Grandview Center

In the surveyor’s words

From the most serious findings on record at Grandview Center, in the surveyor’s own words.

• Actual harm, isolatedF760May 4, 2023

  Based on record review and staff interview, it has been determined that facility failed to ensure that residents are free from any significant medication errors for 1 of 1 diabetic resident reviewed, Resident ID #1, who received insulin when his/her blood glucose level was 45 MG/DL (milligrams/deciliter; normal blood glucose levels for diabetics are between 80 and 130 MG/DL per the Centers for Disease Control). Findings are as follows: Record review of a community reported complaint sent to the Rhode Island Department of Health on 4/21/2023 alleges that Resident ID #1 was hospitalized for a very low blood sugar which was in the 20's upon arrival to the hospital. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on surveyor observation and staff interview, it has been determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, relative to the main kitchen.Findings are as follows:1) Record review of The Rhode Island Food Code 2022 Edition 4.601.11 reads in part, .(A) equipment food contact surfaces .shall be clean to sight .During the initial tour of the main kitchen on 8/18/2025 at 9:15 AM, in the presence of the Food Service Director (FSD), revealed an ice machine that was noted to have black wipeable matter on the white plastic cover of the ice dispenser, located inside of the ice machine.During a surveyor interview, immediately following the above observation, the FSD acknowledged the black wipeable… […]

• No harm, potential for more than minimal, widespreadF812Aug 4, 2023

  Based on record review, surveyor observation and staff interview, it has been determined that the facility failed to ensure that food is served, in accordance with professional standards for food service safety, relative to the lunch meal service. Findings are as follows: Record review of the Rhode Island Food Code 2018 Edition 3-501.16 reads in part, Time/Temperature Control for Safety Food, Hot and Cold Holding indicates that cold food shall be maintained at less than or at 5 degrees Celsius/41 degrees Fahrenheit. During a surveyor observation on 8/3/2023 at approximately 11:50 AM of the lunch meal, an egg salad sandwich had a cold holding temperature of 49.1 degrees Fahrenheit. […]

• No harm, potential for more than minimal, widespreadF812Jun 29, 2022

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to properly store food under sanitary conditions relative to the main kitchen and 1 of 2 kitchenettes, North Unit. Findings are as follows: 1) During the initial tour of the main kitchen on [DATE] at approximately 8:30 AM, the following items were observed: - an opened package of cupcakes, with 2 remaining, dated [DATE] in the main freezer. - 2 packages of frozen sliced bread located in the dry storage freezer, without a date of when they were placed in the freezer and with an expiration date of [DATE]. - a clear bag of cereal without an identifying label or an expiration date. […]

• No harm, potential for more than minimal, widespreadF880Jun 29, 2022

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to implement infection control measures to provide a sanitary environment and prevent the transmission of communicable diseases and infections relative to the proper use of Personal Protective Equipment (PPE), and disinfection of non-dedicated equipment for 2 of 2 units, the North Unit (COVID-19 Unit) and the South Unit. Findings are as follows: 1) The Center for Disease Control and Prevention (CDC) document titled Using PPE , updated on 8/19/2020, states in part, .Respirator straps should be placed on crown of head (top strap) and base of neck (bottom strap). […]