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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 66% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 13 findings, above the OR average of 10.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Gracelen Care Center faces severe and consistent criticism regarding patient neglect, lack of privacy, and poor living conditions. Multiple reviewers report that residents are housed four to a room, experience significant delays in assistance, and suffer from inadequate hygiene and medical care. While some older reviews from 2017-2018 praised the memory care staff, the overwhelming majority of recent feedback describes a facility in crisis.
Quality Themes
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Concerns
Rating Trends
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Distribution · 20 analyzed
Personalized based on this facility's data
Key Review Excerpts
“Most residents will be left to sit in their own urine for the most of the day and only changed a few times, if that.”
“My father was on hospice and its all I can do to flag people down to get him meds to make him feel ok. They cram people in 4 people to a room.”
“They caused my father to have bed sores and then blamed him for the injury. The food is terrible, and they don't give enough portions to feed everyone.”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 16 measures
9
measures
4
measures
3
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Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Gracelen Care Center has faced recurring problems with families filing multiple complaints about safety hazards, abuse prevention, and quality of care. The facility shows persistent issues across medication management, infection control, and resident safety that have continued across recent surveys through 2025. While the provider reports correcting deficiencies, the pattern of repeated violations in core care areas suggests ongoing operational challenges families should carefully consider.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Egress Deficiencies
Meet other general requirements.
Services Deficiencies
Meet other general requirements that are deficient.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Gracelen Care Center
for profit
Owners
Undisclosed
Ownership Data Not Available · Organization
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