Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 38E188

Gracelen Care Center

56 federal citations on record , including 1 at the Immediate Jeopardy level.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
56
Total citations
36
Last 3 years
10
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care15 Resident Rights9 Abuse & Neglect8 Care Planning5 Nursing & Physician Services5

Most common F-tags at this facility

F6844 F6894 F8803 F6043 F6862

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Oct 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 25, 2025F880Provide and implement an infection prevention and control program.DStandard
Jul 25, 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
Jul 25, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 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.FStandard
Jul 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jul 25, 2025F610Respond appropriately to all alleged violations.DStandard
Jul 25, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Dec 19, 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
Dec 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Apr 8, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Apr 8, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 8, 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
Apr 8, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 8, 2024F730Observe each nurse aide's job performance and give regular training.EStandard
Apr 8, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Apr 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 8, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Apr 8, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 8, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Apr 8, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 8, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 8, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Apr 8, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 8, 2024F584Honor 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.DComplaint
Sep 21, 2023F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.DComplaint
Sep 21, 2023F692Provide enough food/fluids to maintain a resident's health.GComplaint
Sep 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Sep 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Sep 21, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.GComplaint
Sep 21, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Jan 19, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 19, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Jan 19, 2023F880Provide and implement an infection prevention and control program.KStandard
Jan 19, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.HStandard
Jan 19, 2023F825Provide or get specialized rehabilitative services as required for a resident.GStandard
Jan 19, 2023F801Employ 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
Jan 19, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 19, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jan 19, 2023F727Have 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
Jan 19, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 19, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jan 19, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Jan 19, 2023F679Provide activities to meet all resident's needs.DStandard
Jan 19, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 19, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jan 19, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 19, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Jan 19, 2023F584Honor 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.DStandard
Jan 19, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jan 19, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
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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