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Nursing HomeMedicaid Investigative

Glenwood Health Center by Harborview

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4115 Glenwood Rd, Decatur, GA 30032225 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 44 Google reviews

5
4
3
2
1
Glenwood Health Center by Harborview Nursing Home in Decatur, GA — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (10 vs median 5.0)
  • High staff turnover (60%)
  • High RN turnover (81%)

Bottom 25% in GA · Below recommended RN staffing · Worst in HARBORVIEW HEALTH SYSTEMS chain · $13,043 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility shows a pattern of extreme inconsistency; while some families report excellent, personalized care, others have experienced serious neglect. If you choose this facility, you must be physically present to monitor your loved one's hygiene and medical needs, as communication and responsiveness appear to be significant weaknesses.

Google Reviews

Google Reviews

44 reviews on Google
Glenwood Health Center presents a highly polarized environment where experiences range from exceptional, personalized care to reports of severe neglect. While some families praise specific staff members for their kindness and dedication, others report critical failures in hygiene, communication, and medical responsiveness. Families should be aware that the facility's reputation is inconsistent, with significant concerns regarding basic patient care standards and administrative accountability.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean3.0ActivitiesN/AMeds2.0MemoryN/AComms2.0Value1.0

Strengths

  • Dedicated individual staff members
  • Positive interactions with maintenance and transportation staff
  • Improved facility cleanliness in recent reports
  • Active leadership presence noted by some families

Concerns

  • Poor hygiene and lack of basic patient care (soiled linens, unwashed patients) (mentioned by 5 reviewers)
  • Difficulty reaching staff via phone or getting timely responses (mentioned by 4 reviewers)
  • Unprofessional or dismissive staff attitude toward residents (mentioned by 4 reviewers)
  • Inadequate medical attention and slow emergency response (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2341.42022(5)3.42023(7)2.62024(11)3.32025(15)3.32026(7)

Distribution · 45 analyzed

5
19
4
2
3
2
2
2
1
20

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on facility cleanliness, what specific protocols are currently in place to ensure daily hygiene and laundry standards are consistently met for residents?
  • 2Communication is a top priority for our family; what is the expected turnaround time for staff to return calls, and is there a preferred method for us to receive regular updates on our loved one's care?
  • 3How does the nursing team coordinate with attending physicians to ensure medication management is accurate and that any changes in a resident's health status are communicated to us immediately?
  • 4We noticed some concerns regarding staff responsiveness; what training or support systems are in place to ensure that residents receive timely assistance when they call for help?
  • 5In the event of a medical emergency, what is the facility's step-by-step protocol for stabilizing a resident and notifying the family?
  • 6We appreciate that leadership is active on the floor; how do you foster a culture of empathy and professionalism among the staff to ensure every resident feels treated with dignity?

Personalized based on this facility's data


Key Review Excerpts

My brother has been living here for almost 6 months... He is always clean, his face is shaved, nails are clean and clipped and he is happy.

Long-term resident's family · 2025★★★★★

I was at the facility today visiting my loved one with family and a guy Mike came in the room to check on my aunt and her whole demeanor changed when he came in.

Family member · 2024★★★★★

She was there for a week and the neglect was unreal. This place should be shut down. I had to come physically get her out myself after her falling out of the bed twice in one week.

Family member · 2022☆☆☆☆
Source: 44 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.47hrs
62%
Registered nurses for medical care
Total Nursing
3.08hrs
75%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
82%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

4

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility51.0%
Worse than Avg
Here
51.0%
US
12.1%
GA
10.6%
De kalb
22.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.0%
Worse than Avg
Here
33.0%
US
15.3%
GA
16.6%
De kalb
15.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility75.8%
Worse than Avg
Here
75.8%
US
93.4%
GA
91.2%
De kalb
89.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility79.8%
Worse than Avg
Here
79.8%
US
95.5%
GA
95.0%
De kalb
93.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.2%
Worse than Avg
Here
22.2%
US
19.4%
GA
16.0%
De kalb
18.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.2%
Worse than Avg
Here
10.2%
US
5.3%
GA
5.7%
De kalb
5.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility55.8%
Worse than Avg
Here
55.8%
US
79.7%
GA
78.4%
De kalb
74.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility61.1%
Worse than Avg
Here
61.1%
US
81.8%
GA
80.4%
De kalb
75.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
GA
2.4%
De kalb
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
4penalties
Well above state avg (6.1)
38 complaint-triggered
$13,043 in fines

Glenwood Health Center has a concerning pattern of 60 deficiencies across six surveys, with 38 triggered by family complaints. Recurring issues include abuse protection failures, resident rights violations, care planning problems, and infection control deficiencies. While the facility corrects cited problems, the high volume of repeated complaint-driven investigations suggests ongoing care quality concerns that families should carefully consider before placement.

Jan 3, 2026Complaint
4
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jan 3, 2026Routine
6
0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0331Potential for harm · IsolatedCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 29, 2025Complaint
4
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Oct 11, 2024Complaint
16
0656Immediate jeopardy · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0574Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Oct 11, 2024Routine
15
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0371Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

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

0754Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

0900Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

Mar 11, 2024Complaint
2
0914Potential for harm · WidespreadCorrected

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Federal Penalties

Payment Denial

Jan 3, 2026

2-day denial

Fine

Oct 11, 2024

$6,521

Fine

Oct 11, 2024

$6,522

Payment Denial

Oct 11, 2024

5-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Glenwood Health Center by Harborview

Organization Type

for profit

Chain Affiliation

Chain Name

Harborview Health Systems

Chain Size

22 facilities nationwide

Chain avg rating: 2.0/5 · Rank 17 of 20 (Worst)

Ownership & Management

Owners

Ga Nc 14, LLC

Owner · Organization

100%

Cl 2022 Irrv Tr

Owner (parent company) · Organization

50%

De 2021 Irrv Tr

Owner (parent company) · Organization

50%

Key personnel

Caballero, ChristopherW-2 Managing EmployeeEnglander, DavidOfficer / DirectorLeibowitz, ChaimOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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