Grace Skilled Nursing and Therapy Jenks

In the surveyor’s words

From the most serious findings on record at Grace Skilled Nursing and Therapy Jenks, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 5, 2024

  On 09/05/24, a Past Noncompliance Immediate Jeopardy situation was determined to exist related to the facilities failure to ensure Resident #1 was supervised and not using oxygen while smoking. A plan of correction document, titled Smoking Incident, the facility documented the facility completed the following actions: - Designated the smoking area as the patio off the north unit. - Posted No Oxygen Beyond This Point signs on the smoking area doors. - Added No Smoking signs to the garden area and the south door. - In-serviced all staff on smoking policy/plan. - Held a resident council meeting to discuss changes with residents. - Reassessed all residents who smoke for safety. - Updated smoking contracts on residents who smoke. […]

• No harm, potential for more than minimal, patternF677Aug 19, 2026

  Based on observation, record review, and interview, the facility failed to ensure residents were bathed as scheduled for 2 (#17 and #18) of 12 sampled residents reviewed for bathing.The administrator identified 114 residents resided in the facility.Findings:1. On 08/11/26 at 11:06 a.m., Resident #17 was observed sitting up in their wheelchair in their room. Resident #17 was observed to be odor free and clothes were wrinkled. Resident #17 stated they were not sure if they received their showers.An undated diagnoses list for Resident #17 showed the resident was admitted to the facility with diagnoses which included dementia and hemiplegia/hemiparesis following cerebral infarction.A quarterly assessment for Resident #17, dated 08/07/26, showed the resident's cognition was moderately impaired… […]

• No harm, potential for more than minimal, patternF755Aug 19, 2026

  Based on record review and interview, the facility failed to ensure medications were administered according to physician orders for 2 (#11 and #14) of 6 sampled residents reviewed for timely administration of medications.The administrator identified 114 residents resided in the facility.Findings:An undated medication administration showed medication pass times were 7:00 a.m. to 11:00 a.m., 2:00 p.m., 4:00 p.m., 7:00 p.m. to 11:00 p.m., 10:00 p.m., and 12:00 a.m.A policy titled Medication Administration, dated 01/2022, read in part, Medications are administered within 60 minutes of scheduled time, except before, with or after meal orders, which are administered based on mealtimes. […]

• No harm, potential for more than minimal, patternF842Nov 21, 2025

  Based on record review and interview, the facility failed to ensure wound care was documented for 2 (#2 and #5) of 3 sampled residents reviewed for pressure ulcers.The DON identified 10 residents had pressure ulcers.Findings: 1.A physician order, dated 07/29/25, showed to cleanse the stage 3 pressure ulcer to Resident #2's left lateral buttock with normal saline, pat dry, and paint with Betadine (antiseptic) every shift. A physician order, dated 09/09/25, showed to cleanse the abrasion to Resident #2's right lateral buttock with normal saline, pat dry, apply Xeroform (gauze dressing), and cover with bordered foam every Tuesday, Thursday, and Saturday. […]

• No harm, potential for more than minimal, patternF688Sep 3, 2025

  Based on record review and interview, the facility failed to ensure range of motion services were provided for 2 (#7 and #8) of 2 sampled residents who were reviewed for range of motion services.The ADON identified 49 residents had limited range of motion.Findings: 1. On 08/26/25 at 10:47 a.m., Resident #8 was observed to be unable to raise their bilateral arms past the level of their shoulders. A policy titled Restorative Nursing Program, dated 05/2025, read in part, Purpose: To maintain residents' highest practicable level of physical, mental, and psychosocial well-being .Restorative proms should be planned, monitored, evaluated, and documented. Including: Restorative assessment .Care plan .Flowsheet documentation .Weekly oversight by licensed nurse. […]