Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 365825

Grande Oaks

71 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $17,020.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
71
Total citations
46
Last 3 years
3
Actual harm+
1
Federal penalties
$17,020
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care18 Medication & Pharmacy12 Nutrition & Dietary8 Care Planning7 Nursing & Physician Services7

Most common F-tags at this facility

F8805 F9215 F6844 F7604 F8424

Citation history

71 on record
SurveyF-TagViolationSeveritySource
Oct 28, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Oct 28, 2025F880Provide and implement an infection prevention and control program.EComplaint
Oct 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Oct 28, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Oct 28, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 28, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Oct 28, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Mar 27, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 27, 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
Dec 2, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Dec 2, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint
Dec 2, 2024F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.FComplaint
Dec 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Dec 2, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.FComplaint
Dec 2, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint
Dec 2, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Dec 2, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
Dec 2, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Dec 2, 2024F727Have 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.FComplaint
Dec 2, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DComplaint
Dec 2, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Dec 2, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 2, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 2, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Dec 2, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 18, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Sep 18, 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.DComplaint
Sep 18, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Sep 18, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Sep 18, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 11, 2024F880Provide and implement an infection prevention and control program.EComplaint
Jul 11, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Jul 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 11, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 20, 2024F760Ensure that residents are free from significant medication errors.DComplaint
May 20, 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.FComplaint
May 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Mar 21, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 21, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Feb 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 18, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jul 6, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint
Jul 6, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 17, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 17, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint
Sep 9, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard
Sep 9, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Sep 9, 2022F880Provide and implement an infection prevention and control program.FStandard
Sep 9, 2022F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Sep 9, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 9, 2022F814Dispose of garbage and refuse properly.FStandard
Sep 9, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Sep 9, 2022F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Sep 9, 2022F761Ensure 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
Sep 9, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 9, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 9, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Sep 9, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 9, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Sep 9, 2022F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Sep 9, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Sep 9, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 9, 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
Sep 9, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard
Sep 9, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Sep 9, 2022F660Plan the resident's discharge to meet the resident's goals and needs.DStandard
Aug 22, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 22, 2019F758Implement 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.DStandard
Aug 22, 2019F727Have 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
Aug 22, 2019F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $17,020 .

DateTypeFinePayment denial
Dec 2, 2024Fine$17,020—
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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