Grove Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF695Jun 4, 2026

  Based on observation, interview, record review, and facility document and policy review, the facility failed to ensure appropriate respiratory services were provided for 2 (Resident #16 and Resident #34) of 3 residents reviewed for respiratory services. Specifically, the facility failed to ensure Resident #16's supplemental oxygen use was consistently documented in their medical record and failed to ensure Resident #34's Non-Invasive Ventilator (NIV) settings and supplemental oxygen use were reflected in the resident's electronic medical record Findings included: A facility policy titled, CPAP [continuous positive airway pressure]/BiPAP [bilevel positive airway pressure]/Non-Invasive Ventilator Support, revised 03/2015, indicated, 2. […]

• No harm, potential for more than minimal, patternF761Jun 4, 2026

  Based on observation, interview, facility policy review, and review of manufacturer package insert, the facility failed to ensure expired medications were discarded from 2 (400 and 500 Hall medication carts) of 3 medication carts reviewed for medication storage. Findings included: A facility policy titled, Storage of Medications, revised 04/2007, indicated, 2. The nursing staff shall be responsible for maintaining medication storage AND preparation areas in a clean, safe, and sanitary manner. The policy continued, 4. The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals. All such drugs shall be returned to the dispensing pharmacy or destroyed. […]

• No harm, potential for more than minimal, patternF880Jun 4, 2026

  Based on facility policy review, observation, interview, facility document review, and record review, the facility failed to maintain an infection prevention and control program to help prevent the development and transmission of communicable disease and infections when staff failed to do the following:- Ensure hand hygiene was completed between residents, which affected 3 (Resident #62, Resident #67 and Resident #21) of 5 residents observed during meal service.- Clean and store respiratory equipment for 2 (Resident #34 and Resident #16) of 3 residents reviewed for respiratory care.- Ensure the emergency cart was clean and suction tips were not open and exposed for 1 of 1 emergency carts observed. Findings included: 1. […]

• No harm, potential for more than minimal, patternF623Jul 17, 2024

  Based on record review and interview, the facility failed provide residents or their representatives a written notice of transfer or discharge prior to residents departing the facility for two (#28 and #49) of three sampled resident reviewed for transfer and discharges. A Long Term Care Facility Application for Medicare and Medicaid form, dated 07/14/24, documented 58 resident resided in the facility. Findings: A facility Transfer or Discharge Documentation policy, dated 12/2016, was reviewed. The policy did not contain a requirement to provide a written notice of transfer or discharge to a resident or their legal representative prior to the resident departing the facility. […]

• No harm, potential for more than minimal, patternF700Jul 17, 2024

  Based on observation, record review, and interview, the facility failed to ensure: a. alternatives to the use of bed rails were attempted prior to the use of bed rails; b. bed rails were inspected for proper fit and condition prior to use of the bed rails; c. residents and their representatives were educated on the risks and benefits of bed rails prior to the use of bed rails; and d. informed consent from the resident or their legal representative was obtained prior to attaching a bed rails to the bed for three (#19, 28, and #49) of four sampled resident reviewed for accident hazards. The Administrator identified 25 resident that had bed rails attached to their beds. […]