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 Manor Of Grande Village during CMS and state inspections, most recent first.
The facility failed to maintain a clean and sanitary kitchen, affecting meal service for 73 residents. Observations included a dietary aide without a beard net, unlabeled and undated food items, and visible food splatter and residue. A revisit found a dirty food cart and a ceiling with grease and mold, violating the facility's sanitation policy.
The facility failed to provide pureed foods at a smooth consistency, necessary for safe swallowing, affecting four residents on pureed diets. During an observation, a staff member correctly pureed hamburgers but left lumps in the French fries, which was confirmed by the Regional Dietary Manager. This inconsistency was against the facility's guidelines for pureed diets.
The facility failed to ensure call lights were within reach for two residents, leading to a deficiency in accommodating their needs. One resident with multiple diagnoses, including Parkinson's, was found with her call light on the floor, out of reach, despite her care plan requiring it to be accessible. Another resident, dependent on staff for mobility, had her call light placed on a nightstand, out of reach, after staff assistance. Both instances highlight a failure to adhere to care plans designed to prevent falls.
A facility failed to ensure consistent documentation of a resident's code status across medical records. The electronic record showed a 'Full Code' status, while the hard chart indicated a 'DNR-CCA' status. An LPN confirmed the discrepancy during an interview.
The facility did not date Insulin KwikPens and vials when opened, affecting three residents. During a medication cart observation, two KwikPens and one insulin vial were found undated. An RN confirmed that insulin pens should be dated upon opening. The facility lacked a policy for insulin storage, as verified by the DON.
A resident was repeatedly abused by another resident, with incidents involving physical aggression. Despite interventions like one-on-one supervision and attempts to find alternate placement, the care plan was not revised to address the aggressive behavior adequately. Staff interviews indicated a lack of specific interventions, and the facility's policy on abuse prevention was not effectively implemented.
Sanitation and Food Handling Deficiency
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen environment, which had the potential to affect all 73 residents receiving meals. During a kitchen tour, a dietary aide was observed without a beard net, acknowledging the oversight. The walk-in refrigerator contained unlabeled and undated food items, including salad mix, meatballs with a ripped foil cover, and a half cucumber. Additionally, the door to the dining room and plate warmer had visible food splatter and residue. A subsequent observation revealed a dirty food cart with food splatter and a ceiling with grease and mold near the fan. These findings were verified by facility staff and were in violation of the facility's sanitation and food handling policy.
Failure to Provide Smooth Pureed Foods
Penalty
Summary
The facility failed to serve pureed foods at a smooth consistency, which is necessary for safe swallowing. This deficiency was identified during an observation and interview on July 1, 2024, at 10:45 A.M., when a staff member, identified as [NAME] #566, prepared pureed hamburgers correctly but did not puree French fries to the required smooth consistency. The French fries contained lumps, which was verified by the Regional Dietary Manager #600 at 11:00 A.M., who confirmed that the French fries should have been pureed more. This issue had the potential to affect four residents who were prescribed pureed diets out of the 73 residents consuming meals from the facility's kitchen. The facility's guidelines for pureed/mechanical soft diets specify that foods should be pureed until smooth.
Failure to Ensure Call Lights Within Reach for Residents
Penalty
Summary
The facility failed to ensure that call lights were within reach for two residents, leading to a deficiency in accommodating their needs and preferences. Resident #37, who has multiple diagnoses including multiple sclerosis, heart failure, and Parkinson's, was observed with her call light on the floor, out of reach. Despite having intact cognition and requiring moderate assistance for daily activities, the call light was not accessible, which was confirmed by CNA #508. The care plan for Resident #37 specifically included keeping the call light within reach due to her history of falls related to her medical conditions. Similarly, Resident #176, who has diagnoses including Parkinson's, epilepsy, and dementia, was found with her call light placed on a nightstand, out of reach, after being assisted by CNA #508 and STNA #586. Resident #176, who is dependent on staff for transfers and mobility, confirmed that the staff had left the call light on the nightstand after providing care. The care plan for Resident #176 also emphasized the importance of using the call light for assistance due to her risk of falls. Both instances highlight a failure to adhere to the care plans designed to prevent falls and ensure resident safety.
Inconsistent Code Status Documentation for a Resident
Penalty
Summary
The facility failed to ensure that a resident's code status was consistently documented across both the hard medical chart and the electronic medical record. This discrepancy was identified during a review of the records for a resident who was admitted with diagnoses of heart failure, end-stage renal disease, and hypothyroidism. The electronic medical record indicated a 'Full Code' status, meaning all emergency life-saving measures would be provided in the event of respiratory or cardiac arrest. However, the hard medical chart documented a 'Do Not Resuscitate-Comfort Care Arrest' (DNR-CCA) status, which means that emergency and medical care would be provided until the time of cardiac or respiratory arrest, at which point all life-saving measures would cease. An interview with an LPN confirmed the inconsistency between the electronic and hard chart records.
Failure to Date Insulin Pens and Vials
Penalty
Summary
The facility failed to ensure that Insulin KwikPens and insulin vials were dated when opened, affecting three residents out of twelve who were identified as receiving insulin. During an observation of a medication cart, it was found that two KwikPens for two residents and one used insulin vial for another resident were not dated when opened. A registered nurse confirmed during the observation that all insulin pens should be dated when initially opened. Additionally, a review of the facility's policies and procedures revealed that there was no policy in place for insulin storage, which was verified by the Director of Nursing.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect Resident #52 from physical abuse by Resident #54, as evidenced by multiple incidents where Resident #54 struck Resident #52. The first incident occurred on 03/05/24, where Resident #54 struck Resident #52 several times on the left eye and side of the face. Immediate interventions included separating the residents, conducting skin checks, and implementing one-on-one supervision. Despite these measures, Resident #54 continued to exhibit aggressive behavior, leading to further incidents. Subsequent incidents on 03/20/24 and 05/23/24 involved Resident #54 striking Resident #52 again, with the latter incident escalating to both residents striking each other. Despite attempts to find alternate placement for Resident #54 and implementing one-on-one supervision, the facility's care plan for Resident #54 was not revised to address the aggressive behavior adequately. The care plan lacked non-pharmacological interventions, and there was no evidence of such interventions being attempted by staff. Interviews with staff revealed that Resident #54 had a history of accusatory behavior and forgetfulness, and there were no specific interventions documented to manage these behaviors. The facility's policy on abuse prevention required assessment, care planning, and monitoring of residents with aggressive behaviors, but the interdisciplinary team did not determine proper interventions for the resident-to-resident cases. This deficiency was investigated under Complaint Number OH00154414.
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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 Twinsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Twinsburg Post Acute | 1 mi | ★★★★★ | 19 | 0 |
| Canterbury Of Twinsburg | 2.1 mi | ★★★★★ | 0 | 0 |
| Avenue At Macedonia | 2.9 mi | ★★★★★ | 0 | 0 |
| Northfield Village Retirement Community | 4.4 mi | ★★★★★ | 0 | 0 |
| Heritage Health Care Center | 4.5 mi | ★★★★★ | 1 | 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.