Granada Rehabilitation & Wellness Center, LP

In the surveyor’s words

From the most serious findings on record at Granada Rehabilitation & Wellness Center, LP, in the surveyor’s own words.

• Actual harm, isolatedF684Nov 25, 2025

  Based on interviews and record reviews, the facility failed to provide services for one resident (Resident 1) when licensed nurses did not provide care for Resident 1's surgical drains (tubes placed in the body after surgery to remove excess blood, pus, or other fluids from a wound or cavity, preventing buildup that could slow healing or cause infections) upon admission to the facility.This failure resulted in Resident 1 having to be readmitted to the hospital for care of a preventable infection.Findings:A review of Resident 1's undated hospital referral form titled [NAME] [Artificial Intelligence Discharge Agent, a software platform used to streamline a patient 's discharge process to skilled nursing facilities] Facesheet indicated Resident 1 had a drain located on the right lateral flank… […]

• Actual harm, isolatedF656May 8, 2025

  Based on interview and record review, the facility failed to develop and implement a fall risk care plan to meet the medical, nursing, mental, and psychosocial needs for one (Resident 1) of three sampled residents. This deficient practice resulted in Resident 1 experiencing injury and pain secondary to an unwitnessed fall on 4/26/25. Findings: A review of Resident 1's, Admission Record, dated 5/7/25, showed Resident 1 was initially admitted to the facility on [DATE], with diagnoses including hemiplegia and hemiparesis (hemiplegia refers to complete paralysis, while hemiparesis refers to partial weakness) affecting the right side, morbid obesity (a complex chronic disease in which you have a body mass index [BMI] of 40 or higher, with normal range for adults considered to be between 18.5… […]

• Actual harm, isolatedF760Mar 1, 2022

  Based on interview, record review, and policy review, the facility did not ensure that Resident 1 was free from significant medication error when Resident 1 received [MEDICATION(S)] ER ([MEDICATION(S)] [MEDICATION(S)] extended release), a narcotic medication, on 8/6/2021, which was not ordered by the physician. Resident 1 had an adverse reaction to the medication and required hospitalization in the acute care facility for ten days. Resident 1 was admitted to the intensive care unit (ICU), where she received an intravenous (given into the vein) medication to reverse the effects of the narcotic medication, and an intravenous medication to maintain her blood pressure. […]

• No harm, potential for more than minimal, widespreadF732Jul 3, 2026

  Based on observation interviews and record review, the facility failed to ensure the required daily patient census and direct care service hours per patient day information was posted for 7/02/26 for a facility census of 83. Observation revealed the facility continued to display a daily patient census and direct care service hours per patient day form dated 6/30/26, rather than the current day's required posting.The facility's failure to post the required daily patient census and direct care service hours per patient day information prevented residents, residents' representatives, staff, and members of the public from having access to current staffing information as required by law.During an observation on 7/02/26 at 9:22 a.m. […]

• No harm, potential for more than minimal, widespreadF802Apr 24, 2026

  The facility failed to ensure a sufficient number of dietary staff were maintained to carry out required Food and Nutrition Services functions when dietary staff responsible for cleaning and sanitation were reassigned to cover vacant food preparation roles. This failure resulted in insufficient staffing to complete essential duties and placed a census of 78 residents who ate food from the kitchen at risk for potential foodborne illnesses.Findings:During a concurrent observation and interview with the Certified Dietary Manager (CDM) in the kitchen on 4/21/26 at 8:09 a.m., the facility stove was noted to have large amounts of grease and food debris built up around and beneath all burners. The backsplash behind the grill of the stove was stained with grease. […]