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Complaint Investigation

Grandview Nursing And Rehabilitation

January 15, 2025 · Danville, PA · 78 Woodbine Lane
Citations 2
Beds 172
Provider ID 395623
Healthcare Facility
Grandview Nursing And Rehabilitation
Danville, PA  ·  View full profile →
Inspection Summary

GRANDVIEW NURSING AND REHABILITATION in DANVILLE, PA — inspection on January 15, 2025.

Found 2 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.

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Inspection Findings

FF550
Minimal harm or 28 Pa. Code 211.10(c) Resident care policies. Few affected

Findings included:

A clinical record review revealed Resident CR1 was admitted to the facility on [DATE], with diagnoses that included chronic kidney disease (gradual loss of kidney function) and traumatic brain injury (a brain injury caused by a sudden, external force to the head).

A review of a discharge Minimum Data Set assessment (MDS-a federally mandated standardized assessment process conducted periodically to plan resident care) dated December 27, 2024, revealed that Resident CR1 is moderately cognitively impaired with a BIMS score of 08 (Brief Interview for Mental Status- a tool within the Cognitive Section of the MDS that is used to assess the resident's attention, orientation, and ability to register and recall new information; a score of 8-12 indicates moderate cognitive impairment).

A progress note dated December 17, 2024, at 11:14 AM indicated Resident CR1 requires 30 hours a week of caregiver support.

The note indicated an external service provider is assisting with coordinating discharge care.

A physical therapy discharge summary dated December 26, 2024, revealed discharge recommendations for Resident CR1 to receive continued physical therapy services to maximize safe functional mobility.

Additionally, the discharge summary indicated recommendations for Resident CR1 to have significant supervision and assistance greater than 12 hours a day due to impaired cognition and safety.

A clinical record review revealed no documented evidence indicating the total amount of supervision and assistance that would be available for Resident CR1 upon discharge.

An interdisciplinary team discharge summary dated December 26, 2024, revealed Resident CR1 is to be discharged home on December 27, 2024, with occupational therapy and physical therapy home health services.

There was no documented evidence in the discharge summary to include and ensure safe resident medication administration upon discharge.

There was no documented evidence in the discharge summary indicating the total amount of supervision and assistance that would be available to the resident upon discharge.

395623

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395623 B.

Wing 01/15/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Grandview Nursing and Rehabilitation 78 Woodbine Lane Danville, PA 17821

During the twenty-minute observation, other residents and facility staff were observed walking past his room.

During an interview on January 15, 2025, at 10:45 AM, Resident 3 indicated that staff were getting him ready earlier this morning and left him with his pants at his thighs. Resident 3 described feeling like a piece of furniture and experiencing anger and frustration regarding his care. He explained that he has Parkinson's disease and is dependent on the facility staff for assistance. Resident 3 indicated he is unable to pull his pants up without assistance.

During an interview on January 15, 2025, at approximately 1:30 PM, the Director of Nursing (DON) confirmed that Resident 3 should not be left with his pants at his thighs without privacy curtains drawn.

The DON also indicated that residents' fingernails should be cleaned as needed.

The DON confirmed that the facility has the responsibility to ensure all residents receive care in a manner that promotes their personal dignity and respect.

Refer

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 DANVILLE, PA, (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 GRANDVIEW NURSING AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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