Grace Healthcare Center
GRACE HEALTHCARE CENTER in FRESNO, CA — inspection on September 5, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
provide to residents-ensuring resident safety. 11. Is responsible for correlating resident care with
document titled, Assistant Director of Nursing Job Description, dated 7/12/24, the Assistant Director
overall operation of the Nursing Services Department in accordance with current Federal, State and local.regulations that govern this facility.to ensure that the highest degree of quality care is maintained at all times.Essential Job Functions:.
Monitor unit activities, communicate policies.Conduct regular rounds to monitor resident activity and ensure resident quality care.
Assess residents' physical and psychosocial status.
Monitor care activities and documentation to ensure the delivery of nursing care according to the physician's orders, care plans and established standards and facility policies.Plan, organize and direct.effective administration of nursing unit and patient care given based on the establish goals and objectives, standards, policies and procedures of this facility.
Regularly inspect the facility and nursing practices for compliance with federal, state and local standards and regulations.
Assure residents of.safe environment.
Assist in development of Patient Care Plans for individual residents including rehabilitative and restorative activities.
Assist in.scheduling of rounds to see all residents.During a review of the facility's policy and procedure (P&P) titled, Hazardous Areas, Devices and Equipment, dated July 2017, the P&P indicated, .All hazardous areas, devices and equipment in the facility will be identified and address appropriately to ensure resident safety and mitigate accident hazards to the extent possible.1. As part of the facility's overall safety and accident prevention program, hazardous areas and objects in the resident environment will be identified and addressed.
Identification of Hazards: 1. A hazard is defined as anything in the environment that has the potential to cause injury or illness. b.
Devices and equipment that are improperly used.
Assessment and Analysis of Hazards: 1.
Assessment and analysis of hazardous areas and equipment will include resident-specific information including identification of vulnerable residents. 2.
Any element of the resident environment that has the potential to cause injury and that is accessible to a vulnerable resident is considered hazardous. 3.
Resident vulnerability is based on risk factors including the individual resident's functional status, medical condition, cognitive abilities, mood, and health treatments. 4.
Resident vulnerability to hazards may change over time.
Ongoing assessment helps identify when elements in the environment pose hazards to a particular resident. 5.
Improper or inappropriate use of equipment and devices will be identified as part of the hazard assessment and analysis.During a review of the facility's policy and procedure (P&P) titled Assistive Devices and Equipment, dated February 2021, the P&P indicated, Our facility maintains and supervises the use of assistive devices and equipment for residents.1.
Certain devices and equipment that assist with resident mobility, safety and independence are provided. c. mobility devices (wheelchairs).3.
Recommendations for the use of devices and equipment are based on the comprehensive assessment and documented in the residents' care plan. 6.
The following factors are addressed to the extent possible to decrease the risk of avoidable accidents associated with devices and equipment. a.
Appropriateness for resident condition-the resident is assessed for lower extremity strength, range of motion, balance and cognitive abilities when determining the safest use of devices and equipment. b.
Personal fit-the equipment or device is used only according to its intended purpose and is measured to fit the resident's size and weight.During a review of a professional reference titled, Topics in geriatric rehabilitation, dated 2015, retrieved from https://doi.org/10.1097/TGR.0000000000000042, indicated, .e
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.