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 33 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

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  13. 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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  14. 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).

  15. 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).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of May 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

  22. 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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  24. 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 January 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  25. 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 January 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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.