Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mary Gran Nursing Center during CMS and state inspections, most recent first.
Staff did not promptly inform a resident, the resident's doctor, and a family member about events such as injury, decline, or room changes that affected the resident, as required by regulations.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, resulting in a deficiency related to the facility's failure to follow the established care plan.
Nurses and nurse aides lacked the required competencies to provide care that maximizes each resident's well-being, resulting in residents not receiving individualized care to support their highest level of well-being.
A deficiency was cited when a facility area was found to contain accident hazards and lacked adequate supervision to prevent accidents, failing to meet required safety standards.
Surveyors found that staff did not consistently label, date, or discard opened and expired food items in the kitchen and nutrition room refrigerators and freezers. Opened packages of meat, prepared salads, juices, and supplements were observed without proper labeling or with expired dates, and some items were stored contrary to posted guidelines. Facility leadership acknowledged the lack of a consistent system to ensure compliance with food storage standards.
A resident with severe cognitive impairment and dysphagia, dependent on staff for feeding, was left unattended for 40 minutes with a meal tray placed out of reach. The assigned nurse aide did not return to assist until the food was cold, and communication lapses among staff, including an uninformed agency aide, contributed to the delay. The DON confirmed the delay and attempt to serve cold food did not uphold the resident's dignity.
An expired multi-dose insulin glargine pen was found in a medication cart during a review, despite manufacturer instructions to discard it 28 days after opening. Nursing staff were responsible for dating and removing expired medications, but the pen remained in the cart past its discard date, as confirmed by interviews with a nurse, the DON, and the Administrator.
The facility failed to follow prescribed insulin administration parameters for several residents, leading to significant medication errors. Residents with Type 2 Diabetes Mellitus received insulin despite blood glucose levels being below the specified thresholds. Nursing staff interviews revealed a lack of awareness and understanding of the insulin order parameters, contributing to these errors.
The facility failed to maintain proper sanitizing solutions in the kitchen, with the solution registering 0 PPM of quaternary sanitizer, below the recommended 200-300 PPM. Additionally, peeling paint was observed hanging from the ceiling above food preparation tables, posing a potential hazard. The Dietary Manager and Maintenance Director were unaware of these issues until pointed out during the survey.
A resident with chronic atrial fibrillation did not receive 25 doses of prescribed Metoprolol due to a failure in implementing the cardiologist's order. The medication error was discovered when the Nurse Practitioner reviewed the cardiology report, revealing that the order was misplaced in a temporary physician's box. Despite the oversight, the resident did not experience immediate adverse effects.
Failure to Immediately Notify Resident, Physician, and Family of Significant Events
Penalty
Summary
Facility staff failed to immediately notify the resident, the resident's physician, and a family member about situations that affected the resident, such as injury, decline, or changes in room assignment. This lack of timely communication was observed and documented by surveyors during the review of facility practices and records. The deficiency centers on the facility's failure to ensure that all required parties were promptly informed when significant events impacting the resident occurred, as mandated by regulations.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Provide Care According to Orders and Resident Preferences
Penalty
Summary
The deficiency involves a failure to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. The report indicates that care was not delivered in alignment with the established plan or the expressed wishes and objectives of the resident, as required.
Lack of Staff Competency in Resident Care
Penalty
Summary
Nurses and nurse aides did not demonstrate the necessary competencies to provide care that maximizes each resident's well-being. The deficiency was identified due to a lack of evidence that staff possessed the appropriate skills and knowledge required to meet the individualized needs of all residents. This failure resulted in residents not receiving care in a manner that supports their highest level of physical, mental, and psychosocial well-being.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to prevent potential incidents. No additional details regarding the specific hazards, the individuals involved, or their medical conditions at the time of the deficiency are provided in the report.
Failure to Label, Date, and Discard Food Items in Food Storage Areas
Penalty
Summary
Surveyors observed that the facility failed to properly label, date, and discard food items in multiple storage areas, including the walk-in freezer, walk-in refrigerator, kitchen refrigerators, and nutrition room refrigerators. Specifically, opened packages of hamburger meat, tater tots, diced potatoes, chicken tenders, cookie dough, and garlic bread in the walk-in freezer were not labeled or dated. In the walk-in refrigerator, individual salads lacked prepared dates, and some salads contained brown lettuce. Opened packages of deli ham and various thawed meats in the kitchen refrigerators were either not labeled, not dated, or stored contrary to manufacturer instructions. The facility's posted guidelines indicated that thawed meats should be used within three days, but this was not consistently followed. Further observations in the nutrition rooms revealed multiple expired or unlabeled items, including nectar thick liquids, prune juice, orange juice, apple juice, and a take-out food container. Some items were kept beyond their recommended use-by dates, and others lacked any date or identifying information. Interviews with the Dietary Manager and Administrator confirmed that there was no consistent system in place to ensure all foods were labeled, dated, and discarded when expired, despite their expectations that such practices should be followed.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
Nurse Aide #3 placed a meal tray at the bedside of a cognitively impaired, non-verbal resident with Alzheimer's dementia and dysphagia, who was dependent on staff for feeding assistance. The meal tray was placed within the resident's sight but out of reach, and no setup was provided. Nurse Aide #3 then left the room and did not return for 40 minutes, during which time no staff entered to assist the resident with eating. Upon returning, Nurse Aide #3 attempted to feed the resident cold food that had been left out during this period. Interviews revealed that there were three residents on the hall requiring staff assistance with feeding, and typically three nurse aides would handle these tasks. However, on this occasion, an agency nurse aide was present but was not informed of the need to assist with feeding. Both Nurse Aide #3 and Nurse Aide #4 acknowledged the lapse in communication and failure to delegate feeding responsibilities. The Director of Nursing confirmed that the delay in feeding and the attempt to serve cold food were inappropriate and did not maintain the resident's dignity.
Expired Insulin Pen Not Removed from Medication Cart
Penalty
Summary
A deficiency was identified when an opened multi-dose insulin glargine injector pen, which had expired according to manufacturer directions, was found in one of three medication carts during a medication storage and labeling review. The manufacturer's instructions specified that the insulin pen should be discarded 28 days after opening, regardless of any remaining insulin. During an observation of the 200-hall medication cart, an expired insulin glargine pen was found with a label indicating its discard date, but it had not been removed as required. Interviews with a nurse, the DON, and the Administrator confirmed that nursing staff were responsible for dating and discarding insulin pens after 28 days, as well as for checking and removing expired medications from the carts. However, the expired pen remained in the cart past its discard date, indicating a failure to follow established procedures for medication storage and removal.
Failure to Follow Insulin Administration Parameters
Penalty
Summary
The facility failed to adhere to prescribed insulin administration parameters for multiple residents, leading to significant medication errors. Resident #7, diagnosed with Type 2 Diabetes Mellitus, received Humulin Regular insulin despite blood glucose levels being below the specified threshold of 150 mg/dl at 7:30 AM and 120 mg/dl at 11:00 AM and 5:00 PM. Nurses administering the insulin did not follow the order parameters, resulting in insulin being given when it should have been held. Interviews with the nursing staff revealed a lack of awareness and understanding of the insulin order parameters, contributing to these errors. Resident #8, also with Type 2 Diabetes Mellitus, was administered Humalog insulin when blood glucose levels were below the ordered threshold of 100 mg/dl. The medication administration records showed instances where insulin was given inappropriately, and interviews with the nursing staff indicated confusion regarding the insulin orders and parameters. Similarly, Resident #9 received Humalog insulin when blood glucose levels were below the required 150 mg/dl, with staff interviews highlighting misunderstandings and documentation errors. Resident #10, with a diagnosis of Type 2 Diabetes Mellitus, did not receive the additional 4 units of Humalog insulin as ordered for blood glucose levels over 200 mg/dl. The medication administration records indicated that only the base dose was given, and interviews with the nursing staff revealed a lack of recall or awareness of the specific parameters. These deficiencies in medication administration were consistent across multiple residents, indicating systemic issues in following insulin order parameters within the facility.
Sanitizing Solution and Ceiling Paint Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain proper sanitizing solutions in the kitchen, as observed during a survey. The Dietary Manager (DM) indicated that the staff used a sanitizing solution in a red bucket to clean the main food preparation table. However, upon testing, the solution registered 0 parts per million (PPM) of quaternary sanitizer, which is below the recommended strength of 200-300 PPM. The DM admitted that neither she nor her staff checked the solution's strength that morning, and a new dietary kitchen aide was unaware of how to properly prepare and test the solution. This oversight meant that the surfaces may not have been adequately disinfected. Additionally, the facility had peeling paint hanging from the ceiling above two food preparation tables, which was observed during a follow-up interview and inspection. The Maintenance Director was unaware of the issue until it was pointed out by the DM, who had previously informed him of the need for repairs. The Administrator expected the kitchen staff to adhere to regulatory guidelines for sanitation, which includes maintaining painted areas. The peeling paint posed a potential hazard if it fell onto the preparation tables or into residents' food.
Failure to Administer Prescribed Metoprolol
Penalty
Summary
The facility failed to implement a prescribed order for Metoprolol 50 milligrams daily for a resident with chronic atrial fibrillation and chronic systolic congestive heart failure. Following a cardiology appointment, the cardiologist recommended adding Metoprolol to help with ventricular rate control. However, the medication was not ordered or administered, resulting in 25 missed doses. The Medication Administration Record for July 2024 did not include an order for Metoprolol, indicating a significant medication error. The error was discovered during a review of the cardiology report by the Nurse Practitioner on August 6, 2024. The Director of Nursing explained that the delay occurred because the order was placed in the box of a temporary physician who no longer worked at the facility, leading to the oversight. Interviews with the resident and staff revealed that the resident did not experience any immediate adverse effects, such as shortness of breath or chest pain, despite the missed doses. The Nurse Practitioner confirmed that the resident's heart rate and blood pressure remained within normal limits during this period.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 26 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Clinton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southwood Nursing And Retirement | 0 mi | ★★★★★ | 0 | 0 |
| Warsaw Rehabilitation And Healthcare Center | 13.2 mi | ★★★★★ | 5 | 0 |
| Kenansville Rehabilitation And Healthcare Center | 19.9 mi | ★★★★★ | 0 | 0 |
| Mount Olive Center | 19.9 mi | ★★★★★ | 14 | 1 |
| Liberty Healthcare Services Of Golden Years Nursin | 24.2 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 August 2026) and official state health department websites.