Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 The Grand Rehabilitation And Nursing At Batavia during CMS and state inspections, most recent first.
A resident with physical and mental health diagnoses was not provided showers twice weekly as per their documented preference and care plan. Despite clear documentation of the resident's bathing schedule and no evidence of refusal, records showed inconsistent provision of showers, and the resident reported not receiving showers for several weeks, resulting in embarrassment about their appearance. Staff interviews confirmed the resident's preferences were known and should have been honored.
A facility was found to have deficiencies in food storage and kitchen sanitation, including unlabeled and outdated food items, a grease-laden hood, and expired pH test strips. Staff failed to adhere to policies requiring proper labeling and cleanliness, with a cook not wearing a facial hair covering during food preparation. The Food Service Director and Registered Dietician acknowledged the importance of maintaining a clean kitchen and proper labeling to prevent contamination and illness.
A resident with end-stage renal disease was observed self-administering medication without an assessment by the interdisciplinary team to determine their ability to do so safely. The care plan did not reflect the resident's ability to self-administer medications, and there was no documented evidence of an assessment. The resident kept a personal supply of medication at their bedside, which was not stored securely, posing a risk to other residents. Staff acknowledged the lack of documentation and assessment, and the DON and Administrator confirmed that an evaluation should have been conducted.
A resident with a history of falls and moderate cognitive impairment tripped over a privacy curtain that was not securely mounted, posing a tripping hazard. Despite the resident's report of the incident, staff failed to document or address the issue, and housekeeping overlooked the hazard during inspections. The facility's fall prevention and safety protocols were not followed, leading to a continued risk for the resident.
A facility failed to ensure a resident with schizophrenia and major depressive disorder received necessary psychiatric follow-up care. Despite a recommendation for a follow-up after a telepsychiatry consultation, there was no documented evidence of a visit for over a year. Staff were unaware of the resident's lack of psychiatric care, and the resident exhibited delusional behaviors and expressed feelings of being unsafe. The facility's policy required timely follow-ups, but poor communication and coordination among staff led to this oversight.
The facility failed to ensure that medication irregularities identified by the pharmacist were reported to and acted upon by medical providers for two residents. One resident had an as-needed Xanax order without a stop date, and another had a recommendation to simplify their Metformin regimen. The Director of Nursing and an LPN were involved but did not ensure timely review and action. The Medical Director was unaware of the recommendations, highlighting a communication gap in the facility's process.
The facility failed to comply with the 2020 Fire Code of New York State by not installing carbon monoxide detectors in all required areas with fuel-burning appliances. Observations showed detectors were only on the first floor and basement, where resident rooms and appliances were located. The Environmental Services Director stated detectors were tested monthly, contrary to the weekly testing required by the manufacturer's guidelines.
Failure to Honor Resident's Shower Preferences
Penalty
Summary
A deficiency was identified when a resident with hemiplegia, hemiparesis, major depressive disorder, and anxiety disorder was not provided showers twice a week according to their stated preference and care plan. Facility policy required that showers or tub baths be offered per resident preference, and documentation indicated that the resident was scheduled for showers on Mondays and Thursdays during the day shift. However, review of records and progress notes over a two-month period showed no evidence that the resident consistently received or refused these showers, with only a few documented instances of showers provided. During observation, the resident appeared unkempt, with greasy hair, and expressed embarrassment about their appearance, stating they had not received a shower in approximately three weeks and often did not get showers as preferred. Interviews with staff confirmed that the resident did not typically refuse showers and that their preferences were clearly documented in the care plan and on assignment sheets. The LPN Unit Manager was unaware that the resident was not receiving showers as scheduled, and the DON acknowledged awareness of the issue after it was brought to their attention by the ombudsman. The deficiency was further supported by the lack of documentation regarding shower provision or refusal, and by staff statements that all residents should receive showers per their preferences, as outlined in facility policy and resident rights.
Deficiencies in Food Storage and Kitchen Sanitation
Penalty
Summary
The facility was found to have several deficiencies in its food storage, preparation, and sanitation practices during a standard survey. Observations revealed that the kitchen contained unlabeled and outdated food items, including prepared egg salad, lunch meats, and raw chicken, which were not properly labeled with use-by dates. Additionally, beverages in the milk cooler were not labeled with use-by dates, and some were past their expiration dates. The facility's policy required that all food and beverages be labeled and discarded after a certain period to prevent bacterial growth, but this was not consistently followed by the staff. The kitchen's cleanliness was also found to be lacking, with a grease-laden hood covered in dusty, fuzzy debris, and a floor beneath the oven that was soiled with blackened greasy debris. The facility's policy and manufacturer guidelines required regular cleaning of the kitchen hood and exhaust systems to prevent fire hazards and maintain sanitation. However, the cleaning schedule was not adhered to, as evidenced by the presence of grease and dust in the food preparation area. Additionally, the pH test paper strips used to test the three-compartment sink were expired, potentially compromising the accuracy of sanitation level readings. Staff practices further contributed to the deficiencies, as observed with a cook who did not wear a facial hair covering while preparing and serving food, contrary to the facility's sanitation policy. The Food Service Director and Registered Dietician acknowledged the importance of maintaining a clean kitchen and ensuring that all food items are properly labeled and dated to prevent contamination and illness. The Administrator also emphasized the need for kitchen cleanliness and adherence to labeling requirements to ensure food safety and prevent infection.
Failure to Assess Resident's Ability to Self-Administer Medication
Penalty
Summary
The facility failed to ensure that a resident was assessed by the interdisciplinary team to determine their ability to safely self-administer medication. Resident #54, who had diagnoses including end-stage renal disease, diabetes mellitus, and depression, was observed with medication in their room and stated they self-administered it without an evaluation of their capability to do so safely. The comprehensive care plan did not reflect the resident's ability to self-administer medications, and there was no documented evidence of an assessment by the interdisciplinary team. The facility's policy required an assessment of the resident's mental and physical abilities to determine if self-administration was clinically appropriate and safe. However, there was no documentation in the progress notes or physician's notes indicating that such an assessment had been conducted for Resident #54. Despite having a physician's order for unsupervised self-administration of Sevelamer, the resident's care plan did not address their ability to self-administer medications safely. During observations and interviews, it was noted that Resident #54 kept a personal supply of Sevelamer at their bedside, which was not stored securely, posing a risk to other residents. Staff members, including a registered nurse and a licensed practical nurse, acknowledged the lack of documentation and assessment regarding the resident's ability to self-administer medication. The Director of Nursing and the Administrator confirmed that an evaluation should have been conducted to determine the resident's capability to self-administer medication safely, and the medication should have been stored securely.
Failure to Address Environmental Hazard Leads to Resident Fall Risk
Penalty
Summary
The facility failed to ensure a safe environment for residents, as evidenced by a privacy curtain that was not securely mounted to the ceiling track, with the fabric lying directly on the floor. This posed a tripping hazard, particularly for a resident with a history of falls and moderate cognitive impairment. The resident, who had end-stage renal disease, diabetes mellitus, and depression, reported tripping over the curtain two months prior, but there was no documented evidence of this incident in the nursing progress notes or work order requests. Interviews with staff revealed a lack of communication and documentation regarding the hazard. The resident had informed staff about the fall, but the incident was not reported to maintenance or documented in the facility's records. Housekeeping and nursing staff acknowledged the hazard but failed to take appropriate action to rectify the situation or report it to the necessary departments. The Director of Nursing and other staff members recognized the curtain as a fall risk but did not ensure it was addressed promptly. The facility's policies and procedures for fall prevention and environmental safety were not followed, as evidenced by the failure to report and address the broken privacy curtain. Despite daily room inspections by housekeeping staff, the issue was overlooked, and the necessary repairs were not made. This oversight highlights a breakdown in communication and adherence to safety protocols, which could have prevented the resident's fall and potential future incidents.
Failure to Provide Necessary Psychiatric Follow-Up Care
Penalty
Summary
The facility failed to ensure that a resident with a history of schizophrenia, major depressive disorder, and developmental disorder received the necessary psychiatric follow-up care. The resident, who was cognitively intact, had an active order for psychiatry consults as needed. However, there was no documented evidence of a psychiatric follow-up or visit from 10/28/23 through 2/19/25, despite a recommendation for a follow-up in four months after a telepsychiatry consultation on 10/27/23. Interviews with facility staff revealed a lack of awareness and communication regarding the resident's psychiatric care. The social worker and medical staff were unaware that the resident was not receiving the recommended psychiatric services. The resident's insurance had denied psychiatric visits, and the facility attempted to switch the resident's care from telepsychiatry to in-house visits, but this transition was not effectively managed. The resident exhibited delusional behaviors and expressed feelings of being unsafe, which were documented by nursing staff. The facility's policy required them to provide necessary consultation services and ensure timely follow-ups, but this was not adhered to in the case of the resident. The lack of coordination and communication among the facility's staff, including the social worker, medical director, and nursing staff, contributed to the oversight in the resident's psychiatric care. The deficiency was identified during a standard survey, highlighting the facility's failure to maintain the resident's mental and psychosocial well-being.
Failure to Address Pharmacist's Medication Irregularities
Penalty
Summary
The facility failed to ensure that the pharmacist's identified medication irregularities were reported to and acted upon by the attending physician and medical director for two residents. For Resident #12, who had diagnoses including anxiety, depression, and dementia, the Consultant Pharmacist identified an irregularity with the prescription of Xanax, which was ordered as needed without a stop date. The recommendation to add a stop date or provide documentation for extended use was not addressed, signed, or acted upon by the medical provider. The Director of Nursing and Licensed Practical Nurse #2 were involved in the process but failed to ensure the recommendation was reviewed and acted upon in a timely manner. For Resident #21, who had diagnoses including diabetes and schizophrenia, the Consultant Pharmacist recommended simplifying the medication regimen for Metformin Extended Release. This recommendation was not documented as reviewed or addressed by a medical provider, and there was no follow-up from the Consultant Pharmacist. The Medical Director, who started at the facility after the recommendation was made, was not aware of the previous recommendations and stated that they should have been communicated to all providers. The facility's process for handling pharmacy recommendations was inadequate, as evidenced by the lack of documentation and follow-up on the identified irregularities. The Director of Nursing received the recommendations but failed to ensure they were addressed by the medical providers. The Administrator acknowledged the issue and noted that the process needed to be expanded to involve more staff in receiving the recommendations.
Non-Compliance with Carbon Monoxide Detection Requirements
Penalty
Summary
The facility was found to be non-compliant with Section 915 of the 2020 Fire Code of New York State, which mandates carbon monoxide detection in all rooms and sleeping areas with fuel-burning appliances. Observations revealed that battery-powered carbon monoxide alarms were installed on the first floor and in the basement, where resident sleeping rooms and fuel-burning appliances were located. However, the facility did not adhere to the requirement of installing carbon monoxide detectors in all necessary areas, as specified by the fire code. During an interview, the Environmental Services Director confirmed that two different models of carbon monoxide detectors were used in the facility, both from the same manufacturer, and that they were tested and cleaned monthly. However, the user guides for both models specified that the alarms should be tested weekly by pressing the Test/Reset button, which was not being followed. This discrepancy in maintenance practices contributed to the facility's failure to comply with the fire code requirements, affecting two resident units and the basement.
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 41 citations issued within 25 miles in the last 12 months — including the 3 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 Batavia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Premier Genesee Center For Nrsg And Rehabilitation | 0.3 mi | ★★★★★ | 1 | 1 |
| Western New York State Veterans Home | 0.8 mi | ★★★★★ | 0 | 0 |
| Leroy Village Green Residential Health C F, Inc | 9.9 mi | ★★★★★ | 0 | 0 |
| The Villages Of Orleans Health And Rehab Center | 16 mi | ★★★★★ | 1 | 0 |
| Orchard Rehabilitation & Nursing Center | 17.1 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for The Grand Rehabilitation And Nursing At Batavia.
100% money-back within 48 hours.
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.