Grand Valley Health & Rehab

In the surveyor’s words

From the most serious findings on record at Grand Valley Health & Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Apr 28, 2023

  Based on observation, interview, and record review, the facility failed to ensure oxygen tubing was labeled and dated for 5 of 5 residents reviewed for respiratory care. (Resident 6, Resident 47, Resident 60, Resident 51, and Resident 44). Findings include 1. On 4/23/23 at 12:05 p.m., Resident 6 was observed in bed in her room. She was receiving oxygen via oxygen tubing and a nasal cannula. The oxygen tubing had no label indicating the date it was changed. On 4/25/23 at 9:40 a.m., Resident 6 was observed in bed in her room. She was receiving oxygen via oxygen tubing and a nasal cannula. The oxygen tubing had no label indicating the date it was changed. On 4/26/23 at 10:00 a.m., Resident 6 was observed in bed in her room. She was receiving oxygen via oxygen tubing and a nasal cannula. […]

• No harm, potential for more than minimal, patternF921Jul 5, 2022

  Based on observation and interview, the facility failed to ensure resident wheelchair arm pads were in good repair and a resident wheelchair was clean for 5 of 24 residents reviewed for environment (Resident 6, Resident 26, Resident 45, Resident 240, Resident 241) Findings include: 1. On 6/28/22 at 2:45 P.M., the right arm pad of Resident 6's wheelchair was observed to have cracks in the covering, revealing the underlying white padding. 2. On 6/28/22 at 2:55 P.M., the right and left arm pads of Resident 26's wheelchair were observed to have cracks in the covering, revealing the underlying white padding. 3. On 6/28/22 at 3:20 P.M., the right and left arm pads of Resident 45's wheelchair were observed to have cracks in the covering, revealing the underlying white padding. 4. […]

• No harm, potential for more than minimal, patternF565Jul 20, 2021

  Based on observation, interview, and record review, the facility failed to consider the views of a resident group and act promptly upon the grievances and recommendations of such group concerning issues of resident care and life in the facility for 6 of 6 residents reviewed during Resident Council meeting (Resident 3, 27, 35, 66, 72, and 80). Findings include: On 7/19/21 at 10:13 a.m., a Resident Council meeting was conducted. Each resident who attended the meeting indicated the food did not taste good, was frequently cold, was not good in texture, and lacked variety. The following residents participated in the meeting: -Resident 3. Their quarterly MDS (Minimum Data Set) assessment, dated 4/4/21, indicated they were cognitively intact. -Resident 27. […]

• No harm, potential for more than minimal, patternF804Jul 20, 2021

  Based on observation, interview, and record review, the facility failed to ensure food was prepared to conserve nutritive value, flavor and appearance for 11 of 24 residents reviewed for food services. (Resident 3, 18, 27, 29, 31, 35, 36, 51, 66, 72, and 80). Findings include: During an interview, on 7/13/21 at 2:40 p.m., Resident 3 indicated the facility had a problem with food. The meals were always the same, usually some type of Italian food, and the food did not taste good. I have tried and tried to get them to do something about the food, but no one will do anything. Their quarterly MDS (Minimum Data Set) assessment, dated 4/4/21, indicated they were cognitively intact. During an interview, on 7/15/21 at 2:22 p.m., Resident 29 indicated the food was not good in taste and texture. […]

• No harm, potential for more than minimal, isolatedF658Jun 12, 2025

  Based on record review and interview, the facility failed to ensure medication were administered per the physician's orders for 2 of 5 residents reviewed for unnecessary medications. (Resident 71, Resident 33) Findings include: 1. On 6/12/25 at 11:35 a.m., Resident 71's clinical record was reviewed. The diagnoses included, but were not limited to, congestive heart failure and atrial flutter. A Physician's Order for metoprolol (a medication used to slow the heart rate) 50 mg (milligrams) oral tablet extended release daily, initiated 4/6/25. The medication was to be held if the resident's pulse was below 60 beats per minute. […]