All citations for Complete Care at Glendale West

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Glendale West

Last standard health inspection on record

May 22, 2025

Showing 1 to 25 of 65 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2022).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 29, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 26, 2023).

  3. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  4. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  5. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 25, 2025).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  7. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  8. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2022).

  9. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2022).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  11. No harm, with potential for more than minimal harm

    Give residents a notice of rights, rules, services and charges.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0572, Resident Rights Deficiencies. Inspection of May 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  12. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 22, 2025).

  13. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2025).

  14. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2025).

  15. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  17. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 24, 2024).

  18. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  19. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2024).

  20. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2024).

  21. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  22. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  24. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 5, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 4, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.