Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Grant Healthcare And Rehabilitation during CMS and state inspections, most recent first.
Improper Hand Hygiene During Tray Line Preparation: Staff failed to use proper hand hygiene during lunch tray line preparation. A cook and a dietary worker were observed washing their hands but turning off the faucet with bare hands or fingertips before drying with paper towels and returning to food service areas. Facility policy and posted signage required proper handwashing, and the Dietary Manager, DON/IP, and Administrator stated staff should use proper hand hygiene technique and turn off the faucet with a paper towel.
The facility failed to maintain its infection prevention and control program when ice machines and a drinking fountain were observed with dust, cobwebs, and black buildup, and staff could not provide or follow cleaning instructions. The facility also failed to keep a resident’s urinary catheter secured and the catheter bag off the floor; the bag was repeatedly observed on the floor or improperly carried, and staff confirmed the tubing should have been secured to the resident’s leg.
A resident with severe cognitive impairment was physically restrained by a CNA and an LPN during care, resulting in bruising on both forearms. Despite the resident's protests, the staff continued with the care, violating the facility's policy on abuse prevention. The incident highlights a failure to adhere to protocols for handling residents who resist care.
A facility failed to properly label and store a multi-use vial of Tuberculin Purified Protein Derivative (PPD), which was found opened, undated, and stored in the refrigerator door. Interviews with nursing staff revealed inconsistencies in following the facility's medication storage policies, despite expectations from the DON and Administrator for adherence to these protocols.
The facility failed to follow infection control procedures for glucometer handling. A nurse placed a cleaned glucometer on a medication cart without a barrier and handled it without gloves, contrary to the facility's policy and manufacturer's instructions. Interviews confirmed the expected procedure was not followed, leading to a deficiency in infection control practices.
Improper Hand Hygiene During Tray Line Preparation
Penalty
Summary
The facility failed to prepare and serve food in a safe manner during lunch tray line preparation. During observation on 09/09/2025, staff in the kitchen did not use proper hand hygiene technique at the hand sink near the tray line and in the production area. The facility policy titled Hand Hygiene, dated 06/09/2025, stated that all staff must perform proper hand hygiene to prevent the spread of infection and that the use of gloves does not replace hand hygiene. Posted kitchen signage also instructed employees to wash their hands before returning to work and to wash hands between glove changes. At 12:30 PM, cook 1 walked from the production area to the hand sink, washed her hands, and turned off the faucet handles with her bare hands before drying her hands with a paper towel and returning to serve the lunch tray line. At 12:41 PM, dietary worker 1 removed her gloves, washed her hands, and then used the tips of her fingers to turn off the faucet before drying her hands with a paper towel and returning to the production area behind the tray line. In interviews, the Dietary Manager, DON/IP, and Administrator stated that staff should use proper hand hygiene technique and turn off the faucet with a paper towel.
Infection Control Failures With Ice Machines, Drinking Fountain, and Catheter Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program as evidenced by poor cleaning and maintenance of the ice machines and drinking fountain. Review of the facility policy showed environmental cleaning and disinfection were part of standard precautions, and the ice machine manufacturer’s instructions required regular cleaning, descaling, and sanitation. However, observation of the 200 Hall ice machine revealed large amounts of dust and cobwebs underneath and around the machine, on the walls behind it, and on the supply lines leading into it, along with a black substance on the front corners of the ice collection bin that the Maintenance Director scraped off with his thumbnail. A second ice machine on Heritage Hall was observed with a black substance on the rim of the ice storage bin and inside the ice dispenser, as well as dust and cobwebs on the bottom of the machine, the floor beneath it, the lines leading to it, and the surrounding walls. During interview, the Maintenance Director stated he had never seen the manufacturer’s maintenance instructions before and was not following them. The facility also failed to maintain the drinking fountain on the memory care unit, which was observed functioning but with a buildup of black substance on the drinking spout and drain. The Maintenance Director stated he had never done anything to the fountain in 9 years at the facility and was unsure about its filter, while the Environmental Services Director stated he did not think it was working and would clean it if needed. The DON, who also served as the Infection Preventionist, stated the black substances and buildup were concerning because of possible cross contamination and bacteria buildup. The facility also failed to properly secure R9’s urinary catheter and keep the catheter bag off the floor. R9 had diagnoses including obstructive reflux uropathy and had an order for a urinary catheter with catheter care twice daily. Observations showed the catheter tubing had a white cloudy appearance, the catheter bag lying on the floor beside the bed on multiple occasions, and later the bag not hanging from the wheelchair while R9 was in the hallway; instead, he was holding the bag under his shirt. Staff interviews confirmed the bag should have been hung properly and the tubing secured to the resident’s leg. The DON/IP and Administrator both stated that a catheter bag on the floor and unsecured tubing were not acceptable and were infection control concerns.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident, identified as R341, from abuse, resulting in physical harm. R341, who had severe cognitive impairment due to Alzheimer's disease and dementia, was physically restrained by a CNA and an LPN during care, leading to bruising on both forearms. The facility's policy on abuse, neglect, and exploitation was not adhered to, as the resident's care plan specifically advised against forcing care if the resident resisted. The incident occurred when CNA6 attempted to change R341, who refused and became combative. CNA6 sought assistance from LPN6, who held R341's hands against her chest to prevent her from hitting them. Despite R341's protests that she was being hurt, the staff continued with the care, resulting in significant bruising. The facility's records show that R341 was on a daily aspirin regimen, which could have contributed to the severity of the bruising. Interviews with staff revealed that CNA6 and LPN6 did not believe they used excessive force, although R341 complained of pain during the incident. The facility's administration, including the DON and the Administrator, acknowledged the incident and took steps to address it, but the deficiency highlights a failure to follow established protocols for handling residents who resist care, particularly those with cognitive impairments.
Improper Labeling and Storage of Medication
Penalty
Summary
The facility failed to adhere to proper labeling and storage protocols for drugs and biologicals, specifically concerning a multi-use vial of Tuberculin Purified Protein Derivative (PPD). During an observation, it was found that the vial was opened, undated, and improperly stored in the door of a medication refrigerator in the Heritage Hall medication room. This was contrary to the facility's policy, which mandates that all medications be stored according to the manufacturer's recommendations, including proper dating upon opening and appropriate storage conditions. Interviews with various nursing staff, including LPNs and an RN, revealed a lack of awareness and adherence to the facility's medication storage policies. While some staff members were aware of the requirement to date multi-dose medications and avoid storing them in the refrigerator door, others were not. The Director of Nursing and the Administrator both expressed expectations that staff follow established policies and procedures, including dating medications when opened and ensuring they are not stored in the refrigerator door. The failure to comply with these protocols led to the deficiency noted in the report.
Infection Control Deficiency in Glucometer Handling
Penalty
Summary
The facility failed to adhere to standard infection control procedures for cleaning and handling glucometers, specifically the Assure Prism Multi-Blood Glucose Monitoring System. The facility's policy required that glucometers be cleaned and disinfected according to the manufacturer's instructions, which specified the use of Clorox Healthcare Bleach Germicidal Wipes with a contact time of three minutes. However, observations revealed that a registered nurse placed a cleaned glucometer directly onto the medication cart without a barrier and handled it without gloves, contrary to the facility's policy and the manufacturer's guidelines. Interviews with nursing staff and the Director of Nursing confirmed that the expected procedure was to clean and disinfect the glucometer between each resident using the specified wipes, ensuring a three-minute contact time, and then place it on a barrier. Despite this, the registered nurse did not consistently follow these procedures, leading to a deficiency in infection control practices. The Director of Nursing and the Administrator both stated their expectations for proper cleaning and disinfection, which were not met in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Williamstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Valley Nursing Home | 14.8 mi | ★★★★★ | 0 | 0 |
| Owenton Healthcare And Rehabilitation | 16.1 mi | ★★★★★ | 4 | 0 |
| Gallatin Nursing And Rehab | 19.4 mi | ★★★★★ | 3 | 0 |
| Boonespring Transitional Care Center, Llc | 20.8 mi | ★★★★★ | 0 | 0 |
| Woodcrest Nursing And Rehabilitation Center | 23.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.