All citations for Grand Avenue Rest Home

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 Grand Avenue Rest Home

Last standard health inspection on record

September 11, 2025

Showing 1 to 18 of 18 citations

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Widespread (many residents). CMS level F.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 21, 2025. Found during a complaint inspection.

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

  2. 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 January 21, 2025. Found during a complaint inspection.

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

  3. 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 August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  8. 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 August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  9. 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 August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    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 D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  13. 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 August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  15. 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 August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  18. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of August 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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.