Granville Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Granville Center for Rehabilitation and Nursing, in the surveyor’s own words.

• Actual harm, isolatedF656Jan 23, 2023

  Based on record reviews and interviews during an abbreviated survey (Case # NY00271568), the facility did not ensure it implemented the comprehensive care plan consistent with resident rights for 1 (Resident #2) of 8 residents reviewed. Specifically, the facility did not ensure the intervention for the use of floor mats as documented on Resident #2's comprehensive care plan (CCP) for At Risk to Fall was implemented by facility staff resulting in a fractured right upper arm from a fall out of bed. This resulted in actual harm to Resident #2 that was not immediate jeopardy. This is evidenced by: The Policy and Procedure titled, Care Plans- Comprehensive documented a comprehensive, person-centered care plan is developed and implemented for each resident. […]

• Actual harm, isolatedF600Jul 21, 2022

  Based on record review and interviews during an abbreviated survey (Case #NY 033), the facility did not ensure the resident has the right to be free from abuse and neglect for 1 (Resident #1) of 5 residents reviewed for abuse and neglect. Specifically, for Resident #1, who has a loss of sensation in both their hands due to diabetes, the facility did not ensure that staff reviewed the resident's physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Subsequently, Resident #1 sustained a thermal injury with partial thickness [CONDITION(S)] to the 2nd, 3rd, and 4th fingers on both hands and the development of gangrene. This resulted in actual harm that is not Immediate Jeopardy. […]

• No harm, potential for more than minimal, widespreadF725Dec 18, 2024

  Based on observation, record review, and interviews during a recertification and abbreviated (NY00346208 and NY00351484) survey, the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, 1) an analysis of the actual staffing schedule showed that on multiple occasions from 12/01/2024 to 12/18/2024, the facility was below the minimum levels required. […]

• No harm, potential for more than minimal, patternF684Dec 18, 2024

  Based on interview and record review conducted during a recertification and abbreviated survey (Case # NY00346208), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident ' s choices for 10 (Resident #s 365, 368, 112, 56, 29, 73, 109, 75, 18, and 89) of 10 residents reviewed for quality of care, which included residents in every unit of the facility. […]

• No harm, potential for more than minimal, patternF804Dec 18, 2024

  Based on observations, record reviews, and interviews during the recertification and abbreviated survey (Case # NY00355835), the facility did not ensure that food and drink were palatable and attractive for 4 (Resident #s 97, 75, 8, and 107) of 7 residents reviewed for palatable and attractive food and drink. Specifically, Residents #97, #75, #8 and #107 complained of food being cold, unattractive, and not palatable. Additionally, Resident # 97 and #75 lunch ticket did not match what the resident received during their lunch service on 12/17/2024. […]