Grapevine Medical Lodge

In the surveyor’s words

From the most serious findings on record at Grapevine Medical Lodge, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 18, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, serve food in accordance with professional standards for food service safety in the facility's only kitchen in that: The facility failed to ensure food items that were placed in the refrigerator were sealed, dated, and labeled appropriately.The facility failed to ensure food items with expired use by dates were disposed of properly.The facility failed to ensure refrigerators meet standard temperature guidelines. These failures could place residents at risk for food-borne illnesses.Findings included: Observation on 6/16/2026 at 5:40 a.m., revealed walk in cooler temperature was at 49.5 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF693Apr 15, 2025

  Based on observation, interview, and record review the facility failed to ensure residents receiving enteral feeding received appropriate care and services to prevent complications of enteral feedings for 1 (Resident # 75) of 1 residents reviewed for enteral feedings The facility failed to assess Resident #75 to self-administer her feeds via the g-tube three times a day since admission on 04/02/2025. This failure could place residents at risk of needs not being met and a decline in resident's health. Findings included: Review of Resident #75's admission record dated 04/13/25, revealed she was a [AGE] year-old female with an initial admitted [DATE] and readmitted [DATE]. Her primary diagnosis was lack of coordination. […]

• No harm, potential for more than minimal, patternF755Apr 15, 2025

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring and administering of all drugs to meet the needs of the residents, for two Residents (Res#24 and Res#196) of two residents reviewed for medication use, in that: MA administered Resident #24's Gabapentin (ordered for treatment of pain) and Resident #196's Creon Oral Capsule Delayed Release Particles 3000-9500 Unit (ordered for Exocrine Pancreatic Insufficiency) greater than one hour after the scheduled administration time. Resident #24 and Resident #196 did not receive their scheduled 8:00 am medications until after 9:30 am on 04/14/2025. […]

• No harm, potential for more than minimal, patternF761Apr 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure medication was stored in locked compartments for 1 of 8 medication carts (Med Cart A) reviewed for drug security. The facility did not lock Med cart A when unattended and not in use on 04/13/25. This deficient practice could place residents at risk of medications loss, drug diversion, or harm due to accidental ingestion of unprescribed medications. Findings Include: In an observation on 04/13/25 at 08:58 AM and at 09:13 AM, it was revealed Med Cart A was unlocked and unattended with the lock mechanism out (indicating it was unlocked) by the main nursing station facing outwards to the entrance foyer. Residents, family, staff and four surveyors were walking by the unlocked medication cart. […]

• No harm, potential for more than minimal, patternF812Apr 15, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure that containers in the refrigerator were covered and labeled. 2. The facility failed to ensure that prepared food was tightly covered in the facility's only refrigerator. These failures could place residents at risk for food-borne illnesses. Findings include: Observation of the facility's only refrigerator on 04/13/2025 at 9:17 AM revealed a plastic container uncovered with breadcrumbs not labeled sitting on the bottom shelf of the refrigerator. […]