Grandview Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF658Sep 5, 2025

  Based on interview and record review, facility staff failed to provide professional standards of care for two residents (Residents #1 and #2) out of eight sampled residents, when staff failed to monitor and document residents' bowel movements, which resulted in Resident #1 being admitted to the hospital with a diagnosis of fecal impaction (a condition where a hard, dry mass of stool becomes stuck in the rectum or colon). The facility census was 48. The administrator was notified on 09/09/25 of past Non-Compliance which occurred on 08/15/25 when the administrator implemented new policies and procedures to ensure aides documented residents' bowel movements each shift, and licensed staff monitored residents' bowel movements daily. […]

• No harm, potential for more than minimal, widespreadF812Jan 14, 2026

  Based on observation, interview and record review, facility staff failed to store food in a manner to prevent potential contamination and outdated use and use food in a first-in first out manner. Facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff failed to maintain kitchen equipment and surfaces in a clean and sanitary manner and ensure staff personal items were stored away from food storage and preparation areas. Facility staff failed to properly wash, sanitize and air-dry mechanically washed dishes to prevent cross-contamination and the growth of foodborne pathogens. […]

• No harm, potential for more than minimal, widespreadF881Jan 14, 2026

  Based on record review and interview, facility staff failed to maintain an Antibiotic Stewardship Program (the monitoring for appropriate antibiotic use and effectiveness to improve outcomes and prevent development of antibiotic resistance). The facility census was 52. 1. Review of the facility's policy titled, Antibiotic Stewardship Champion Program, undated, showed:-The community will select an Antibiotic Stewardship Champion (ASC) who will be responsible for implementing and maintaining the Antibiotic Stewardship Champion Program;-Antibiotic usage will be reviewed during morning meeting, the resident's name, antibiotic, start date and location/type of infection will be listed on the white board for follow up until antibiotic is complete or repeat culture results are… […]

• No harm, potential for more than minimal, widespreadF801Sep 22, 2023

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. The census was 61. 1. Review of the Dining Services Manager policy, dated April 2011, showed the dining services manager is delegated the administrative authority, responsibility and accountability necessary for carrying out the assigned duties which included supervision of personnel in the dietary department; planning, preparing and serving regular and modified diets to the residents; documenting in resident records for items such as care plans, progress notes, weight committee reports and… […]

• No harm, potential for more than minimal, widespreadF803Sep 22, 2023

  Based on observation, interview and record review, the facility staff failed to serve food in accordance with the nutritionally calculated menus and standardized recipes. Facility staff also failed to record substitutions made to the menus. 1. Review of the facility's Menus policy, dated May 2015, showed: -Menus will be dated and posted on the bulletin board in the kitchen; -Standardized recipes are available in the dietary department for foods on the menu; -A food substitute should be consistent with the usual and ordinary food item provided by the facility. All substitutes provide equal nutritional value; -When substitutions are made, changes are posted on the menu or substitution sheet. […]