All citations for Graceland Rehabilitation and Nursing Care Center

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 Graceland Rehabilitation and Nursing Care Center

Last standard health inspection on record

May 13, 2025

Showing 1 to 25 of 25 citations

  1. Immediate jeopardy to resident health or safety

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  2. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  3. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0835, Administration Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  4. Immediate jeopardy to resident health or safety

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0867, Administration Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  5. Immediate jeopardy to resident health or safety

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 14, 2024).

  6. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  7. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

  8. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

  9. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Widespread (many residents). CMS level F.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

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

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2019).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2024).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0622, Resident Rights Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 23, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 14, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 2, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2019).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2019).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2019).

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

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2019).

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

    Establish policies and procedures for sheltering.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

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

    Establish roles under a Waiver declared by secretary.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2019).

  24. No harm, with potential for minimal harm

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 28, 2019).

  25. No harm, with potential for minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level B.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 11, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2019).

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.