Vi at Grayhawk, a Vi and Plaza Companies Community

In the surveyor’s words

From the most serious findings on record at Vi at Grayhawk, a Vi and Plaza Companies Community, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Aug 13, 2026

  Based on closed record review, staff interviews, and the review of facility process and policy, the facility failed to ensure that a copy of the transfer/discharge notification was sent to the ombudsman prior to discharge of two out of four sampled residents (#7, & #35). The census was 33. The deficient practice could lead to notifications and pertinent information regarding the discharge/transfer not being provided.Findings include: Regarding Resident #7:-Resident # 7 was admitted to the facility on [DATE] with diagnoses of left humerus fracture and malaise.A Discharge Planning Note dated July 28, 2026 documented that the resident wished to discharge on [DATE] but understood she would have to be cleared by her provider.A Social Services note dated July 29, 2026 indicated that the resident… […]

• No harm, potential for more than minimal, patternF725Aug 13, 2026

  Based on resident and staff interviews, facility documentation, and policy review, the facility failed to ensure it had sufficient staff to meet residents' needs. This deficient practice could result in residents not receiving the appropriate care and treatment they need.Findings include:A review of the resident council meeting minutes dated August, September, and October 2025 and June, July, and August 2026 revealed a comment that having 5 aides on the floor per shift would be ideal for the residents.A review of the grievance/concern log dated January 4, 2026, revealed that a resident reported that aides take an extended amount of time to respond to her call light. […]

• No harm, potential for more than minimal, patternF732Aug 13, 2026

  Based on observation, facility documentation, staff interviews, and policy review, the facility failed to ensure nurse staffing information posted was accurate for actual hours worked by licensed and unlicensed direct care nursing staff and that the census was updated daily to reflect the actual number of residents. The deficient practice could result in residents and visitors not being informed of accurate and current staffing information and census.Findings include:-Regarding May 25, 2026Review of the May 25, 2026 Staff Posting indicated the following:-The posting did not clearly identify which staff are Registered Nurse (RN) and Licensed Practical Nurse (LPN) for all shifts- It was unclear how many RNs and LPNs were on each shift-The posting did not reflect the total actual hours worked… […]

• No harm, potential for more than minimal, patternF812Aug 13, 2026

  Based on facility documentation, observations, staff interviews, and policy review, the facility failed to ensure that food items located in the refrigerator, freezer and dry storage areas were properly stored. The deficient practice could result in unsafe food storage, placing residents at risk for foodborne illnesses.Findings include:During the initial walk-through of the kitchen conducted on August 11, 2026, at 7:16 AM with the Executive Sous Chef (Staff #55), observations of the large refrigerator, freezer, and dry storage areas revealed the following: Refrigerator:- One half pan of mustard sauce with an expiration date of August 10, 2026.- One pan of demi-[NAME] with an expiration date of August 10, 2026.- One container of caramel sauce with an expiration date of August 10, 2026.-One… […]

• No harm, potential for more than minimal, patternF880Aug 13, 2026

  Based on facility documentation, personnel record reviews, staff interviews, and facility policy review, the facility failed to ensure that two staff members (#50, & #66) have been screened for infectious tuberculosis (TB); failed to demonstrate that water management program assessed for the presence of Legionella; and failed to ensure that infection control and prevention policies/procedures were reviewed annually. The deficient practice could increase the risk for infectious TB, Legionella, and other diseases/infections, and staff would not have the guidelines/practices that meets current standards for the provision of infection prevention and control.Findings include:-Regarding TB Screening- Regarding Staff #50Review of the personnel record for a Registered Nurse (RN/staff #50) revealed… […]