Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Grove Nursing Center during CMS and state inspections, most recent first.
The facility failed to provide written notice of transfer or discharge to two residents with diabetes mellitus before they were transferred to other facilities. One resident was sent to an emergency room after a fall, and another was transferred to a hospital for behaviors. The facility's policy lacked instructions for providing such notices, and the DON confirmed the oversight.
The facility failed to attempt alternatives to bed rails, inspect bed rails for proper fit, educate residents and their representatives on risks and benefits, and obtain informed consent before use. This deficiency was observed in three residents, with the facility's policies on side rails and bed safety not being followed. The DON admitted that alternatives were not attempted, and consent was not obtained, while the Maintenance Supervisor and Administrator did not ensure proper inspection and compatibility of bed rails.
A facility did not include the use of an anticoagulant in a resident's care plan, despite a physician's order and documentation of its use. Interviews with LPNs and the DON confirmed that anticoagulants should be addressed in the care plan, with monitoring for bleeding and bruising.
A facility failed to monitor electrolyte levels for a resident on Furosemide, a diuretic medication, despite the resident's chronic systolic congestive heart failure diagnosis. The resident's medical records lacked documentation of electrolyte assessments since admission, and no lab work orders were found. The DON confirmed the absence of a policy for routine lab work with diuretics, relying on physicians to order labs as needed.
A CNA failed to change gloves and clean hands between handling soiled and clean surfaces while providing perineal care to a resident with pressure ulcers. The CNA touched the resident's skin, clothing, and moved a remote control with dirty gloves. The LPN and DON acknowledged the lapse in infection control practices.
Failure to Provide Written Notice of Transfer or Discharge
Penalty
Summary
The facility failed to provide residents or their representatives with a written notice of transfer or discharge prior to the residents leaving the facility. This deficiency was identified for two residents, both diagnosed with diabetes mellitus. One resident was transferred to a community emergency room following a fall, and another was transferred to an acute care hospital due to behaviors. The facility's Transfer or Discharge Documentation policy, dated December 2016, did not include a requirement to provide written notice of transfer or discharge to residents or their legal representatives before the transfer or discharge occurred. The Director of Nursing confirmed that the residents were not given written notices before being sent to other facilities for treatment.
Failure to Follow Bed Rail Safety Protocols
Penalty
Summary
The facility failed to ensure that alternatives to bed rails were attempted before their use, that bed rails were inspected for proper fit and condition, and that residents and their representatives were educated on the risks and benefits of bed rails. Additionally, informed consent was not obtained from the residents or their legal representatives before attaching bed rails to the beds. This deficiency was observed in three residents who were reviewed for accident hazards, with the facility's policies on the proper use of side rails and bed safety not being followed. The facility's policies required obtaining consent after informing residents or their representatives of the benefits and risks of bed rails and ensuring bed rails were properly installed according to the manufacturer's instructions. However, the Director of Nursing admitted that alternatives to bed rails were not attempted, and written consent was not obtained. The Maintenance Supervisor stated that bed rails were not inspected prior to first use by residents, and the Administrator assumed compatibility of bed rails and beds without inspection. These oversights led to the deficiency identified by the surveyors.
Failure to Include Anticoagulant in Care Plan
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident who was prescribed an anticoagulant medication, apixaban, for conditions including paroxysmal atrial fibrillation and hypertension. Despite a physician's order for the medication and documentation of its use in the resident's admission assessment, the care plan did not address the anticoagulant. Interviews with two LPNs and the DON confirmed that the use of anticoagulants should be included in the care plan, along with monitoring for signs of bleeding and bruising.
Failure to Monitor Electrolyte Levels for Resident on Diuretics
Penalty
Summary
The facility failed to ensure that a resident receiving Furosemide, a diuretic medication, was monitored for electrolyte levels, which is crucial for residents with conditions such as chronic systolic congestive heart failure. Resident #28, who was admitted and readmitted to the facility, had no documented assessment or review of electrolyte levels by a healthcare professional since admission. Despite being prescribed Furosemide 20 mg daily for congestive heart failure, there was no physician order for lab work to monitor these levels. The Director of Nursing (DON) confirmed the absence of documentation for electrolyte level assessment and stated that the facility did not have a policy for routine lab work when administering diuretics, relying instead on physicians to order labs as needed.
Inadequate Infection Control During Resident Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during the care of a resident with pressure ulcers. During an observation, a CNA was seen providing perineal care to a resident without changing gloves or cleaning their hands between handling soiled undergarments and touching clean surfaces. The CNA, while wearing dirty gloves, also touched the resident's skin, clothing, and moved the television remote control closer to the resident. The LPN present during the care acknowledged that the CNA did not change gloves during the procedure, and the Director of Nursing confirmed that the CNA should have changed gloves and cleaned their hands between steps of the care process. The CNA admitted to being nervous and forgetting to change gloves and clean their hands after providing perineal care.
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 28 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 Grove
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grand Lake Villa | 0.9 mi | ★★★★★ | 0 | 0 |
| Betty Ann Nursing Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Monroe Manor | 10.5 mi | ★★★★★ | 0 | 0 |
| Maple Healthcare And Rehab | 12.1 mi | ★★★★★ | 0 | 0 |
| Mcdonald County Living Center | 20 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Grove Nursing Center.
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 June 2026) and official state health department websites.