Grant Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Grant Healthcare and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Sep 12, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to prepare and serve food in a safe manner. Observations on 09/09/2025 during lunch tray line preparation staff failed to utilize proper hand hygiene. The findings include:Review of the facility's policy titled Hand Hygiene dated 06/09/2025, revealed for all staff to perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. Hand hygiene technique when using soap and water to dry thoroughly with a single-use towel and use clean towel to turn off the faucet. […]

• No harm, potential for more than minimal, patternF880Sep 12, 2025

  Based on observation, interview, record review, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases and to implement interventions to protect the residents. The facility failed to follow their policy related to ensuring the ice machines and water fountain were properly cleaned. Additionally, the facility failed to ensure Resident (R) 9's catheter was properly secured, and the catheter bag remained off the floor to help prevent infection. […]

• No harm, potential for more than minimal, isolatedF600Oct 25, 2024

  Based on interview, record review, and review of the facility's policy, the facility failed to keep residents free from abuse for 1 of 25 sampled residents (Resident (R) 341). On [DATE], R341 was physically restrained by Certified Nursing Assistant (CNA) 6 and Licensed Practical Nurse (LPN) 6 while they were providing care which resulted in bruising of both of the resident's forearms. The findings include: Review of the facility's policy titled, Abuse, Neglect, and Exploitation, revised date [DATE], revealed, Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations. The policy also stated, 1. […]

• No harm, potential for more than minimal, isolatedF761Oct 25, 2024

  Based on observation, interview, review of the website https://www.fda.gov/media/74866/download, review of Medication Refrigerator Temperature Guidelines: What You Should Know, and review of the facility's policies, the facility failed to label and store drugs and biologicals in accordance with currently accepted professional principles for 1 of 2 medication refrigerators observed. A multi-use vial of Tuberculin Purified Protein Derivative (PPD) was found in a plastic bag in the door of the refrigerator and was opened and not dated in the Medication Room on Heritage Hall. […]

• No harm, potential for more than minimal, isolatedF880Oct 25, 2024

  Based on observation, interview, review of the facility's policies, review of the manufacturer's directions for use for the Assure Prism Multi-Blood Glucose Monitoring System, and review of the instructions for Clorox Healthcare Bleach Germicidal Wipes, the facility failed to follow standard infection procedures for cleaning and handling 1 of 8 glucometers. The findings include: Review of the facility's policy titled, Routine Cleaning and Disinfection, dated 01/02/2020, revealed the purpose of the policy was to ensure the provision of routine cleaning and disinfection in order to provide a safe, sanitary environment and to prevent the development and transmission of infections to the extent possible. […]