The Center at Grande

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF602Mar 6, 2025

  Based on interviews, and record review, the facility failed to ensure the right to be free from misappropriation of resident property for 4 of 10 residents reviewed for misappropriation of resident property. (Resident #'s 1, 2, 3, and 4) CNA B stole money from Resident #1, #2, and #4 during the night shifts of 2/11/25 to 2/12/25 and 2/13/25 to 2/14/25. CNA B stole money and credit card information from Resident #3 during the night shifts of 2/11/25 to 2/12/25 and 2/13/25 to 2/14/25. This failure could place residents at risk for decreased quality of life, misappropriation of property, and dignity. Findings included: Record review of Resident #1's face sheet dated 3/6/25, indicated he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses which included, heart failure. […]

• No harm, potential for more than minimal, patternF868Dec 7, 2022

  Based on interview and record review, the facility failed to ensure the Quality Assessment and Assurance/Quality Assurance and Performance Improvement Committee meetings were held at least quarterly, for 1 of 1 facility, reviewed for QAA/QAPI. The facility failed to ensure their QAA and QAPI meetings were held quarterly since the last recertification survey in October 2021 through October 2022. This failure could place residents at risk for quality deficiencies being unidentified and no appropriate plans of actions developed or implemented. Findings included: Review of the facility's QAA/QAPI meeting signature logs for the months October 2021 through October 2022 indicated, meetings were not conducted each quarter during that period. […]

• No harm, potential for more than minimal, patternF803Oct 6, 2021

  Based on observation, interview, and record review, the facility failed to ensure the menu was followed for 1 of 1 meals reviewed for menus and nutritional adequacy. (Lunch meal 10/05/21) (Resident #s 12, 54, 104, and 315) Dietary staff did not serve bread during the noon meal on 10/05/21 to Resident #s 54, 104, and 315 who received pureed diets. Dietary staff did not serve a requested cheeseburger during the noon meal on 10/05/21 to Resident #12 who received a mechanical soft diet. This failure could place residents who eat mechanically altered foods from the kitchen at risk of not having their nutritional needs met. […]

• No harm, potential for more than minimal, patternF580Feb 5, 2021

  Based on interview, and record review, the facility failed to ensure the physician was consulted regarding the need to alter treatment for 1 of 1 resident reviewed for medications. (Residents #1) The facility did not notify Resident #1's physician when the resident's blood pressure medications were held for 6 of 10 days due to blood pressure being outside of the physician ordered parameters. This failure could place residents who received medication at risk of a delay in medical evaluation and treatment. Findings included: Physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #1 was no longer in the facility at the time of this investigation, he was sent to the hospital on 01/10/21 and did not return. The physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF609May 20, 2026

  Based on interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials, including to the State Survey Agency, in accordance with State law through established procedures and report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident for one of… […]