All citations for Grand Trace Health and Rehabilitation

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 Trace Health and Rehabilitation

Last standard health inspection on record

March 27, 2025

Showing 1 to 25 of 40 citations

  1. Harm to a resident

    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 G.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

  2. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

  3. Harm to a resident

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

  4. 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 September 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 22, 2023).

  5. 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 March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of March 27, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    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 E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 7, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 10, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2022).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 18, 2022).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of January 20, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2022).

  14. 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 April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 1, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  17. 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 February 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  18. 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 August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 7, 2025).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

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

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 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.