Grand River Health Care

In the surveyor’s words

From the most serious findings on record at Grand River Health Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 9, 2026

  Based on observation, interview and record review, the facility failed to protect one resident (Resident #1) from abuse on 01/05/26, when the Director of Nursing (DON) and the Administrator forced the resident to remove soiled clothing by physically restraining the resident's arms, hands, and ripping the soiled clothing off while the DON yelled curses and obscenities at the resident. As a result, the resident complained of arm pain and said they hurt me. Multiple, small, light-colored bruises were observed. The resident was transported to the emergency room for evaluation. […]

• Immediate jeopardy, isolatedF604Mar 22, 2022

  Based on interview and record review, the facility failed to ensure one resident was free from physical restraints and to follow their policy regarding restraints (a device used to restrict a resident's movement) when a gait belt (a cloth belt used placed around a resident to transfer the resident) was wrapped around a resident and his/her wheelchair to allegedly keep him/her from sliding down and out of his/her wheelchair. The resident was observed to have slid down the wheelchair with the gait belt around his/her chest and arm pits. This affected one resident (Resident #1). The facility census was 29. The Administrator was notified on 3/12/22 of an Immediate Jeopardy (IJ) which began on 3/12/22. The IJ was removed on 3/14/22 as confirmed by surveyor onsite verification. […]

• Actual harm, isolatedF600Mar 25, 2025

  Based on record review and interview, the facility failed to keep one resident (Resident #2) free from verbal and physical abuse when Nurse Aide (NA) A held resident's arms down and cussed at resident (Resident #2) and when Licensed Practical Nurse (LPN) A yelled at resident (Resident #2) and forced the resident to wear a bi-pap mask (A device that forces oxygenated air through mask that is suctioned against a person's face to provide respiratory support) against the resident's will . The facility census was 26. Review of facility policy, dated ,d+[DATE], showed: -It is the policy of the facility that at each resident will be free from abuse. […]

• Actual harm, isolatedF600Dec 16, 2024

  Based on interview and record review, the facility failed to ensure one resident, (Resident #1) was free from verbal and physical abuse when Certified Nursing Assistant (CNA) A grabbed the resident's arm, jerking him/her back into the wheelchair, while yelling and cursing at the resident. The facility census was 27. Review of the facility's Abuse Prohibition policy, dated November 2017, showed: -It is the policy of this facility that each resident will be free from Abuse. Abuse can include verbal, mental, sexual, or physical abuse, misappropriation of resident property and exploitation, corporal punishment, or involuntary seclusion. Additionally, residents will be protected from abuse, neglect, and harm while they are residing at the facility. […]

• Actual harm, isolatedF600Dec 5, 2024

  Based on interview and record review, the facility failed to ensure one resident (Resident #1) was free from abuse when a staff member forcibly used the resident's own hand to hit himself/herself in the face multiple times. This affected one of four sampled residents (Resident #1). The facility census was 28. Review of the facility provided, Abuse Prohibition Policy dated March 2012 showed: -It is the purpose of this facility to prohibit mistreatment, neglect abuse of resident and misappropriation of resident property. […]