The Grove

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to sanitize pots and pans according to manufacturer's guidelines and failed to calibrate food thermometers to ensure food remained hot for one (1) of four (4) kitchen observations.Findings include:A review of the facility's Calibration of Thermometers Policy, revised 10/17, revealed, .Facility shall ensure that a thermometer gives accurate recordings. Procedure: 1. All thermometers are to be calibrated: a. Before each use b. After being dropped c. When experiencing an extreme change in temperature. […]

• No harm, potential for more than minimal, patternF550Jan 11, 2023

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure resident rights were honored by prohibiting residents from group activities and restricting resident use of common areas of the facility without clinical justification for three (3) of 18 sampled residents, with the potential to affect 62 residents. Residents # 3, #4, and #45 Findings include: Record review of the facility's policy, Resident Rights Policy, updated 9/5/15, revealed, It is the policy of this facility that resident rights will be addressed as follows: .Exercise rights .Each resident will be able to exercise his/her rights as follows: As a resident in this facility . 2. […]

• No harm, potential for more than minimal, isolatedF656Apr 20, 2026

  Based on staff interview, record review, and facility policy review, the facility failed to implement individualized care plan interventions for two (2) of six (6) sampled residents. Resident #1 and Resident #2.Findings include:A review of the facility's Total Care Plan Policy, undated, revealed, It is the policy of this facility that the Interdisciplinary care plan will be done as follows.Reminders.Care Plan must be followed by all staff included in resident's care.Resident #1A record review of the facility's document, Fall During Staff Assist, dated 4/3/26, revealed Resident #1 fell during a chair-to-bed transfer when Certified Nurse Aide (CNA) #1 used a sit-to-stand lift.A record review of the facility's Staffing Disciplinary, dated 4/3/26, revealed, .CNA.noted to not follow proper… […]

• No harm, potential for more than minimal, isolatedF689Apr 20, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a safe environment and implement interventions to prevent accidents for two (2) of six (6) residents reviewed with a history of falls. Resident #1 and Resident #2.Findings include:A review of the facility's Fall Protocol Policy, dated 2/2011, revealed, It is the policy of this facility that the fall protocol will be as follows.Fall review.Evaluate possible alternative interventions to help prevent falls.Resident #1A record review of the facility's document, Fall During Staff Assist, dated 4/3/26, revealed Resident #1 fell during a chair-to-bed transfer when Certified Nurse Aide (CNA) #1 used a sit-to-stand lift. […]

• No harm, potential for more than minimal, isolatedF550Feb 12, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a resident's right to dignity, as evidenced by standing over the resident while assisting to feed for one (1) of (18) sampled residents. Resident #34.Findings include:A review of the facility's Dignity Policy, undated, revealed, .Dignity means that staff carry out activities which assist the resident to maintain and enhance his/her self-esteem and self-worth as follows.Promoting resident independence and dignity in dining.A record review of Resident #34's Face Sheet revealed the facility admitted Resident #34 on 7/16/12 with diagnoses including Hemiplegia and Hemiparesis.A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/19/25 revealed… […]