Facility profile · CCN 195258
Grace Nursing Home
39 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $53,262.
Record summary
Federal record · Q1 202639
Total citations
38
Last 3 years
2
Actual harm+
2
Federal penalties
$53,262
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
39 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F761 | 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. | D | Standard |
| Dec 10, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 10, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Dec 10, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 12, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 12, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 12, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Apr 1, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Oct 16, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Oct 16, 2024 | F761 | 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. | E | Standard |
| Oct 16, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 16, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 16, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Oct 16, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Oct 16, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Sep 5, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 5, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Sep 5, 2024 | F575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | D | Complaint |
| Jun 5, 2024 | F700 | 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. | D | Complaint |
| Dec 21, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Sep 11, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint |
| Sep 11, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 11, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Sep 11, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Sep 11, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 11, 2023 | F761 | 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. | E | Standard |
| Sep 11, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Sep 11, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Sep 11, 2023 | F727 | 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. | E | Standard |
| Sep 11, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Sep 11, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 11, 2023 | F585 | 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. | E | Standard |
| Jul 19, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint |
| Jul 19, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 14, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 14, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 13, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $53,262 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 12, 2025 | Fine | $14,015 | — |
| Sep 5, 2024 | Fine | $39,247 | — |
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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