Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE GRAND REHABILITATION AND NURSING AT UTICA

UTICA, NY · 220 certified beds · Last Life Safety survey June 5, 2025

CMS Certification Number 335600 · first certified January 1977

Ownership

Operated by THE GRAND HEALTHCARE · For profit - Corporation

  • Ownership changed February 15, 2019 (change of ownership)from FAXTON-SUNSET ST. LUKE'S HEALTH CARE CENTER INC
59
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
19
Tags cited more than once
Across separate surveys
25
Inspection & testing records
Of the citations on file

Position within NY

59 citations — more than 100% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 31 citations; the earlier surveys in the window averaged 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was June 2025. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

9 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 59 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

12 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 59 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility59NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility59
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
122021-12162024-02312025-06
Citations at each Life Safety survey
Survey dateCitations
December 21, 202112
February 1, 202416
June 5, 202531

Most-cited tags

Most-cited tags at this facility
K-03453K-03213K-03113K-03633K-09183K-07812K-03742K-07612
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.32025-06-05
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-06-05
K-0311Have an enclosure around a vertical opening shaft.32025-06-05
K-0363Install corridor and hallway doors that block smoke.32025-06-05
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-06-05
K-0781Have restrictions on the use of portable space heaters.22025-06-05
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-06-05
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-06-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 26
  • Gas, Vacuum, and Electrical Systems Deficiencies 11
  • Egress Deficiencies 7
  • Miscellaneous Deficiencies 7
  • Other 8
Citations by CMS category
CategoryCitations
Smoke Deficiencies26
Gas, Vacuum, and Electrical Systems Deficiencies11
Egress Deficiencies7
Miscellaneous Deficiencies7
Emergency Preparedness Deficiencies4
Services Deficiencies3
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 5, 2025 — 31 citations

Citations issued on June 5, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 1, 2025)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (September 5, 2025)
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (August 7, 2025)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 5, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 15, 2025)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (September 26, 2025)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (September 15, 2025)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (September 15, 2025)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (September 15, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (September 15, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 15, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 18, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 11, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (September 15, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 1, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (November 24, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 15, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 3, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 29, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (August 11, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 15, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 11, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 11, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 8, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 15, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (August 11, 2025)
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.Deficient, Provider has date of correction (September 17, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (September 18, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 1, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (September 15, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 18, 2025)

February 1, 2024 — 16 citations

Citations issued on February 1, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (March 29, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 26, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (April 26, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 26, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 29, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 26, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 26, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 26, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 29, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (April 26, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 29, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 26, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (April 26, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 29, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 29, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 29, 2024)

December 21, 2021 — 12 citations

Citations issued on December 21, 2021
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 31, 2022)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (January 31, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 16, 2022)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (January 31, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 31, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 31, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 16, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 16, 2022)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 31, 2022)
K-0908Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.Deficient, Provider has date of correction (February 17, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 31, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 31, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.