Grandview Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
on the care plans. She stated it was important that the care plan match the order so everybody knows what goes with each resident and how to care for them, so we care for them correctly. She stated she had reviewed Resident #1's care plan and realized his diet was not correct and then found several other care plans that were not correct. She stated she started an audit today of all the care plans to ensure the diet orders matched the care plan. During an interview on 8/24/2025 at 6:25 pm, the DON stated she was not aware the diet orders did not match the care plans. She stated he was important for care plans to match because it gives you the snapshot of what the resident needs and if the orders didn't get carried out correctly it could make them sick, worsen their condition. There could be choking, and this could end very poorly [including] in death. She stated the MDS coordinator was responsible for updating care plans but ultimately at the end of the say it is her [DON] that is responsible. During an interview on 8/24/2025 at 6:39 pm, the ADM stated she was not aware the care plans did not match the diet orders. She stated it was the MDS coordinator's responsibility to update the care plan with day-to-day changes. She said ultimately it was the DON's responsibility to ensure the care plans were correct and then herself [ADM]. She stated there was a diet order report that she would pull and give to dietary to ensure all the diet cards in the kitchen were correct. She stated a review of the dietary cards for all the residents reflected the current orders and diet cards were correct and only the care plans were not correct. She stated she would start running the diet order report and give it to the MDS coordinator to ensure the care plans are correct. ADM stated they had their annual survey the beginning of May 2025 and the facility had been cited for accuracy of their care plans. She stated they completed their plan of correction, continued their audit of the care plans, but had not yet gotten to an audit of the dietary focus areas. Review of facility policy, dated 1/6/2025, titled Comprehensive Care Plans reflected: It is the policy of this facility to develop and implement a comprehensive person-centered care plan foreach resident, consistent with resident rights, that includes measurable objectives and timeframes to meeta resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified inthe resident's comprehensive assessment and meet professional standards of quality. 5. The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS assessment.
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GRANDVIEW NURSING AND REHABILITATION CENTER in GRANDVIEW, TX 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 GRANDVIEW, TX, (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 CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.