GLENBROOK
CMS
Actual Harm
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Penalty
$9,311
Outcome
GLENBROOK in CARLSBAD, CA was fined $9,311 by CMS following 24 deficiency citations identified during federal surveys.
Details
GLENBROOK (CARLSBAD, CA) — $9,311 in CMS Fines
Outcome: GLENBROOK in CARLSBAD, CA was fined $9,311 by CMS following 24 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide enough food/fluids to maintain a resident's health.
- Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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