Grandview Nursing And Rehabilitation Center
GRANDVIEW NURSING AND REHABILITATION CENTER in GRANDVIEW, TX — inspection on August 24, 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
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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