CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Graduate Post Acute
View the most recent health deficiencies and inspection results for Graduate Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Graduate Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-13 | 2026-05-19 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-13 | 2026-05-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-04-13 | 2026-05-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-25 | 2026-04-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-03 | 2026-01-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-12-03 | 2025-12-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-12-03 | 2025-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-03 | 2025-12-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-12-03 | 2025-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-03 | 2025-12-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-12-03 | 2025-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-03 | 2025-12-12 | N |
| Dispose of garbage and refuse properly. | Health | 2025-12-03 | 2025-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-03 | 2025-12-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-03 | 2025-12-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-03 | 2025-12-12 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-12-03 | 2025-12-12 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-03 | 2025-12-12 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-04-25 | 2025-05-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-24 | 2025-04-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-01 | 2025-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-01 | 2025-04-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-04-07 | 2025-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-25 | 2025-04-16 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2025-02-26 | 2025-03-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-02-26 | 2025-03-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-23 | 2025-02-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-01-31 | 2025-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-31 | 2025-01-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-11-22 | 2025-01-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-22 | 2025-01-20 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-11-22 | 2025-01-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-22 | 2025-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-22 | 2025-01-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-22 | 2025-01-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-22 | 2025-01-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-11-22 | 2025-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-22 | 2025-01-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-22 | 2025-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2025-01-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-11-22 | 2025-01-20 | N |
| 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. | Health | 2024-11-22 | 2025-01-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-22 | 2024-12-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-18 | 2024-10-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-18 | 2024-10-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-18 | 2024-10-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-18 | 2024-10-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-18 | 2024-10-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-23 | 2024-10-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-23 | 2024-10-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-23 | 2024-10-09 | Y |
| 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. | Health | 2024-08-23 | 2024-10-09 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-08 | 2024-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-20 | 2024-07-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-29 | 2024-06-21 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-28 | 2024-04-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-28 | 2024-04-22 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-28 | 2024-04-22 | N |
| 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. | Health | 2024-02-28 | 2024-04-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-28 | 2024-04-22 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-02-28 | 2024-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-28 | 2024-04-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-28 | 2024-04-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-28 | 2024-04-22 | Y |
| 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. | Health | 2024-02-28 | 2024-04-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-28 | 2024-04-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-28 | 2024-04-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-28 | 2024-04-22 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-02-28 | 2024-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-28 | 2024-04-22 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-28 | 2024-04-22 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-28 | 2024-04-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-28 | 2024-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-28 | 2024-04-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-28 | 2024-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-02-20 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-01-30 | 2024-02-18 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-19 | 2024-02-08 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-19 | 2024-02-08 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-19 | 2024-02-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-28 | 2023-12-31 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-08 | 2023-10-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-08 | 2023-10-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-08 | 2023-10-09 | Y |
| Keep all essential equipment working safely. | Health | 2023-09-08 | 2023-10-09 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-08-28 | 2023-09-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-24 | 2023-09-14 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-07-24 | 2023-09-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-24 | 2023-09-14 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-07-24 | 2023-09-14 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-21 | 2023-07-05 | Y |