Independent · Federal inspection records, searchable
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Facility profile · CCN 555861

Grand Oaks Care

63 federal citations on record , and 1 federal enforcement actions totaling $34,492.

Record summary

Federal record · Q1 2026
63
Total citations
37
Last 3 years
1
Actual harm+
1
Federal penalties
$34,492
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

63 on record
SurveyF-TagViolationSeveritySource
Sep 2, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Jul 29, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 3, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 9, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.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
Oct 10, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Oct 10, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 10, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Oct 10, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Oct 10, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Oct 10, 2024F761Ensure 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.EStandard
Oct 10, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Oct 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 10, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.EStandard
Oct 10, 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
Oct 10, 2024F688Provide 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.EStandard
Oct 10, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 10, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Oct 10, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Oct 10, 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.DStandard
Oct 10, 2024F578Honor 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.EStandard
Oct 10, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Jun 20, 2024F837Establish 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.EComplaint
Jun 20, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jun 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 7, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
May 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Apr 23, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 13, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 7, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Feb 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 22, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Dec 22, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Nov 2, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 2, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Oct 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 15, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 28, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Oct 13, 2022F880Provide and implement an infection prevention and control program.EStandard
Oct 13, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 13, 2022F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Oct 13, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Oct 13, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Oct 13, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Oct 13, 2022F688Provide 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
Oct 13, 2022F679Provide activities to meet all resident's needs.EStandard
Oct 13, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Oct 13, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EStandard
Oct 13, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 13, 2022F578Honor 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
Mar 21, 2019F908Keep all essential equipment working safely.EStandard
Mar 21, 2019F880Provide and implement an infection prevention and control program.EStandard
Mar 21, 2019F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Mar 21, 2019F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Mar 21, 2019F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Mar 21, 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
Mar 21, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 21, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 21, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 21, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 21, 2019F567Honor the resident's right to manage his or her financial affairs.DStandard
Mar 21, 2019F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 21, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $34,492 .

DateTypeFinePayment denial
May 15, 2023Fine$34,492
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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