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Facility profile · CCN 445331

Graceland Rehabilitation And Nursing Care Center

33 federal citations on record , including 8 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $342,603.

Special Focus Status 8 Immediate Jeopardy

Record summary

Federal record · Q1 2026
33
Total citations
29
Last 3 years
10
Actual harm+
3
Federal penalties
$342,603
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

33 on record
SurveyF-TagViolationSeveritySource
May 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 13, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
May 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 13, 2025F880Provide and implement an infection prevention and control program.EStandard
May 13, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 13, 2025F761Ensure 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 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
May 13, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
May 13, 2025F578Honor 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.DStandard
May 13, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jan 29, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jan 29, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 29, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 1, 2024F880Provide and implement an infection prevention and control program.KComplaint
May 1, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.KComplaint
May 1, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 1, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.KComplaint
May 1, 2024F760Ensure that residents are free from significant medication errors.KComplaint
May 1, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FComplaint
May 1, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.KComplaint
May 1, 2024F693Ensure 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.EComplaint
May 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 1, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
May 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 1, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
May 1, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
May 1, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
Jul 11, 2019F880Provide and implement an infection prevention and control program.EStandard
Jul 11, 2019F761Ensure 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
Jul 11, 2019F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Jul 11, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $342,603 and 1 payment-denial actions spanning 145 days.

DateTypeFinePayment denial
May 13, 2025Fine$39,293
May 1, 2024Fine$303,310
May 1, 2024Payment DenialMay 31, 2024 · 145 days
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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