Grande Pointe Healthcare: Infection Control Failure - OH
The patient was Resident 136, a person with right-sided weakness from a stroke, muscle weakness, and malnutrition, fully dependent on staff for toileting and unable to manage any of it alone. Cognition was intact. The resident understood exactly what was happening.
It was 10:57 in the morning on October 20th when a federal inspector watched Certified Nursing Assistant 255 provide incontinence care at Grande Pointe Healthcare Community. The resident had been incontinent of liquid stool. The CNA wore gloves and completed the cleanup. Then, without removing those gloves, she applied Vaseline to the resident's arms and legs.
The inspector was standing there when it happened.
When asked about it immediately afterward, CNA 255 said she should have removed the soiled gloves before applying the Vaseline. She knew. She said so herself, at the time of observation, without apparent dispute.
The inspection, completed October 27, 2025, was a complaint investigation. Inspectors observed two residents receiving incontinence care. The lapse occurred with one of them.
Grande Pointe had a care plan in place for Resident 136, dated September 18, 2025, that noted the resident's dependence on staff for toileting and directed staff to check for incontinence. The plan existed. The CNA had gloves. Neither fact prevented what the inspector watched happen.
The facility's census at the time of inspection was 151 residents.
CMS rated the violation at the level of minimal harm or potential for actual harm, and noted it as an incidental finding identified during the complaint investigation rather than the primary subject of the complaint. Few residents were listed as affected.
None of that changes what Resident 136 experienced: a person with a stroke, weakened on one side, dependent on others for the most basic bodily functions, lying still while a staff member spread contaminated gloves across their skin.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grande Pointe Healthcare Commu from 2025-10-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
GRANDE POINTE HEALTHCARE COMMU in RICHMOND HEIGHTS, OH was cited for violations during a health inspection on October 27, 2025.
The resident understood exactly what was happening.
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.