Grace Healthcare Center Complaints, Violations and Inspection Records

May 27, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality and provide enough food/fluids to maintain a resident's health.

• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity E)

March 20, 2026, standard inspection

16 deficiencies cited. Surveyors cited the facility for 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, ensure resident rooms hold no more than 4 residents; for new construction after november 28, 2016, rooms hold no more than 2 residents, and provide and implement an infection prevention and control program.

• F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity F)
• F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity F)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0926Have policies on smoking. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)
• F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
• F0730Observe each nurse aide's job performance and give regular training. (scope and severity D)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
• F0761Ensure 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. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

September 5, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)

December 23, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for 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.

• F0727Have 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. (scope and severity D)

October 2, 2024, complaint inspection

9 deficiencies cited. Surveyors cited the facility for protect each resident from the wrongful use of the resident's belongings or money, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and ensure each resident’s drug regimen must be free from unnecessary drugs.

• F0602Protect each resident from the wrongful use of the resident's belongings or money. (scope and severity F)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity F)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity E)
• F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members. (scope and severity E)
• F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. (scope and severity E)
• F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)
• F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. (scope and severity D)

September 13, 2024, standard inspection

17 deficiencies cited. Surveyors cited the facility for provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service, 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, and provide and implement an infection prevention and control program.

• F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity F)
• F0803Ensure 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. (scope and severity F)
• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity F)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0761Ensure 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. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)

• F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (scope and severity D)
• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
• F0700Try 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. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0908Keep all essential equipment working safely. (scope and severity D)
• F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity C)

May 16, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

January 4, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for let each resident or the resident's legal representative access or purchase copies of all the resident's records.

• F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (scope and severity D)

August 22, 2023, complaint inspection

2 deficiencies cited. Surveyors cited the facility for 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 and provide care and assistance to perform activities of daily living for any resident who is unable.

• F0584Honor 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. (scope and severity E)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)

June 16, 2023, standard inspection

20 deficiencies cited. Surveyors cited the facility for ensure each resident receives an accurate assessment, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and provide and implement an infection prevention and control program.

• F0641Ensure each resident receives an accurate assessment. (scope and severity F)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity E)
• F0638Assure that each resident’s assessment is updated at least once every 3 months. (scope and severity E)
• F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (scope and severity E)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
• F0700Try 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. (scope and severity E)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)

• F0760Ensure that residents are free from significant medication errors. (scope and severity E)
• F0761Ensure 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. (scope and severity E)
• F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
• F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity E)
• F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity E)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
• F0727Have 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. (scope and severity D)
• F0814Dispose of garbage and refuse properly. (scope and severity D)
• F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (scope and severity D)
• F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity B)