The Grand Rehabilitation And Nrsg At River Valley

In the surveyor’s words

From the most serious findings on record at The Grand Rehabilitation And Nrsg At River Valley, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF568Jan 28, 2026

  Based on interview and record review the facility did not ensure individual financial records were available to residents through quarterly statements. This was evident for (6) six residents (Residents #18, #103, #127, #140, #157, and #160) reviewed for personal funds. Specifically, there was no documented evidence Residents #18, #103, #127, #140, #157, and #160 were provided with quarterly statements for personal need accounts managed by the facility. The findings include:The policy titled Deposit of Resident Funds dated 01/2025 documented the resident was provided with a confidential quarterly statement of funds on deposit with the facility and activity since the previous statement.On 01/20/2026 at 12:26 PM, Resident #127 was interviewed and stated they did not know how much money was in… […]

• No harm, potential for more than minimal, patternF804Jan 28, 2026

  Based on observation and interviews conducted during the recertification survey from 01/20/2026 to 01/28/2026 the facility did not ensure residents were provided food and drink that was palatable, and at a safe and appetizing temperature. Specifically, due to food temperature complaints from residents at the resident council meeting on 01/21/2026 at 11:11AM a test tray temperature was taken of egg salad that had a holding temperature of 70 degrees Fahrenheit, and during the observation of a lunch meal service in the kitchen, the egg salad and yogurt temperatures were held at 58 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF812Jan 28, 2026

  Based on observation and interview, the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety. Specifically, 1) unlabeled foods were stored in the kitchen walk in refrigerator, freezer, and cooks prep counter 2) expired foods were stored in the walk-in refrigerator, emergency food supply, and Resident #5's personal refrigerator and 3) staff were observed not wearing beard nets while in the kitchen.The findings include: The policy last reviewed 01/2024 titled Food Receiving and Storage documented all foods stored in the refrigerator or freezer will be covered, labeled and dated ( use by date).The policy last reviewed 01/06/2026 titled Resident Personal Refrigerators documented staff will monitor and discard any expired or… […]

• No harm, potential for more than minimal, patternF814Jan 28, 2026

  Based on observation, record review and interview the facility did not ensure proper disposal of garbage and refuse. Specifically, three (3) garbage/recycle dumpsters were left open and there were cardboard boxes spilling over the top of the dumpsters and litter on the ground around the dumpsters.The findings are:The policy titled Food-Related Garbage and Refuse Disposal reviewed 1/2024 documented outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter. During an observation of the garbage area on 01/20/2026 at 10:14 AM with the acting Food Service Director, one (1) of three (3) dumpsters had the lid closed. The remaining two (2) dumpsters were open. […]

• No harm, potential for more than minimal, patternF730Feb 19, 2025

  Based on staff interviews and review of facility documentation conducted during the abbreviated (NY00371494, NY00364683) surveys, it was determined that the facility did not ensure that a performance review of every certified nurse aide was completed at least once every 12 months, and that each certified nurse aide received no less than twelve hours of in-service education per year. This was evident for 2 of 3 Certified Nurse Aides (#3, #5) reviewed for completion of performance evaluations and in-service education. Specifically, the facility did not ensure that Certified Nurse Aide #3 and #5 had a performance evaluation completed at least once every 12 months and received no less than twelve hours of in-service education per year. […]