Grand River Health Care
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
keep him/her occupied and Resident #1 would be monitored for behaviors.During an interview on 11/21/25 at 9:07 A.M., Resident #3 said:- He/She went to the dining room on 10/27/25 to visit and witnessed Resident #1 hit Resident #2 in the arm;- Resident #1 always gets mad and gets a little temper then gets happy.- He/She didn't remember the incident on 11/9/25;- He/She got hit by Resident #1 one time but didn't tell anyone;- Staff watches Resident #1 but here recently the staff leaves Resident #1 alone then the call lights are going off for staff to get him away from them;- He/She stays away from Resident #1 .During an
interview on 11/21/25 at 9:15 A.M., Certified Nursing Assistant (CNA) A said:- He/She had seen Resident #1 yell at other residents and hit staff members;- Resident #1 needed time to cool off and separate from other residents when aggravated;- Resident #1 had threatened to hit him/her. It's important to know how to approach Resident #1;- Resident #1 would sit in the common area with staff and was checked on frequently;- Residents have the right to not get hit by other residents or anyone;- It is abuse for a resident to hit another resident.During an interview on 11/21/25 at 9:21 A.M., Registered Nurse (RN) A said:- He/She was at the facility when the incident on 11/9/25 occurred and had been told Resident #1 hit Resident #2 and both residents had been put on 15-minute checks and Resident #1 was one on one observation with staff;- Resident #1 was not always supervised and had good and bad days. He/She had seen Resident #1 strike out at others but believed it was more so to get attention and not hurt anyone;- Resident #1 had told him/her that he/she did not like Resident #2;- It was reported to him/her that the residents had been close
in the dining room and Resident #1 started hitting Resident #2 in the arm;- Resident #1 had hit him/her once and would hit out at aides, at night, in bed;- A resident has the right not to be hit, and it could be abuse if a resident strikes another resident.During an interview on 11/21/25 at 9:31 A.M., Certified Medication Technician (CMT) A said:- Resident #1 and Resident #2 were having some sort of issue on 11/9/25 and Resident #2 would push Resident #1's chair and instigated it, then Resident #1 popped Resident #2's arm a few times in a row;- Staff separated the residents, let the nurse know, and Resident #1 was on 15 minute checks for awhile;- Staff have now started bringing Resident #1 to the dining room last and was now observed at all times;- A resident has the right to not be hit by anyone and it can be abuse if a resident hits another resident.During an interview on 11/21/25 at 9:40 A.M., Resident #2 said:- Resident #1 had hit him/her on the shoulder and called him/her names;- One other time, Resident #1 had kept coming over to the dining room table, so he/she told Resident #1 to go back to the other table. Then, Resident #1 flipped Resident #2 off, balled up his/her fist and put it in Resident #2's face shaking it and calling Resident #2 a son of a bitch. The only time Resident #1 touched him/her was a couple of weeks ago 0n 11/9/25);The staff don't really watch Resident #1 but he/she just stays away from Resident #1. During an interview
on 11/21/25 at 11:00 A.M., the Administrator said:- He/She believed Resident #2 antagonized Resident #1, Resident #1 didn't understand and to him/her Resident #2 was the bad person;- After the 10/27/25 incident
the facility added managers to the dining room and Resident #1 would be brought in last;- After the 11/9/25 incident the facility added to Resident #1's care plan to redirect the resident and take him/her to a quiet place to lay down;- The facility had been working on improving Resident #2's instigating and better behaviors.Intake 2653050Intake 2664080
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GRAND RIVER HEALTH CARE in CHILLICOTHE, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHILLICOTHE, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRAND RIVER HEALTH CARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.