All citations for Grace Village Health Care Facility

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Grace Village Health Care Facility

Last standard health inspection on record

March 24, 2025

Showing 1 to 25 of 52 citations

  1. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  2. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  3. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  5. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  7. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  8. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 18, 2025).

  10. No harm, with potential for more than minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

  11. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

  12. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

  13. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

  14. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

  15. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 13, 2024).

  16. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  17. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  18. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  19. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  20. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  21. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 28, 2023).

  22. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  23. No harm, with potential for more than minimal harm

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  24. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

  25. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.