Independent · Federal inspection records, searchable
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Facility profile · CCN 455893

Grace Care Center Of Henrietta

53 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $13,627.

Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
53
Total citations
48
Last 3 years
4
Actual harm+
2
Federal penalties
$13,627
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

53 on record
SurveyF-TagViolationSeveritySource
Nov 18, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jul 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 30, 2025F803Ensure 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.FStandard
Jul 30, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 30, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Apr 25, 2025F880Provide and implement an infection prevention and control program.FComplaint
Apr 25, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Apr 25, 2025F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.LComplaint
Apr 25, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LComplaint
Apr 25, 2025F803Ensure 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.EComplaint
Apr 25, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Apr 25, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Apr 25, 2025F727Have 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.EComplaint
Apr 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Apr 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Apr 25, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.EComplaint
Apr 25, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EComplaint
Jan 3, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jan 3, 2025F727Have 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.EComplaint
Oct 25, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
Oct 25, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint
Oct 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 25, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.HComplaint
Oct 25, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Oct 25, 2024F567Honor the resident's right to manage his or her financial affairs.DComplaint
Jun 7, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Jun 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint
May 1, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.BStandard
May 1, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.BStandard
May 1, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.BStandard
May 1, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.DStandard
May 1, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 1, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 1, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
May 1, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
May 1, 2024F761Ensure 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.DStandard
May 1, 2024F760Ensure that residents are free from significant medication errors.DStandard
May 1, 2024F732Post nurse staffing information every day.CStandard
May 1, 2024F727Have 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.EStandard
May 1, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 1, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 1, 2024F583Keep residents' personal and medical records private and confidential.DStandard
May 1, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Mar 8, 2024F760Ensure that residents are free from significant medication errors.JComplaint
Mar 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 6, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Sep 6, 2023F637Assess the resident when there is a significant change in conditionDComplaint
Mar 15, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 15, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Mar 15, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 15, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 15, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $13,627 and 1 payment-denial actions spanning 5 days.

DateTypeFinePayment denial
Apr 25, 2025Payment DenialMay 15, 2025 · 5 days
Mar 8, 2024Fine$13,627
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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