The Grove Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Aug 21, 2026

  Based on observation, interview, facility document review and facility P&P review, the facility failed to ensure the food safety and sanitary requirements were met in the kitchen. * The facility failed to ensure the two-compartment preparation sink had an air gap. * The facility failed to ensure food was free from gray fuzz. * The facility failed to ensure food items were dated. * The facility failed to ensure cutting boards were not heavily marred and chipped. * The facility failed to ensure food preparation utensils and equipment were in good, sanitary, and cleanable working conditions. These failures had the potential to cause foodborne illnesses to the 85 medically vulnerable resident population who consumed food prepared in the kitchen.Findings: 1. […]

• No harm, potential for more than minimal, patternF838Aug 21, 2026

  Based on interview and facility document review, the facility failed to ensure the Facility Assessment addressed or included the following:1. Active involvement of required individuals in developing the Facility Assessment;2. A plan to maximize recruitment and retention of direct care staff; and3. A contingency plan for staffing needs. These failures had the potential not to meet the residents' care needs if the assessed population's needs and resources were not comprehensively identified and addressed.Findings: According to the CMS QSO-24-13-NH dated 6/18/24, with an implementation date of 8/8/24, CMS had issued a revised guidance for long-term care facility assessment requirement. […]

• No harm, potential for more than minimal, patternF880Aug 21, 2026

  Based on observation, interview. medical record review, facility document review, and facility P&P review, the facility failed to implement the facility's infection control program. * The facility failed to implement the facility's control measures to minimize the risk for growth and transmission of Legionella (a [NAME] of bacteria that naturally lives in fresh water and soil, and can cause serious lung infections if it grown in man-made water systems and enters the lungs) bacteria. * The facility failed to ensure two of two industrial washing machines used by the facility for the resident's clothing and linens were maintained in a sanitary condition. […]

• No harm, potential for more than minimal, patternF803Jun 19, 2025

  5. Review of the facility's document titled Daily Spreadsheet, Korean Menu - Spring 2025 Week 1 Tuesday - Day 3, showed the following menu for Tuesday's (6/17/25) lunch for the pureed diet: - Pureed spinach doenjang soup - Pureed kimchi - Pureed dak bulgogi (Korean BBQ chicken) - Pureed steam white rice; and - Pureed stir-fried cabbage. a. Medical record review for Resident 27 was initiated on 6/16/25. Resident 27 was admitted to the facility on [DATE], and readmitted on [DATE]. Review of Resident 27's Order Summary Report showed a physician's order dated 9/16/24, for a regular diet pureed texture. Review of Resident 27's Nutrition Progress Note dated 6/2/25 at 1716 hours, showed Resident 27 preferred Korean food for lunch and dinner. […]

• No harm, potential for more than minimal, patternF812Jun 19, 2025

  Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the food safety and sanitation guidelines were followed when: * The facility failed to ensure the foods in the kitchen were properly labeled and dated, and the expired items were thrown out. * The facility failed to ensure the kitchen utensils and equipment were clean and not worn out. * The facility failed to ensure the cutting boards were in sanitary condition. * The facility failed to ensure the refrigerator used to store residents' food from the outside was clean. * The facility failed to ensure the handwashing signage was posted and visible at the handwashing station in the kitchen. […]