Above average — CMS composite of the measures below.
The next survey window likely opens around October 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 Quality Life Services - Grove City during CMS and state inspections, most recent first.
Incomplete Weekly Pressure Ulcer Assessments: A resident with pressure ulcers on both buttocks had wound measurements and tissue descriptions documented, but the clinical record lacked weekly wound assessments for an extended period. The NHA confirmed the record did not show evidence of weekly assessments for the right and left buttock wounds, and that the facility failed to comprehensively assess the ulcers weekly to ensure proper healing and management.
Food Storage and Sanitization Monitoring Failures: Staff used a 3-compartment sink to wash and sanitize dishware while the dishwasher was out of service, but there were no sanitizer test strips readily available and no evidence of routine chemical testing or documentation. The main kitchen refrigerators and freezer also lacked thermometers and consistent temp logs, with repeated missing checks across several units. In a solarium mini refrigerator/freezer, surveyors found unlabeled and expired food items, and an LPN confirmed the unit lacked temp monitoring and was not meant for resident items.
Failure to Document Non-Pharmacological Interventions Before PRN Lorazepam: A resident with CHF, COPD, and anxiety received PRN lorazepam for anxiety multiple times, but the MAR and progress notes did not show non-pharmacological interventions were attempted before several doses. The NHA confirmed the facility lacked evidence that non-medication interventions were tried before each PRN anti-anxiety administration.
Missing Bed-Hold Notice and Transfer Information: The facility failed to provide written bed-hold notices to two residents and failed to ensure necessary clinical information was sent to the receiving provider during hospital transfers. One resident had diagnoses including rectal cancer, BPH, and diabetes, and another had heart failure, schizophrenia, and HTN. The records lacked evidence of the required bed-hold policy notice and transfer documentation for multiple hospitalizations.
An open vial of Tubersol was found in a medication refrigerator without an opened date, and staff could not determine the discard date. Facility policy required opened vials to be dated and labeled with the new expiration date, and manufacturer guidance stated the vial should be discarded within 30 days after opening.
Missing Droplet Precaution Signage for COVID-19 Isolation: A resident with COVID-19 was placed in isolation after a fever and positive test, but repeated observations showed the room lacked visible signage alerting staff and visitors to the resident's COVID-positive status and droplet precautions. The IP and ADON confirmed the absence of the required signage while the resident remained in isolation.
The facility did not maintain a clean environment for residents on the 2nd Floor, as observed in the condition of four wheelchairs. Despite a policy requiring monthly cleaning, wheelchairs were found with dust, dried debris, and liquids. An RN confirmed the unclean state and noted that nursing staff are responsible for cleaning.
A facility failed to ensure physician's orders were accurate for a resident with a history of stroke, diabetes, and dementia. The resident was observed wearing a left upper extremity resting hand splint, but the clinical record lacked a physician's order for its use. The Nursing Home Administrator confirmed this discrepancy during an interview.
A facility failed to maintain proper care of respiratory equipment for a resident with COPD, dementia, and high blood pressure. Despite a policy requiring weekly cleaning of oxygen concentrator filters, observations revealed dusty filters, indicating non-compliance with the cleaning schedule. A nurse confirmed the oversight, acknowledging the filters should be cleaned weekly.
The facility did not follow its planned menus for several meals, serving different items than listed without prior notice to residents or staff. This led to confusion and dissatisfaction among residents, as confirmed by interviews and observations. The Dietary Manager acknowledged some changes were made without approval, and the facility's policy on menu substitutions was not followed.
Incomplete Weekly Pressure Ulcer Assessments
Penalty
Summary
The facility failed to comprehensively assess pressure ulcers/injuries for one resident with pressure ulcers on both buttocks. The resident was admitted with diagnoses including spinal stenosis of the cervical region, lack of coordination, muscle wasting and atrophy, and abnormalities of gait and mobility. On admission, the clinical record documented a pressure ulcer on the right buttock measuring 5 cm x 3.5 cm with slough and a pressure ulcer on the left buttock measuring 3.5 cm x 1.5 cm with slough. A later assessment documented the right buttock wound as 5 cm x 3.5 cm x 0.1 cm with 50% granulation and 50% epithelization, and the left buttock wound as 4 cm x 2.5 cm x 0.1 cm with 50% granulation and 50% epithelization. The resident's record lacked weekly wound assessments from 3/12/26 through 5/13/26. During interview, the NHA confirmed that the record lacked evidence of weekly wound assessments for the resident's right and left buttock pressure ulcers and confirmed the facility failed to comprehensively assess the wounds weekly to ensure proper healing and management.
Food Storage and Sanitization Monitoring Failures
Penalty
Summary
The facility failed to monitor sanitization chemicals for the three-compartment sink used to wash dishware and kitchen utensils while the mechanical dishwasher was out of service. On 9/23/25, staff were observed using the three-compartment sink to rinse, clean, and sanitize all dishware and kitchen utensils, but there were no chemical test strips readily available at the sink to verify the sanitizing solution level in parts-per-million. The facility also lacked evidence of prior routine chemical testing and documentation for the sink, and the Dietary Supervisor confirmed that staff had to go find testing strips because they were not readily available and that there was no evidence the chemical levels had been checked and documented as required. The facility also failed to store food in accordance with food safety standards in multiple refrigerators and a freezer. Observation of the main kitchen on 9/23/25 found one upright refrigerator without a thermometer and without evidence of temperature monitoring, and the Dietary Supervisor confirmed that the new unit had been put into service about a week earlier without a thermometer or required temperature log. The milk cooler, one upright refrigerator, one walk-in refrigerator, and one walk-in freezer also lacked evidence of routine temperature monitoring. Review of temperature logs from February through August 2025 showed repeated missing checks and missing log sheets for each of these units, including extensive gaps in documented twice-daily monitoring. The facility further failed to label and monitor food brought into the facility in a third-floor solarium mini refrigerator/freezer. On 9/24/25, the unit was observed without a thermometer and without evidence that temperatures or contents were being monitored. The freezer contained an 8-ounce container of vegetable soup with no name and no date, and the refrigerator contained two Activia yogurts with no name and an expiration date of 7/13/25, an empty box of chocolates, and a 20-ounce bottle of orange cream cola with no name and no date. An LPN confirmed the unit lacked a thermometer and evidence of temperature monitoring and stated it was not to be used for resident items, while also acknowledging that it contained items that were expired and unlabeled.
Failure to Document Non-Pharmacological Interventions Before PRN Lorazepam
Penalty
Summary
The facility failed to provide evidence that non-pharmacological interventions were attempted before administering PRN lorazepam for Resident R10. The resident was admitted with diagnoses including CHF, COPD, and anxiety, and had physician orders for lorazepam 0.5 mg every 12 hours PRN for anxiety beginning on 8/22/25 and renewed on 9/22/25. Review of the August 2025 MAR and clinical record progress notes showed the PRN lorazepam was administered 10 times, with no evidence of non-pharmacological interventions documented before 3 of those administrations. Review of the September 2025 MAR and progress notes showed the PRN lorazepam was administered 23 times, with no evidence of non-pharmacological interventions documented before 17 of those administrations. During interview, the Nursing Home Administrator confirmed the facility lacked evidence that non-pharmacological interventions were attempted prior to each administration of the PRN anti-anxiety medication for Resident R10.
Missing Bed-Hold Notice and Transfer Information
Penalty
Summary
The facility failed to provide residents and/or their representatives with a written notice of the bed-hold policy at the time of transfer or within 24 hours of transfer for two residents reviewed for hospitalization. Facility policy stated that the bed-hold notice should be provided when a resident is transferred for hospitalization or therapeutic leave and should explain how long a bed can be held and the daily cost. Resident R5, admitted with diagnoses including rectal cancer, BPH, and diabetes, had a progress note on 05/14/25 showing transfer to the hospital from the wound clinic, but the record lacked evidence that the bed-hold policy was provided. The record also lacked evidence of the notice after a later transfer on 6/3/25. The facility also failed to ensure that necessary resident information was communicated to the receiving health care provider during hospital transfers for Resident R5 and Resident R11. Facility policy for transfer required preparation of documents such as the face sheet, advance directive, current physician orders, current MAR, diagnosis list, history and physical, outstanding appointments, recent lab work, and other needed information. Resident R5’s record lacked evidence that necessary clinical information was communicated during the 6/3/25 transfer. Resident R11, admitted with diagnoses including heart failure, schizophrenia, and high blood pressure, had progress notes showing transfers to the hospital on 7/24/25 and 8/11/25, and the record lacked evidence that necessary clinical information was communicated for the 7/24/25 transfer and that the bed-hold policy was provided for either transfer. The NHA confirmed these missing records during interview.
Undated Open Tubersol Vial in Medication Refrigerator
Penalty
Summary
The facility failed to appropriately date and discard an open vial of Tubersol in the third floor medication storage room refrigerator. A facility policy titled Storage of Medications stated that when the original seal of a manufacturer's vial is broken, the vial is to be dated, a date-opened sticker placed on the medication, and the date opened and new expiration date entered, with the expiration date generally 30 days unless the manufacturer recommends otherwise. Manufacturer guidance for Tubersol indicated that an opened vial should be discarded within 30 days after opening. During observation of the medication storage room refrigerator, surveyors found one open vial of Tubersol with no date showing when it had been opened. At the time of the observation, an RN confirmed that the vial lacked an opened date and that staff were unable to determine the discard date.
Missing Droplet Precaution Signage for COVID-19 Isolation
Penalty
Summary
The facility failed to follow acceptable infection control practices regarding Transmission Based Precautions for a resident with COVID-19. Facility policy on Droplet Precautions stated that droplet precautions should be used in addition to standard precautions for residents with infections transmitted by droplets, and Pennsylvania Department of Health guidance dated 5/11/23 directed facilities to post visual alerts at entrances and in strategic places with instructions about current infection prevention and control procedures. Resident R64 was admitted on 5/13/25 with diagnoses including heart failure, lack of coordination, muscle wasting, and Alzheimer's disease. A progress note dated 9/17/25 documented that the resident had a fever of 102.4 degrees, tested positive for COVID, the doctor and Infection Preventionist were notified, the resident was moved to another room to isolate, and droplet isolation was initiated and maintained. However, observations on 9/23/25, 9/24/25, and 9/25/25 showed the resident's room did not have signage alerting persons entering the room that the resident was COVID positive and on droplet precautions. During an interview on 9/25/25, the Infection Preventionist and Assistant Director of Nursing confirmed that the room lacked signage for Droplet Precautions and COVID positive status while the resident was in isolation precautions.
Failure to Maintain Clean Wheelchairs
Penalty
Summary
The facility failed to maintain a clean and homelike environment for residents on the 2nd Floor, as evidenced by the condition of four resident wheelchairs. The facility's policy, dated 2/22/24, requires that wheelchairs be cleaned at least monthly or as needed to ensure they are clean, functional, and safe. However, during an observation on 10/09/24, between 11:13 a.m. and 11:20 a.m., it was noted that the wheelchairs of Residents R8, R14, R55, and R74 were unclean, with dust, dried debris, and dried liquids present on the frames and cushions. Specifically, Resident R8's wheelchair had dust and dried debris, Resident R14's had dried liquid and debris, Resident R55's had dust and dried debris, and Resident R74's had a dried spaghetti noodle along with other dried debris and dust. Registered Nurse Employee E1 confirmed the unclean condition of these wheelchairs and stated that the nursing staff are responsible for cleaning them.
Lack of Physician's Order for Resident's Hand Splint
Penalty
Summary
The facility failed to ensure that physician's orders were accurate and reflected the care provided to a resident. Resident R8, who has a history of stroke, diabetes, and dementia, was observed wearing a left upper extremity resting hand splint. However, the clinical record for Resident R8 did not contain a physician's order for the use of this splint, despite a task dated 12/16/20 indicating its use for up to four hours twice a day. The Nursing Home Administrator confirmed the absence of a physician's order for the splint during an interview.
Failure to Maintain Respiratory Equipment for a Resident
Penalty
Summary
The facility failed to maintain proper care of respiratory equipment for a resident who required respiratory services. The facility's policy, dated February 22, 2024, specified that the oxygen concentrator's inlet filter pad should be clean and in place, and the air intake filter should be rinsed and dried weekly to prevent dust accumulation. Resident R35, diagnosed with chronic obstructive pulmonary disease (COPD), dementia, and high blood pressure, had a physician's order for oxygen at two liters per minute via nasal cannula and an order to clean oxygen filters every Friday on the night shift. However, observations on October 8 and 9, 2024, revealed that the oxygen concentrator's filters contained a gray dusty substance, indicating they had not been cleaned as required. A registered nurse confirmed the presence of dust on the filters, acknowledging that they should be cleaned weekly.
Failure to Follow Planned Menus
Penalty
Summary
The facility failed to adhere to its planned menu for four out of six meals, as observed and reported by residents and staff. The discrepancies included serving different food items than those listed on the menu, such as substituting chicken breast for chicken thigh, white rice for rice pilaf, and chocolate chip cookies for cherry crisp. These changes were not communicated to the residents or staff in advance, leading to confusion and dissatisfaction among the residents. The facility's policy on menu substitutions requires that any changes be recorded and, if repeated, approved by a Registered Dietitian, which was not followed in these instances. Interviews with residents and staff revealed that menu changes were frequent and often unexpected, with residents expressing that meals were a surprise. The Dietary Manager admitted to some changes being made without prior approval and acknowledged that the facility does not use chicken thighs due to their fat content, although the menus had not been updated to reflect this change. The lack of communication and adherence to the planned menu was confirmed by the Dietary Manager and other staff members, indicating a systemic issue in the facility's dietary services.
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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 Grove City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grove Manor | 0.2 mi | ★★★★★ | 19 | 0 |
| Orchard Manor | 1.2 mi | ★★★★★ | 26 | 1 |
| Transitions Healthcare Autumn Grove Care Center | 4.8 mi | ★★★★★ | 0 | 0 |
| Avalon Springs Care Center | 10.2 mi | ★★★★★ | 6 | 0 |
| Quality Life Services - Mercer | 10.3 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.