Not rated by CMS — ratings are suppressed for new or low-volume facilities.
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 Gran Grans Place during CMS and state inspections, most recent first.
The facility failed to provide adequate nutrition by not offering meal replacements when residents consumed less than 50% of meals and not providing scheduled snacks. A resident with malnutrition did not receive documented meal replacements, and another with dementia was not offered snacks when asleep. A third resident on a mechanically altered diet had significant missed meal replacements, with no physician notification of meal refusals.
The facility did not complete annual competency reviews for two CNAs, as confirmed by the DON. Personnel files lacked documentation of these reviews, leading to a deficiency finding.
The facility failed to ensure the dietary manager, in position since July 2021, completed their certification for dietary management. During a survey, the dietary manager confirmed the absence of certification, and the Administrator could not explain why the training was not attended. This deficiency was noted in a facility with 35 residents.
The facility failed to ensure dietary staff followed proper food handling protocols. The dietary manager and a dietary aide were observed handling food with bare hands during meal service, contrary to the facility's policy requiring the use of utensils to avoid manual contact. The dietary manager acknowledged that gloves should be worn for items that could cause contamination but did not adhere to this policy.
The facility did not provide annual education on the influenza vaccine and its potential side effects to residents. Three residents received the vaccine without updated education, with consents signed years prior. The DON confirmed that annual education would begin this year.
A resident with hypertension, dementia, and gastroesophageal reflux disease experienced a significant decline in meal intake and weight loss. Despite being on a mechanically altered diet and refusing or consuming less than 50% of meals over several days, the physician was not notified. The MDS coordinator confirmed the lack of documentation, and the DON was unaware of the issue.
A resident with early onset Alzheimer's and dementia experienced changes in their care needs, requiring more assistance with eating and toileting. Despite these changes, the facility did not complete a significant change assessment. The MDS coordinator acknowledged that an assessment should have been conducted due to the permanent changes in the resident's condition.
A facility failed to document a physician's response regarding a dose reduction of Sertraline for a resident with depression and Alzheimer's. Despite a Consultant Pharmacist's request for a physician's input on the necessity of a dose reduction or contraindication, no response was recorded. The DON could not find any documentation of the physician's response to the GDR request.
A resident with Alzheimer's and early-onset dementia did not have timely lab results due to a delay in receiving a CMP ordered for April. The lab was initially drawn in early April, but the CBC clotted, requiring a recollection. The CMP results were only obtained in July after the MDS coordinator contacted the lab.
Failure to Provide Adequate Nutrition and Meal Replacements
Penalty
Summary
The facility failed to provide adequate nutrition to residents by not offering meal replacements when less than 50% of a meal was consumed and not providing scheduled snacks. Resident #19, diagnosed with pressure ulcer and protein-calorie malnutrition, had a care plan requiring supplements if meals were less than 50% consumed. However, the dietary flow records for June 2024 showed missed opportunities for meal replacements during breakfast, lunch, and dinner. The Director of Nursing (DON) confirmed that health shakes should be given if residents did not eat much, but the documentation did not reflect this practice. Resident #13, with Alzheimer's and dementia, was supposed to receive a health shake if consuming less than 50% of meals and snacks twice daily. Observations showed that snacks were not offered when the resident was asleep, and the dietary flow records indicated numerous missed meal replacements. Similarly, Resident #24, with hypertension, dementia, and gastroesophageal reflux disease, was on a mechanically altered diet but had significant missed meal replacements documented in June and July 2024. The dietary supervisor and DON were unaware of the residents' meal refusals, and there was no documentation of physician notification regarding the decline in meal intake.
Failure to Conduct Annual Competency Reviews for CNAs
Penalty
Summary
The facility failed to ensure that annual competency reviews were completed for two certified nurse aides (CNAs) whose records were reviewed. During a review of personnel files, it was found that there was no documentation of annual competency checks for these CNAs. The Director of Nursing (DON) confirmed that the competency checks were not conducted annually, which led to the deficiency being identified.
Dietary Manager Certification Deficiency
Penalty
Summary
The facility failed to ensure that the designated dietary manager had completed their certification for dietary management. The dietary manager had been in the position since July 2021, and as of the survey conducted on July 10, 2024, they had not obtained the necessary certification. During an interview, the dietary manager confirmed that they did not have the certificate for dietary management. Additionally, the facility's Administrator was unable to provide a clear explanation for the lack of certification, stating that the dietary manager had not attended the required training. This deficiency was identified in a facility with 35 residents.
Improper Food Handling by Dietary Staff
Penalty
Summary
The facility failed to ensure that dietary staff adhered to proper food handling protocols during meal service, as observed by surveyors. The dietary manager was seen handling a piece of bread with bare hands, placing it in a toaster, and then serving it to a resident without using gloves or utensils. Similarly, a dietary aide was observed splitting a biscuit and handling sausage with bare hands before serving it to a resident. The facility's policy on food handling, which requires the use of clean utensils to avoid manual contact with prepared foods, was not followed. When questioned, the dietary manager indicated that gloves should be worn for items that could potentially cause contamination, such as meat products or eggs, but did not adhere to this policy during the observed incidents.
Failure to Provide Annual Vaccine Education
Penalty
Summary
The facility failed to provide annual education and information on potential side effects of the influenza vaccine to residents, as required. This deficiency was identified during a review of records and interviews, where it was found that three out of five residents reviewed for vaccinations did not receive the necessary education. Specifically, Resident #5's informed consent for the influenza vaccine was signed in 2019, but the vaccine was administered in 2023 without updated education. Similarly, Resident #6's consent was signed in 2022, and Resident #13's consent was signed in 2018, both without annual updates on education and side effects. During an interview, the Director of Nursing (DON) acknowledged that starting this year, the facility would begin providing the required annual education.
Failure to Notify Physician of Resident's Meal Intake Decline
Penalty
Summary
The facility failed to notify the physician of a significant decline in meal intake and weight loss for a resident diagnosed with hypertension, dementia, and gastroesophageal reflux disease. The resident was on a mechanically altered diet, and records showed they refused or consumed less than 50% of their meals for a significant number of days in June and July 2024. Despite this decline, there was no documentation that the physician had been informed. The MDS coordinator confirmed the lack of notification, and the DON stated that any nurse could notify the physician but was unaware of the resident's eating issues.
Failure to Complete Significant Change Assessment
Penalty
Summary
The facility failed to complete a significant change assessment for a resident who was reviewed for assessments. The resident had diagnoses of early onset Alzheimer's and dementia. A quarterly assessment in January documented that the resident needed supervision or touching assistance with eating and substantial or maximal assistance with toileting. By April, the resident's condition had changed, requiring partial to moderate assistance with eating and being dependent on staff for toileting. Despite these changes, a significant change assessment was not completed. The MDS coordinator confirmed that a significant change assessment should have been conducted, as the resident experienced changes in two or more areas that were considered permanent.
Failure to Document Physician Response for Dose Reduction
Penalty
Summary
The facility failed to ensure a physician's response was documented for a dose reduction of Sertraline for one of the residents reviewed for unnecessary medications. The resident in question had diagnoses including depression and Alzheimer's and was prescribed Sertraline at a dose of 125 mg daily. A Consultant Pharmacist's Medication Regimen Review requested a physician's input on whether a dose reduction was warranted or if there was a clinical contraindication for such a reduction. However, the form did not contain a response from the physician. The Director of Nursing (DON) was unable to locate any documentation indicating that the physician had responded to the request for a gradual dose reduction (GDR) of Sertraline.
Delayed Lab Results for Resident with Alzheimer's
Penalty
Summary
The facility failed to ensure timely receipt of laboratory results for a resident diagnosed with Alzheimer's and early-onset dementia. A physician's order required a comprehensive metabolic panel (CMP) and complete blood count (CBC) to be conducted every six months in April and October. However, the clinical health record lacked the CMP results for April 2024. The MDS coordinator confirmed that the lab was ordered and drawn on April 2, 2024, but the CBC sample clotted, necessitating a recollection on April 10, 2024. The CMP results were not received until July 9, 2024, after the MDS coordinator had to contact the lab to obtain them.
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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 Yukon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spanish Cove Housing Authority | 0.5 mi | — | 0 | 0 |
| Ranchwood Nursing Center | 1 mi | — | 21 | 3 |
| Heritage Park | 6.1 mi | — | 0 | 0 |
| The Grand At Bethany Skilled Nursing And Therapy | 6.2 mi | — | 8 | 0 |
| The Health Center At Concordia | 7.1 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 August 2026) and official state health department websites.