Facility profile · CCN 24E150
Grand Avenue Rest Home
51 federal citations on record , and 2 federal enforcement actions totaling $13,635.
Record summary
Federal record · Q1 202651
Total citations
51
Last 3 years
0
Actual harm+
2
Federal penalties
$13,635
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
51 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 26, 2025 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Sep 11, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| Sep 11, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Sep 11, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Sep 11, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Sep 11, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Sep 11, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Sep 11, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 11, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Jan 21, 2025 | 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. | F | Complaint |
| Jan 21, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F | Complaint |
| Aug 28, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Aug 28, 2024 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Aug 28, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 28, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Aug 28, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 28, 2024 | F758 | Implement 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. | E | Standard |
| Aug 28, 2024 | 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. | F | Standard |
| Aug 28, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 28, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 28, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 28, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 28, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Aug 28, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Jul 19, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Apr 15, 2024 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Complaint |
| Apr 15, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Complaint |
| Apr 1, 2024 | 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 |
| Feb 20, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint |
| Feb 20, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint |
| Oct 26, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Oct 26, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 26, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 1, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Sep 1, 2023 | F584 | 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. | C | Complaint |
| Sep 1, 2023 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Sep 1, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Sep 1, 2023 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Sep 1, 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 1, 2023 | F758 | Implement 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. | E | Standard |
| Sep 1, 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. | F | Standard |
| Sep 1, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Sep 1, 2023 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Sep 1, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Sep 1, 2023 | F583 | Keep residents' personal and medical records private and confidential. | C | Standard |
| Sep 1, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Sep 1, 2023 | F570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard |
| Jul 7, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 7, 2023 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Jul 7, 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. | D | Complaint |
| Jul 7, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $13,635 and 1 payment-denial actions spanning 8 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 1, 2023 | Payment Denial | — | Dec 1, 2023 · 8 days |
| May 15, 2023 | Fine | $13,635 | — |
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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