D+
53/100

GRENADA REHABILITATION AND HEALTHCARE CENTER Inspection Report, Violations & Safety Grade (GRENADA, Mississippi)

1966 HILL DRIVE, GRENADA, Mississippi 38901

Phone: 6622262442

CMS Overall:1/5

Overview & Bed Count

Certified Beds
116
Avg Residents/Day
97.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Grenada
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall1/5
Health1/5
Staffing4/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityMississippi AvgDifference
RN Hours per Resident per Day0.550.63-0.08
Total Nurse Hours per Resident per Day4.134.20-0.07
CMS Staffing Rating4/53.8/5-
Nursing Staff Turnover35.4%44.4%-

Health Citation History

30 health citations on record

DateCategoryDescriptionSeverity
2026-04-06Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G – Actual Harm
2026-04-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.G – Actual Harm
2025-10-29Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2025-10-29Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2025-08-13Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2024-07-18Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-07-18Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D – Moderate Harm Potential
2024-07-18Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-07-18Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.B – Minimal Harm Potential
2024-07-18Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.B – Minimal Harm Potential
2024-07-18Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-05-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-05-15Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2023-05-15Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-05-15Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2023-05-15Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2023-05-15Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2023-05-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-05-15Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-05-15Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-05-15Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2023-05-15Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2023-05-15Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-05-15Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2023-05-15Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2020-02-20Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2020-02-20Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2020-02-20Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2020-02-20Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2020-02-20Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential

Fire Safety Citation History

1 fire safety citation on record

DateCategoryDescriptionSeverity
2020-02-20Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.F – Moderate Harm Potential

Total Penalties & Fines

$26,775
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2026-04-06Fine$17,155-
2025-10-29Fine$9,620-

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