Facility profile · CCN 335744
Grand Manor Nursing & Rehabilitation Center
45 federal citations on record , including 3 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $439,923.
Record summary
Federal record · Q1 202645
Total citations
45
Last 3 years
7
Actual harm+
4
Federal penalties
$439,923
Total fines
—
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
45 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Dec 9, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Complaint |
| May 29, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| May 29, 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 |
| May 29, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| May 29, 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 |
| May 29, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 29, 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 | Standard |
| May 29, 2025 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| May 29, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
| May 29, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 29, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| May 29, 2025 | F569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | Complaint |
| Mar 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Mar 10, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Dec 19, 2024 | F908 | Keep all essential equipment working safely. | L | Complaint |
| Dec 19, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | Complaint |
| Dec 19, 2024 | 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. | L | Complaint |
| Nov 21, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Complaint |
| Nov 21, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Nov 21, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Nov 21, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | Complaint |
| Nov 21, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Nov 21, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Nov 21, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Nov 21, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard |
| Nov 21, 2024 | F837 | Establish 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. | F | Standard |
| Nov 21, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Nov 21, 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 |
| Nov 21, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | F | Standard |
| Nov 21, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Nov 21, 2024 | F641 | Ensure each resident receives an accurate assessment. | C | Standard |
| Nov 21, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jun 11, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Complaint |
| Jun 11, 2024 | F687 | Provide appropriate foot care. | D | Complaint |
| Jun 11, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard |
| Jun 11, 2024 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Jun 11, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jun 11, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Jun 11, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard |
| Jun 11, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Aug 7, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 13, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Jul 13, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Apr 27, 2023 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $439,923 and 1 payment-denial actions spanning 91 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 21, 2024 | Fine | $291,973 | — |
| Nov 21, 2024 | Payment Denial | — | Jan 14, 2025 · 91 days |
| Dec 11, 2023 | Fine | $6,351 | — |
| Jul 13, 2023 | Fine | $141,599 | — |
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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