Granite Hills Healthcare & Wellness Centre, LLC

In the surveyor’s words

From the most serious findings on record at Granite Hills Healthcare & Wellness Centre, LLC, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 4, 2026

  Based on observation, interview, and record review, the facility failed to provide care and services to prevent accidents for one of five sampled residents (Resident 1) who has left sided hemiplegia (paralysis affecting one side of the body) and hemiparesis (one-sided weakness) when the facility failed to develop an individualized care plan that addressed Resident 1's physical limitation and failed to ensure the staff implemented appropriate interventions when certified nursing assistant (CNA 1) left the bedside table positioned on the resident's left-side, rendering necessary items inaccessible and requiring Resident 1 to reach across the body which posed a risk of Resident 1 falling off the bed. These failures resulted in Resident 1 sustaining an unwitnessed fall on 12/6/2025. […]

• Actual harm, isolatedF689May 17, 2024

  Based on interview and record review, the facility failed to provide a safe environment for one of three residents (Resident 1) reviewed for accidents. Resident 1, who was known to have a history of suicidal attempt (the act of intentionally causing one ' s death), was left unattended during a mealtime, and swallowed part of a metal fork. As a result, Resident 1 was transferred to the hospital to remove the metal fork from her body. Findings: Resident 1 ' s clinical Admission record was reviewed on 4/3/24. Per Resident 1 ' s Admission record, Resident 1 was admitted to the facility ' s secured unit (a specially designed space for residents to have resources they require to live safely) on 2/12/24. […]

• No harm, potential for more than minimal, widespreadF812Jan 30, 2025

  Based on observation, intervention, and record review, the facility failed to follow safe food practices when: 1. The ceiling above the kitchen tray line area had peeling and bubbling paint; and, 2. Two staff members entered the kitchen without donning (to put on) hair coverings. This failure had the potential for unsanitary products to fall into resident food or onto kitchen equipment. Findings: 1. An observation was conducted of the ceiling within in the kitchen, over the food tray line area on 1/28/25 at 9:20 A.M. The ceiling had an approximately 5 inch by 5 inch area of peeling paint. Pieces of peeling paint were hanging downwards. North on the ceiling, from the peeling paint area was a large section of bubbling paint estimated at 5 inches by 10 inches in size. […]

• No harm, potential for more than minimal, widespreadF801Jun 17, 2021

  Based on observation, interviews, and dietetic services record reviews, the facility failed to ensure safe and effective dietetic service oversight for food and nutrition services in accordance with the regulation and facility policies when: 1. One of two sampled residents (Resident 71) had a severe weight loss of 12.79 % in six months and was not adequately or timely assessed by the RD, 2. Kitchen staff were not sufficiently trained for competency in food safety and sanitation tasks, and 3. Kitchen sanitation inspections were not performed on a regular basis in accordance with facility protocols and standards of practice. These failures in dietetic services oversight placed 94 residents at risk for compromised nutrition status. […]

• No harm, potential for more than minimal, widespreadF802Jun 17, 2021

  Based on observation, interview and facility document review, the facility failed to ensure the food and nutrition services staff maintained current competency in dietetic task operations to safely carry out the kitchen functions in a sanitary manner according to facility policies and standards of practice when: 1. The A.M. Cook (CK 1) could not correctly demonstrate how to test the sanitizer concentration; 2. A Dietary Aide (DA 1) did not take the temperatures or properly store the milk served on lunch trayline; 3. The P.M. Cook (CK 2) did not know the correct process to cool down cooked foods. These failures had the potential to result in contamination of food, leading to widespread food borne illness for 94 residents who consume food from the kitchen. Cross Reference F 812 Findings 1. […]