GRACELAND REHABILITATION AND NURSING CARE CENTER
State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-05-13 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0725, severity K)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0835, severity K)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0867, severity K)
Administration Deficiencies · correction not recorded in CMS data
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0880, severity K)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-01 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2024-05-01 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.17
state median 3.29
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.09
registered nurses only
Contract (agency) staff
8%
share of all nursing hours
Days with zero RN hours reported
4
with residents present
Nursing staff turnover
52%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $342,603 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-13 | Fine | $39,293 |
| 2024-05-01 | Fine | $303,310 |
| 2024-05-01 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-05-13 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-13 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-13 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-13 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-13 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-13 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-05-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-13 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-05-13 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-01-29 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-29 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-01 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-01 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-05-01 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-01 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-01 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-01 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-01 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-01 | F0693 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-01 | F0725 | Nursing and Physician Services Deficiencies | K | not recorded |
| 2024-05-01 | F0755 | Pharmacy Service Deficiencies | F | not recorded |
| 2024-05-01 | F0760 | Pharmacy Service Deficiencies | K | not recorded |
| 2024-05-01 | F0835 | Administration Deficiencies | K | not recorded |
| 2024-05-01 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-01 | F0867 | Administration Deficiencies | K | not recorded |
| 2024-05-01 | F0880 | Infection Control Deficiencies | K | not recorded |
| 2019-07-11 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2019-07-11 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-07-11 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-07-11 | F0880 | Infection Control Deficiencies | E | not recorded |