Heirs Road Boone, NC 28607

Findings included:Resident #67 was admitted to the facility on [DATE].A quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #67 was cognitively intact.A grievance form dated 3/5/26 was completed by the Social Worker (SW) on behalf of Resident #67 and indicated Resident #67 had concerns regarding the attentiveness of night shift staff and not being changed during the night or check on every two hours.

The form documented education was going to be provided by the Staff Development Coordinator (SDC).

The form did not document the following: how the grievance was investigated, a summary of pertinent findings/conclusions regarding the resident's concern, a statement as to whether the grievance was confirmed or not confirmed, or the date the written grievance decision was provided to Resident #67.

An interview was conducted with Resident #67 on 3/23/26 at 3:25 PM. Resident #67 reported she still had an issue with incontinence care not being provided routinely on night shift.

She stated she had reported her concerns about care on the night shift during a care plan meeting but did not remember the date. Resident #67 said she did not know if her concern about care on night shift had been addressed or if anything had been done.

She stated she was never informed verbally of the grievance decision and had never received or been offered a written grievance decision from the facility about this concern.An interview was conducted with the SW on 3/26/26 at 9:39 AM.

The SW reported she had completed the grievance form on 3/5/26 for Resident #67 because she had mentioned a concern about care on night shift during a care plan meeting.

The SW explained she was responsible for managing grievances.

She indicated when a resident or family member reported a concern to her, she completed a grievance form and then assigned the grievance to the appropriate department to address.

The SW reported that at the time the resident and/or family member told her their concerns, she told them what she planned to do to address their concern and wrote that on the grievance form.

She stated then she made a copy of the grievance form and gave it to the appropriate department to address.

The SW indicated she verbally followed up with the assigned department about the grievance to ensure they had addressed it.

The SW stated she did not go back and document on the grievance form after talking to the assigned department about how the grievance was investigated, what was found, what was done to address the grievance, or how it was resolved.

The SW stated she did not follow up with the individual who filed the grievance on how their grievance was investigated, what was found, how it was addressed by the assigned department, or what the resolution was.

The SW was not sure why she did not do those things and indicated she did not know it was a requirement.

The SW said she did not provide a written copy or notification of how the grievance was resolved to the party who filed the grievance because she did not know she was supposed to.

The SW reported she did not follow up and provide information to Resident #67 regarding how her grievance from 3/5/26 was investigated or what the resolution was.An interview was conducted with the Administrator on 3/26/26 at 5:37 PM.

The Administrator stated grievances should be completed when a resident or family member had a concern.

She reported the SW was responsible for managing facility grievances.

She indicated that once the grievance was investigated and addressed by the appropriate department, it should be documented on the form with dates of how/ when it was investigated, what the findings/ conclusion were, what was done to correct the concern, and what the resolution of the grievance was.

She stated the individual who made the grievance should be notified and offered a written copy of the grievance resolution.

The Administrator stated it should be documented on the grievance form who was notified of the resolution and the date they were notified.

The Administrator stated she was not aware the SW was not doing that.

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2026-03-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2026-03-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2026-03-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2026-03-27.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2026-03-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.

Federal health inspectors cited Glenbridge Health And Rehabilitation in Boone, NC for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2026-03-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Glenbridge Health And Rehabilitation.

Correction Status: Deficient, Provider has no plan of correction.