Grass Valley Healthcare Center
GRASS VALLEY HEALTHCARE CENTER in GRASS VALLEY, CA — inspection on December 30, 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
Based on observation, interview, and record review the facility failed to store items in a sanitary manner for two of six sampled residents (Resident 1 and Resident 2) when used urinals were stored uncovered in a drawer that contained the residents' personal items.This failure increased the risk of contamination and infection for the residents.Findings:Resident 1 admitted to the facility in late 2025 with diagnoses which included urinary tract infection and weakness.Resident 2 admitted to the facility in mid 2024 with diagnoses which included urinary tract infection and bacteria in the bloodstream.
During an interview on 12/30/25 at 12:53 p.m. with Certified Nursing Assistant (CNA1), CNA 1 stated urinals should be stored in a drawer without other items.During a concurrent observation and interview on 12/30/25 at 1:28 p.m. with the Infection Preventionist (IP) of Resident 1's closet, Resident 1's bottom drawer of the closet contained an uncovered urinal, a clear drinking cup which held an uncovered toothbrush, and a bottle of cologne.
The IP confirmed the findings and stated the urinal should not be stored with personal care items for infection control reasons.During a concurrent observation and interview on 12/30/25 at 1:32 p.m. with the IP of Resident 2's closet, Resident 2's bottom drawer of the closet contained an uncovered urinal, a blood pressure cuff, a red plastic dining place mat and a seat cushion.
The IP confirmed the findings and stated she expected the urinal to be stored separately from other items.
During an interview on 12/30/25 at 3:40 p.m. with the Director of Nursing (DON), the DON stated she expected urinals to be stored separate from personal items to prevent contamination and infection.During a review of the facility policy and procedure (P&P) titled, ADL [activities of daily living] PERSONAL SUPPLIES, CLEANING, AND DISPOSAL, dated 10/15, the P&P indicated, Purpose: To provide Adl [Activities of Daily Living] supplies for individual residents and prevent infections .Toileting items, including urinals, will be stored separately from other personal items.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID: