Facility profile · CCN 255173
Grand Trace Health And Rehabilitation
35 federal citations on record , and 2 federal enforcement actions totaling $48,153.
Record summary
Federal record · Q1 202635
Total citations
29
Last 3 years
4
Actual harm+
2
Federal penalties
$48,153
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
35 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 27, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Mar 27, 2025 | 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. | E | Complaint |
| Mar 27, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Mar 27, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard |
| Mar 27, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Mar 27, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 27, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Mar 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Mar 27, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard |
| Mar 27, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 27, 2025 | F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard |
| Mar 27, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Mar 27, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 27, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Mar 27, 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 |
| Mar 27, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| Mar 27, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Mar 27, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Mar 7, 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. | E | Complaint |
| Mar 7, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Mar 7, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 7, 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 | Standard |
| Mar 7, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 7, 2024 | 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 |
| Mar 7, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Mar 7, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard |
| Mar 7, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Mar 7, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Sep 7, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 20, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 20, 2022 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jan 20, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jan 20, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 20, 2022 | 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 |
| Jan 20, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $48,153 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 27, 2025 | Fine | $40,610 | — |
| Sep 7, 2023 | Fine | $7,543 | — |
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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