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Deficiency Records for Grace Healthcare Center
View the most recent health deficiencies and inspection results for Grace Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Grace Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2026-03-20 | 2026-04-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-20 | 2026-04-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-20 | 2026-04-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-20 | 2026-04-16 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2026-03-20 | 2026-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-20 | 2026-04-16 | 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 | 2026-03-20 | 2026-04-16 | 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 | 2026-03-20 | 2026-04-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-03-20 | 2026-04-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-03-20 | 2026-04-16 | 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 | 2026-03-20 | 2026-04-16 | 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 | 2026-03-20 | 2026-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-20 | 2026-04-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-20 | 2026-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-20 | 2026-04-16 | N |
| Have policies on smoking. | Health | 2026-03-20 | 2026-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-20 | 2026-04-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2026-03-20 | 2026-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-20 | 2026-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-20 | 2026-04-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2026-03-20 | 2026-04-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-03-20 | 2026-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-03-20 | 2026-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-20 | 2026-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-20 | 2026-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-20 | 2026-03-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-03-20 | 2026-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-20 | 2026-03-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-20 | 2026-03-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2026-03-20 | 2026-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-05 | 2025-10-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-12-23 | 2025-01-23 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-10-02 | 2024-11-15 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-10-02 | 2024-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-02 | 2024-11-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-10-02 | 2024-11-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-02 | 2024-11-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-02 | 2024-11-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-02 | 2024-11-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-02 | 2024-11-15 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-10-02 | 2024-11-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-13 | 2024-10-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-13 | 2024-10-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-13 | 2024-10-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-09-13 | 2024-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-13 | 2024-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-13 | 2024-10-15 | N |
| 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. | Health | 2024-09-13 | 2024-10-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-13 | 2024-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-10-15 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-09-13 | 2024-10-15 | N |
| Keep all essential equipment working safely. | Health | 2024-09-13 | 2024-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-13 | 2024-10-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-13 | 2024-10-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-13 | 2024-10-15 | 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 | 2024-09-13 | 2024-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-13 | 2024-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-13 | 2024-10-10 | 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 | 2024-09-13 | 2024-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-13 | 2024-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-13 | 2024-10-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-13 | 2024-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-13 | 2024-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-13 | 2024-10-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-06-04 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-01-04 | 2024-03-01 | 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 | 2023-08-22 | 2023-09-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-22 | 2023-09-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-16 | 2023-08-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-16 | 2023-08-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-16 | 2023-08-01 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-06-16 | 2023-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-16 | 2023-08-01 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-16 | 2023-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-08-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-16 | 2023-08-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-16 | 2023-08-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-16 | 2023-08-01 | 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 | 2023-06-16 | 2023-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-16 | 2023-08-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-16 | 2023-08-01 | N |
| 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. | Health | 2023-06-16 | 2023-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-16 | 2023-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-08-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-16 | 2023-08-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-16 | 2023-08-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-16 | 2023-08-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-16 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-16 | 2023-07-21 | 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 | 2023-06-16 | 2023-07-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-06-16 | 2023-07-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-06-16 | 2023-07-21 | N |