The Grandview Nursing and Rehabilitation Facility

In the surveyor’s words

From the most serious findings on record at The Grandview Nursing and Rehabilitation Facility, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF880Sep 4, 2025

  Based on observation, interview, record review, and review of the facility's policies and the Centers for Disease Control and Prevention (CDC) related to enhanced-barrier precautions (EBP) and transmission-based precautions (TBP), it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases for 2 of 39 sampled residents, Residents (R) 7, and R52. […]

• No harm, potential for more than minimal, isolatedF600Jul 12, 2024

  Based on interview, record review, and facility document and policy review, the facility failed to protect 1 (Resident #286) of 7 residents reviewed for abuse from resident-to-resident abuse. Specifically, the facility failed to protect Resident #286's right to be free from physical abuse perpetrated by Resident #284 on 08/19/2023. Findings included: The facility's Resident Protection Plan, dated 09/15/2022, included a policy titled, Reporting Abuse to Facility Management that indicated, It is the policy of this facility that each resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. An Admission Record revealed the facility admitted Resident #284 on 02/17/2023. […]

• No harm, potential for more than minimal, isolatedF756Jul 12, 2024

  Based on interview, record review, and facility document and policy review, the facility failed to ensure a pharmacy recommendation was addressed by the physician in a timely manner for 1 (Resident #34) of 5 residents reviewed for unnecessary medications. In addition, once the physician responded to the pharmacy recommendation, facility staff failed to immediately implement the physician's recommendation. Findings included: A facility policy titled, Consultant Pharmacist Reports, dated 11/2021, revealed Documentation and Communication of Consultant Pharmacist Recommendations included Policy The consultant pharmacist works with the facility to establish a system whereby the consultant pharmacist observations and recommendations regarding residents' medication therapies are communicated to… […]