Inspection Reports for Grant Rehabilitation and Care Center

The document is a plan of correction and statement of deficiencies related to a previous investigation survey concluding on 2024-04-17, accepted in lieu of an onsite revisit.

Grant Rehabilitation and Care Center is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. The facility demonstrated substantial compliance with previously cited deficient practices based on review of plans of correction and credible evidence.

An unannounced annual recertification/licensure survey was conducted at Grant Rehabilitation and Care Center from April 15, 2024 to April 17, 2024 to assess compliance with federal and state regulations.

The facility was found out of substantial compliance with multiple deficiencies including failure to ensure dignified resident care, improper respiratory equipment storage, incomplete resident self-determination support, food safety violations, medication management issues, inadequate infection control practices, and failure to maintain an effective quality assurance program.

Routine inspection of Grant Rehabilitation and Care Center to assess compliance with health, safety, and fire protection regulations.

The facility was found deficient in multiple areas including exit signage, hazardous area enclosures, cooking equipment maintenance, interior wall and ceiling fire resistance, sprinkler system maintenance, portable fire extinguisher installation, corridor door smoke resistance, fire drills, smoking regulations, gas equipment storage, emergency preparedness policies, communication plans, and fire door inspections.

The document is a plan of correction and statement of deficiencies related to a previous investigation survey concluding on 2023-11-14, accepted in lieu of an onsite revisit.

The facility, Grant Rehabilitation & Care Center, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules based on review of plans of correction and credible evidence. No new deficiencies are cited in this document.

An unannounced complaint investigation survey was conducted at Grant Rehabilitation and Care Center on 11/14/23 based on complaint #29269, which was found unsubstantiated with an unrelated citation.

The facility failed to ensure the environment was free from accident hazards during remodeling on the 300 Hall and due to dangerous chemicals stored on the 400 Hall isolation cart. Multiple hazardous items were accessible to residents, posing potential risks, but no residents experienced negative outcomes.

Complaint #29269 was unsubstantiated with an unrelated citation.

The inspection was conducted as a complaint investigation, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit for the complaint investigation concluding on 2023-09-05.

The facility, Grant Rehabilitation and Care Center, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. The previously cited deficient practices were corrected as evidenced by the accepted plans of correction.

Complaint investigation concluded on 2023-09-05 with substantial compliance found and no onsite revisit required.

An unannounced complaint investigation was conducted at Grant Rehabilitation and Care Center on 09/05/2023 based on complaints #29074 and #27065. The investigation focused on infection prevention and control practices, specifically related to a COVID-19 outbreak.

The facility failed to maintain an infection prevention and control program by not isolating COVID-19 positive residents in their rooms during an outbreak, potentially exposing other residents. The outbreak involved 24 residents and 23 staff testing positive. The facility's COVID-19 policy was not followed, as COVID-positive residents were placed in a family room and passed through areas with non-infected residents.

Complaint #29074 was substantiated with a related citation. Complaint #27065 was unsubstantiated with no related or unrelated deficiencies.

The document is a Statement of Deficiencies and Plan of Correction for Grant Rehabilitation and Care Center, detailing regulatory compliance with federal nursing facility requirements.

The report identifies multiple deficiencies related to resident rights, Medicaid/Medicare coverage notices, freedom from abuse and neglect, policies for abuse prevention and reporting, investigation and corrective actions for alleged violations, accuracy of assessments, care plan timing and revision, quality of care, respiratory and tracheostomy care, dietary support staffing, and food service standards.

Routine inspection to assess compliance with fire safety, electrical systems, sprinkler systems, emergency preparedness, and other regulatory requirements.

The facility was found deficient in maintaining smoke barriers to appropriate fire resistance ratings, ensuring fire alarm system installation and testing, sprinkler system maintenance, emergency generator fuel testing, electrical equipment testing and maintenance, and annual review of the emergency preparedness plan. These deficiencies could affect all residents, staff, and visitors.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Grant Rehabilitation and Care Center from August 8-10, 2022. The survey included substantiated and unsubstantiated complaints.

The facility was found deficient in multiple areas including failure to provide required Medicare beneficiary notices, failure to prevent abuse and neglect, failure to report and investigate abuse allegations timely, inaccurate MDS assessments, failure to revise care plans timely, failure to provide care as ordered, improper storage of respiratory equipment, and failure to maintain current food handler cards for dietary staff.

Complaint #26700 was substantiated with related deficiencies cited at F880. Complaint #26951 was unsubstantiated with no deficiencies cited. Complaint #27051 was substantiated with related deficiency cited at F600.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found in compliance with infection control regulations and CDC recommended practices for COVID-19. No deficiencies were cited during the survey.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on August 24-25, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to E-0024 (b)(6), and the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on July 29, 2020.

The facility was found in compliance with 42 CFR infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

An unannounced revisit was conducted at Grant Rehabilitation and Care Center from 11/04/19 to 11/06/19 for the annual recertification and relicensure survey concluding on 08/14/19.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

An unannounced annual re-certification and annual re-licensure survey was conducted at Grant County Nursing Home from 08/12/19 through 08/14/19. Complaint investigation #22934 was investigated concurrently with the annual survey.

The facility was found deficient in multiple areas including failure to notify physicians of a sexual abuse incident, failure to secure personal privacy and confidentiality of records, failure to maintain a safe and comfortable environment, failure to prevent abuse and neglect resulting in a resident fall with fracture, failure to report and investigate alleged violations, inaccurate resident assessments, failure to implement comprehensive care plans, unsafe storage of medical equipment and chemicals, improper labeling and storage of drugs and biologicals, failure to maintain sanitary food storage, and failure to prevent transmission of infections.

Complaint investigation #22934 was substantiated with related deficiencies cited at F600, F656 and F689.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2012, and Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations. The review included plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2012.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual recertification and relicensure survey was conducted at Grant County Nursing Home from January 22, 2018 through January 25, 2018.

The facility was found deficient in multiple areas including resident rights and dignity, baseline and comprehensive care planning, activity provision, quality of care related to bowel management, infection prevention and control, medication administration, and proper storage and labeling of drugs.

An unannounced complaint investigation was conducted at Grant County Nursing Home from 04/10/17 through 04/13/17 for Complaint Reference #17437.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference #17437 was unsubstantiated with no deficient practices identified.

The document is a plan of correction related to a Quality Indicator and Licensure Survey for Grant Rehabilitation and Care Center, addressing previously cited deficient practices.

Grant County Nursing Home is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility submitted plans of correction and credible evidence accepted in lieu of an onsite revisit for the Quality Indicator and Licensure Surveys concluding on 09/29/16.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Grant County Nursing Home from September 26, 2016 through September 29, 2016 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including comprehensive assessments accuracy, care plan development and revision, medication management, infection control, wound care documentation, and staffing adequacy. Specific issues included inaccurate contracture documentation, incomplete care plans for residents on anti-anxiety medications, insufficient licensed nursing staff for wound care and treatments, incomplete wound assessments and treatment documentation, and failure to maintain an effective infection control program.

Routine inspection of Grant Rehabilitation and Care Center to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements.

The facility failed to maintain smoke barrier walls with required fire resistance, maintain kitchen hazardous storage area fire safety, conduct fire drills at varied times, maintain portable fire extinguishers, and maintain emergency generator according to NFPA standards. Deficiencies were observed during inspections and record reviews, and corrective actions were planned.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey, accepted in lieu of an onsite revisit for the facility's compliance review.

Grant County Nursing Home is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules based on review of plans of correction and credible evidence without an onsite revisit. The facility is in substantial compliance with previously cited deficient practices.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory oversight of Grant Rehabilitation and Care Center, addressing compliance with resident rights and notification requirements.

The facility was cited for deficiencies related to informing residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related notifications.

An unannounced annual Quality Indicator Survey was conducted at Grant County Nursing Home from July 27, 2015 through July 30, 2015, based on observations, clinical record reviews, staff interviews, and facility documentation.

The facility was found deficient in multiple areas including inaccurate comprehensive assessments, inaccurate nurse staffing postings, unsanitary food storage, improper medication storage and labeling, and failure to properly secure and reconcile controlled medications.

The inspection was conducted to assess compliance with NFPA Life Safety Code standards including fire protection, sprinkler system maintenance, emergency generator operation, and electrical wiring safety.

The facility failed to maintain smoke barrier doors with a 20-minute fire protection rating, did not continuously maintain the sprinkler system in reliable operating condition, failed to properly maintain the emergency generator battery electrolyte fluid monitoring, and had electrical wiring issues including a coffee pot without ground fault protection.

An unannounced complaint survey was conducted at Grant County Nursing Home from June 29, 2015 to July 1, 2015, based on complaint #13883 which was substantiated with related and unrelated deficiencies cited.

The facility was found deficient in timely notification of physician and responsible party after resident accidents resulting in injury, failure to report an injury of unknown source to appropriate state agencies, and failure to develop a care plan for suicide precautions after a resident expressed suicidal ideations. Multiple residents' falls were not reported timely to physicians or responsible parties, and one resident's injury was not reported to state agencies. The facility implemented SBAR communication tools and staff retraining to address these issues.

Complaint #13883 was substantiated with related and unrelated deficiencies cited. The complaint sample consisted of 8 residents.

The inspection was conducted as a complaint investigation based on complaint references 11992 and 12033, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Grant County Nursing Home, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules, with previously cited deficient practices corrected.

Complaint investigation concluded on 10/02/14 with substantial compliance found; complaint references 11992 and 12033.

An unannounced complaint survey was conducted at Grant County Nursing Home from September 29, 2014 to October 2, 2014. Complaint #12033 was unsubstantiated with no deficiencies, while Complaint #11992 was substantiated with related deficiencies cited.

The facility failed to implement care plans for nine residents regarding sensor alarms, with multiple motion and tab alarms found non-functional or with inaudible sound. The facility lacked a protocol to check sensor alarms regularly. After notification, the facility replaced batteries and implemented new mattress sensor pads with weekly battery checks planned.

Complaint #12033 was unsubstantiated with no deficiencies. Complaint #11992 was substantiated with related deficiencies cited based on observations, record reviews, and interviews.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey for Grant County Nursing Home, addressing previously cited deficient practices.

Grant County Nursing Home is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. The facility submitted plans of correction and credible evidence accepted in lieu of an onsite revisit, confirming compliance with previously cited deficiencies.

An unannounced annual Quality Indicator and State Licensure Survey was conducted at Grant County Nursing Home from April 14, 2014 through April 16, 2014.

The facility was found deficient in multiple areas including housekeeping and maintenance services with marred walls and chipped woodwork in 20 of 58 resident rooms, failure to promote dignity and respect for residents during meal service, failure to honor resident bathing preferences for 3 residents, and failure to implement nutritional care plans for one resident including inconsistent provision and documentation of dietary supplements.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing related to compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted as a complaint investigation referenced by complaint numbers 7471 and 12278.

The complaint was found to be unsubstantiated with no citations issued during the investigation.

Complaint Reference: 7471 / 12278. Unsubstantiated complaint record with no citations.

This document is a Statement of Deficiencies and Plan of Correction for Grant Rehabilitation and Care Center, addressing regulatory compliance issues identified during a survey.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was a Quality Indicator Survey conducted from November 26, 2012 through November 29, 2012, to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to develop accurate comprehensive assessments and care plans for residents, failure to revise care plans to reflect current resident status, insufficient dietary support personnel leading to delayed meal service, failure to provide necessary dental services to a resident, and failure to follow infection control procedures during personal care.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically regarding medical gas storage and administration areas.

The facility failed to store oxygen cylinders in accordance with NFPA 99 standards, as oxygen bottles were found stored within one inch of combustible material in a non-sprinklered building.

The inspection was conducted as a complaint investigation based on Complaint Reference 12195 / 7283.

The complaint was unsubstantiated and no citations were issued during this off-hours survey conducted on a Saturday morning.

Complaint Reference: 12195 / 7283. The complaint was unsubstantiated with no citations.

The inspection was conducted in response to complaint references #11136 and #11141.

The complaint records were found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint references #11136 and #11141 were investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted in response to a complaint, reference #11109.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11109 was unsubstantiated with no deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the Grant Rehabilitation and Care Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in a language they understand, both orally and in writing, prior to or upon admission and during their stay.

The inspection was conducted to review facility documentation, staff interviews, and observations to determine compliance with NFPA 101, Life Safety Code; 2000 Existing Edition.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition based on the review.

Routine inspection of Grant Rehabilitation and Care Center to assess compliance with healthcare regulations including resident rights, care planning, infection control, medication management, safety, and food service.

The facility failed to make survey results readily accessible to all residents, did not revise care plans adequately after residents developed UTIs, failed to provide evidence of assessment and care planning during health changes, failed to ensure safe medication use and storage, failed to maintain accurate medical records, and failed to serve food at proper temperatures. Several residents were found at risk due to environmental hazards and inadequate supervision.

The inspection was conducted as a complaint investigation related to allegations of failure to notify family and physician timely after a resident's fall and deficiencies in care planning and communication regarding fall prevention interventions.

The facility failed to notify the resident's legal representative and physician in a timely manner after a fall incident involving Resident #19. Additionally, the facility failed to develop and communicate comprehensive care plans including fall prevention interventions to direct caregivers for four sampled residents (#16, #37, #59, and #19), resulting in potential increased fall risk.

Complaint reference #10158 was substantiated with deficiencies cited related to failure to notify family and physician timely after a resident fall and inadequate care planning and communication for fall prevention.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for Grant Rehabilitation and Care Center.

The report identifies deficiencies related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related notifications.

The inspection was conducted as a complaint investigation based on complaint reference #9245, substantiated with deficiencies cited.

The facility failed to notify attending physicians of incidents involving residents, including falls and bruises, as required by policy. Additionally, the facility failed to timely report allegations of abuse and injuries of unknown origin to appropriate State agencies as mandated by law.

Complaint reference #9245 was substantiated with deficiencies cited related to failure to notify physicians of incidents and failure to report abuse allegations and injuries to State agencies.

The inspection was conducted to review the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

The inspection was conducted as part of an annual survey of the Grant Rehabilitation and Care Center to assess compliance with federal regulations regarding resident rights, care planning, medication management, and safety.

The facility was found deficient in multiple areas including failure to re-evaluate mental status changes, inadequate comprehensive care plans for several residents, failure to obtain prompt physician intervention for acute conditions, inadequate treatment of pressure sores, unsafe environment for wandering residents, and use of unnecessary psychoactive drugs without proper monitoring or dose reduction.

Paper revisit to review the facility's compliance with previously cited deficiencies.

The document contains a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights and services in writing and orally.

The inspection was conducted as a complaint investigation based on complaint reference #2-8172, substantiated with deficiencies cited related to failure to notify responsible parties of incidents and changes in residents' conditions.

The facility failed to notify the responsible parties in a timely manner following incidents or health care changes requiring physician intervention for five of six sampled residents. Additionally, the facility failed to notify a resident's responsible party prior to a room change and failed to maintain complete clinical records documenting a room change for one resident.

Complaint reference #2-8172 was substantiated with deficiencies cited related to failure to notify responsible parties of incidents and health care changes for five of six sampled residents.

The inspection was conducted to evaluate compliance with the NFPA 101 Life Safety Code standards, specifically regarding the fire alarm system and related safety functions in the facility.

The facility's fire alarm system was found to be inadequately inspected and tested as required. The inspection reports from 11/02/07 and 05/02/07 were incomplete and did not address the existence or functional status of magnetic locking devices on exit doors.

The inspection was conducted based on complaint allegations including neglect and failure to report such allegations, as well as concerns about comprehensive assessments, quality of care, pressure sore management, unnecessary drug use, and drug regimen review.

The facility failed to report an allegation of neglect for one resident, did not provide adequate summary information of resident assessment protocols for several residents, failed to assure accuracy of resident assessment instruments, did not follow physician orders for skin care treatment, failed to properly assess and document pressure sores, administered unnecessary medications without adequate indications or non-medication interventions, and the consultant pharmacist failed to report medication irregularities adequately to the physician.

The complaint involved allegations of neglect for Resident #107, who was found in soiled clothing after a vomiting episode and the facility failed to report this allegation to appropriate state agencies.

The document is a plan of correction submitted as a paper revisit following a prior inspection.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in writing and orally in a language they understand.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically focusing on fire alarm system maintenance and emergency power supply system testing.

The facility failed to conduct required sensitivity testing of smoke detectors within the preceding five years and did not perform the required annual load test on the diesel-powered emergency power supply system as mandated by NFPA standards.

The inspection was conducted as part of the annual survey of Grant Rehabilitation and Care Center to assess compliance with federal regulations related to resident rights, protection of resident funds, staff treatment of residents, dignity, comprehensive care plans, unnecessary drugs, and clinical records.

The facility was found deficient in multiple areas including failure to obtain written authorization for managing resident funds, inadequate investigation and reporting of injuries of unknown source, failure to protect residents from harm during abuse investigations, lack of dignity in dining services, incomplete care plans addressing key resident needs, administration of unnecessary drugs in excessive doses and durations, and inaccurate clinical records regarding drug allergies.

This document is a plan of correction submitted in response to deficiencies identified during a prior survey of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted due to a complaint reported by a resident alleging abuse that was not immediately reported by the facility to the State survey and certification agency.

The facility failed to immediately report an allegation of abuse from one resident and failed to provide necessary assistance to one resident during meals, resulting in lack of cuing and encouragement to eat. The facility acknowledged these deficiencies and was required to submit credible evidence and an acceptable plan of correction.

One complaint was reported by Resident #39 alleging abuse. The facility failed to report this allegation immediately to the State survey and certification agency. The Director of Nursing acknowledged the failure and stated the decision not to report was based on the resident's history of frequent complaints and lack of named perpetrator.

The inspection was conducted as a complaint investigation related to resident safety and care concerns, specifically regarding the use of physical restraints and bed rail safety.

The facility was found to have failed in assessing and documenting the medical necessity for bed rail use according to guidelines and facility policy for multiple residents, resulting in injuries. Additionally, the facility failed to ensure a safe environment by not completing inspections of all bed rails, frames, and mattresses following an entrapment incident. Staff interviews revealed lack of formal assessment and documentation procedures for side rail use, and delays in implementing safety inspections despite prior training and alerts.

Complaint reference #2-6056 was substantiated with deficiencies cited related to physical restraints and resident safety.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document is a statement of deficiencies and plan of correction form indicating a paper revisit was conducted. Specific deficiencies or findings are not detailed in this document.

The inspection was conducted to evaluate compliance with NFPA Life Safety Code standards, including door hold-open devices, sprinkler system maintenance, and fire-extinguishing system inspections.

The facility failed to hold open a hazardous area door with an approved device, had corroded sprinkler heads under the porch areas, and did not maintain monthly inspection records for the rangehood wet chemical extinguishing system as required by NFPA standards.

The inspection was conducted as an annual survey to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to act in accordance with medical power of attorney, failure to respect residents' rights regarding wandering, inadequate provision of medically related social services, inaccurate resident assessments, incomplete care plans especially related to urinary continence, failure to provide appropriate nutrition and therapeutic diets, unnecessary drug use, unsafe food preparation and service practices, and incomplete clinical records.

The inspection was conducted in response to complaint reference #2-4292 to investigate the allegations made.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4292 was unsubstantiated with no deficiencies cited.

The inspection was conducted as an annual survey of Grant Rehabilitation and Care Center to assess compliance with federal regulations related to resident rights, quality of care, medication management, abuse reporting, and other regulatory requirements.

The facility was found deficient in multiple areas including failure to obtain resident permission for nurse aide students providing care, failure to notify physicians of resident incidents and changes, failure to report and investigate abuse allegations, failure to provide care respecting resident dignity, incomplete and inadequate care plans, medication errors including wrong dosages and failure to follow physician orders, and use of unnecessary medications without proper monitoring or indications.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code requirements.

The inspection was conducted as a complaint investigation referenced as #2-4011.

The complaint was substantiated, but no deficiencies were cited in the facility.

Complaint reference #2-4011 was substantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-3310.

The complaint was substantiated, but no deficiencies were cited during the investigation.

Complaint reference #2-3310 was substantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-3256, which was found to be unsubstantiated but resulted in unrelated deficiencies being cited.

The facility failed to provide care as described in the written plan of care for two residents at risk of falls. Resident #29 experienced five falls in less than three months, and the intervention to monitor causes of falls was not carried out. Resident #111, admitted with breast cancer and a history of seizures, attempted self-transfer despite care plans, resulting in a severe fall and hospitalization. Staff failed to communicate and act on critical information regarding the resident's behavior, leading to inadequate supervision and intervention.

Complaint reference #2-3256 was unsubstantiated but unrelated deficiencies were cited related to quality of care and fall prevention.

The inspection was conducted as a comprehensive annual survey of the Grant Rehabilitation and Care Center to assess compliance with federal regulations related to resident rights, quality of care, dietary services, medication management, infection control, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to ensure legal surrogate exercised resident rights properly, inadequate reporting of abuse allegations to administration, improper staff screening, failure to maintain resident dignity during meals, inadequate accommodation of resident needs, lack of comprehensive resident assessments and care plans, medication management issues including unlocked medication carts and unnecessary drug use, poor dietary service practices including food preparation and storage, and infection control lapses such as improper handwashing techniques.

The inspection was conducted from February 10 to 13, 2003, to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 1981 New Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code requirements.

The inspection was conducted to assess the facility's compliance with the NFPA 101 Life Safety Code, 1981 New Edition, based on review of documentation, staff interview, performance testing, and observations.

The facility was determined to be in compliance with the provisions of the NFPA 101 Life Safety Code; 1981, New Edition.

The inspection was conducted as a standard annual survey of the Grant Rehabilitation and Care Center to assess compliance with federal regulations regarding resident rights, physical restraints, quality of life, quality of care, and other regulatory requirements.

The facility was found deficient in multiple areas including improper use of physical restraints for convenience on residents #5 and #25, failure to maintain resident dignity and respect as evidenced by unclean residents, inadequate activity programming, improper body positioning of residents #70 and #93, and lack of supervision during mealtime for resident #2.

The inspection was conducted as a standard annual survey of the Grant Rehabilitation and Care Center to assess compliance with federal regulations regarding resident rights, quality of care, social services, dietary services, pharmacy services, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to ensure resident privacy, dignity, and social services; inadequate pain management; failure to encourage eating; poor personal hygiene maintenance; improper medication monitoring and reporting; improper food storage and preparation; and incomplete clinical documentation.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101:12; Life Safety Code, 1981 New Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code.

The inspection was conducted as a complaint investigation (Complaint ID: 2-0192) regarding the facility's failure to provide necessary care and services to a resident with a change in condition.

The facility failed to provide Resident #11 with necessary care after a change in condition involving difficulty swallowing and facial asymmetry. The resident was not assessed or treated until transferred to the hospital six days later at the family's request.

Complaint ID 2-0192 involved failure to provide necessary care to Resident #11, who had difficulty swallowing and facial asymmetry. The facility did not assess or treat the resident until the family requested hospital transfer six days after the condition change.

The inspection was conducted based on a review of facility documentation, staff interview, observations, and performance testing to determine compliance with the provisions of 483.70 Physical Environment.

The facility was found to be in compliance with the provisions of 483.70 Physical Environment.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101:12, Life Safety Code, 1981 edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code requirements.

The inspection was conducted as an annual survey to assess compliance with federal regulations related to resident rights, quality of life, quality of care, dietary services, and staff treatment of residents.

The facility was found deficient in multiple areas including failure to develop and implement policies prohibiting mistreatment and abuse, improper exercise of residents' rights by legal surrogates, failure to promote dignity during dining, inadequate supervision to prevent accidents, and unsanitary dietary practices.