Graceville Health Center
GRACEVILLE HEALTH CENTER in GRACEVILLE, FL — inspection on February 26, 2026.
Found 3 citations. 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
assessment dated [DATE] stated the resident was at risk of malnutrition related to obesity and
stated that, upon admission, she obtained a list.
She further stated she would write it on a piece of
how the residents know the menu for the day.
She stated the menus were posted on all the halls.
She further stated the Certified Nurse Assistants (CNAs) were supposed to tell the residents the menu of the day. If the residents did not want a specific food item on the menu, the CNAs will tell them the alternative, and the CNAs will fill out a form.
She further stated when the CNAs bring in the tray, if the residents did not want something, they were supposed to replace it with one of the alternates. On 2/26/2026 at 9:23 AM, an interview was conducted with Staff A, CNA.
She was assigned to work with both Resident #12 and Resident #159.
She was asked to explain the process to communicate the daily menus to residents.
She stated the menus were printed in the dining area, there were flyers there that they bring to the residents.
She was asked if there was a specific time of the day that the flyers were distributed and filled up.
She stated she was unsure and she did not have the chance to do it today yet.On 2/26/2026 at 9:31 AM, an interview was conducted with Staff B, CNA.
She stated the facility protocol was to read the printed menu located at main dining area and go room to room and verbally tell the residents what they were going to have for lunch for the day. If the resident did not want something from the menu, they were able to get an alternate.
Staff will bring an alternate menu form and fill out the form.
She stated forms were supposed to be done before 9:30 AM every day.
She stated she had not gotten around to it yet.
The facility policy Food Preferences (dated [DATE]) states, A written record shall be maintained of the resident's likes and dislikes.
This will also include diet order, which indicates any dietary restrictions.
The food likes and dislikes of each resident are determined through a dietary food preference sheet. It will be noted in the record when a food preference have been updated, changed or reviewed.
105662 02/26/2026
Graceville Health Center 1083 Sanders Avenue Graceville, FL 32440
in accordance with accepted professional standards.
interviews and record review, the facility failed to maintain a complete medical record for 1 of 3
interview was conducted with Resident #159.
She stated wound care was scheduled daily but the facility was not providing wound care on the weekends.A review of Resident #159's medical record was conducted.
The resident was admitted on [DATE] with diagnoses including type 2 diabetes mellitus with foot ulcers.
Physician's orders included Acetic Acid irrigation solution 0.25% apply to bilateral heels topically every day shift related to foot ulcer, apply acetic acid moistened gauze to wound bed, and cover with BD (a basic sterile gauze dressing) pad and wrap with kerlix and secure with tape daily and as needed. A review of the February 2026 Treatment Administration Record (TAR) revealed no documentation of wound care on Saturday, February 7th and Friday, February 20th.On 2/25/2026 at 2:25 PM, an interview was conducted with the Director of Nursing (DON).
She reviewed Resident #159's the missing wound care documentation on February 7th and February 20th.
She stated she was going to look into it because sometimes Resident #159 would go out of the facility for the day with a family member.
She clarified that expectation was to have documentation completed and if refused or treatment was not performed, to document the reason. On 2/25/2026 at 3:38 PM, a follow-up interview was conducted with DON.
She stated she spoke with the staff that performed wound care on the 7th and stated she did the wound care that day but did not document it but she documented it as a late entry today.
The DON further stated that the wound care orders changed on the 20th, so the old order was discontinued and the new order placed later so the nurse had no way to see the order because the order was discontinued when it was performed.
The DON stated the staff member was going to write a late entry progress note to reflect the wound care was done on the 20th.
105662 02/26/2026
Graceville Health Center 1083 Sanders Avenue Graceville, FL 32440
Observation of the door entering the room where the dishwasher is located is rusted around the doorjamb and the wall adjacent to the door is covered over with the same plastic skirting used under the steam table.
The wall is separating from the structure and is bowing out exposing the inner structure behind the walls.
Additionally, there is only one functioning overhead light in this room, with two others not functioning.
The second door leading from the dishwasher room has the same plastic covering adjacent to the door that is bowing out and cold air is blowing from the gap.
The Dietary Manager (CDM) confirmed at this time that this air is coming from the walk in freezer and cooler that sits behind the wall.
There is a windowsill just over the first sink of the 3 compartment sink that contains rust that is flaking off.
The Registered Dietician (RD) confirmed the need for repair and had covered over the flaking rust with duct tape.
The metal walls around the walk in cooler/freezer are rusting where the wall meets the floor.
There are doorjambs in the dry storage closet that are rusted and completely disintegrated.
These observations were shown to the RD, CDM and Regional Nurse Consultant, who all confirmed this these areas are in need of repair/replacement. (Photographic evidence obtained)