All citations for Gracelen 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 Gracelen Care Center

Last standard health inspection on record

July 25, 2025

Showing 1 to 25 of 65 citations

  1. 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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  2. Harm to a resident

    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 H.

    Health citation F-0867, Administration Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  3. 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 August 28, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 18, 2025).

  4. Harm to a resident

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of September 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

  5. Harm to a resident

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

  6. 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 September 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

  7. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 10, 2023).

  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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  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 January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  10. Harm to a resident

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0200, Egress Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

  13. 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 July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2025).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of April 8, 2024. Found during a standard inspection.

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

  15. 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 April 8, 2024. Found during a standard inspection.

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

  16. 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 April 8, 2024. Found during a standard inspection.

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

  17. 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 April 8, 2024. Found during a standard inspection.

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

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Widespread (many residents). CMS level F.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 8, 2024. Found during a standard inspection.

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

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of April 8, 2024. Found during a standard inspection.

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

  22. 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 April 8, 2024. Found during a standard inspection.

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

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of April 8, 2024. Found during a standard inspection.

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

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of January 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  25. 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 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 2, 2026).

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.