Grandview Nursing: Resident Left Exposed for 20 Minutes - PA
The January 15 incident at Grandview Nursing and Rehabilitation violated the resident's right to dignity and respect, federal inspectors found. Privacy curtains remained open throughout the exposure.
Resident 3, who is cognitively intact with a perfect mental status score, told inspectors that staff had been getting him ready that morning and left him with his pants at his thighs. He described feeling "like a piece of furniture" and experiencing anger and frustration regarding his care.
The resident has Parkinson's disease, a brain disorder that causes uncontrollable movements, stiffness, and difficulty with balance and coordination. His November assessment showed he is usually dependent on staff for maintaining hygiene, adjusting clothes, and dressing his lower body. He cannot pull his pants up without assistance.
Inspectors observed the resident lying on his back in bed at 10:45 AM. His pants were pulled down to his thighs and his stomach was exposed. He wore only a white incontinence brief and was visible from the hallway.
The resident's fingers were covered in a yellow-orange film. Black and tan debris was visible under the tips of his fingernails.
Nobody came to help him until 11:05 AM, when two nurse aides finally entered his room. During those 20 minutes, other residents and facility staff walked past his doorway.
The Director of Nursing confirmed that residents should not be left with their pants at their thighs without privacy curtains drawn. She also acknowledged that residents' fingernails should be cleaned as needed.
"The facility has the responsibility to ensure all residents receive care in a manner that promotes their personal dignity and respect," the nursing director told inspectors.
The resident's medical records show he was admitted to the facility with multiple diagnoses including Parkinson's disease. His most recent assessment from November 14 revealed he scored 13 out of 15 on a cognitive test, indicating his mental faculties are completely intact.
That assessment also documented his physical limitations. He requires staff assistance for perineal hygiene, adjusting clothes before and after voiding, showering or bathing, and dressing his lower body.
The violation occurred during a complaint investigation. Federal regulations require nursing homes to honor residents' rights to be treated with respect and dignity and to receive care that promotes their personal dignity.
Inspectors classified the violation as causing minimal harm with potential for actual harm. The finding affected one of nine residents observed during the inspection.
The facility has not yet submitted its plan of correction for the dignity violation. State and federal regulators will review any proposed remedial measures before determining whether additional enforcement action is warranted.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grandview Nursing and Rehabilitation from 2025-01-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
GRANDVIEW NURSING AND REHABILITATION in DANVILLE, PA was cited for violations during a health inspection on January 15, 2025.
The January 15 incident at Grandview Nursing and Rehabilitation violated the resident's right to dignity and respect, federal inspectors found.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.