Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
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 Manor during CMS and state inspections, most recent first.
The facility did not meet the required nurse aide (NA) staffing ratios, failing to provide one NA per 10 residents during the day shift on six occasions and one NA per 11 residents during the evening shift on two occasions. The Human Resource Manager/Scheduler confirmed these staffing shortages.
A resident with dementia and other health issues did not receive scheduled showers for seven days, as confirmed by facility documentation and staff interviews. The resident's care plan specified showers on Wednesdays and Saturdays, but there was no evidence of showers being provided or refused during this period.
Two residents suffered from neglect in a facility, resulting in the development and worsening of Stage Three pressure ulcers. Despite being at risk, the facility failed to conduct regular skin assessments and implement necessary interventions like turning and repositioning. This neglect led to significant harm, as confirmed by the DON and NHA.
Two residents suffered harm due to the facility's failure to monitor, assess, and implement preventative measures for pressure ulcers. One resident's Stage Two ulcer worsened to Stage Three, and a new Stage Three ulcer developed, while another resident developed multiple Stage Three ulcers. The facility did not conduct regular skin assessments or follow recommended interventions, as confirmed by the DON and NHA.
Nurse Aide Staffing Deficiency
Penalty
Summary
The facility failed to meet the required nurse aide (NA) staffing ratios as per the regulation effective July 1, 2024. Specifically, the facility did not maintain the minimum NA ratio of one NA per 10 residents during the day shift on six occasions and one NA per 11 residents during the evening shift on two occasions within the review period from November 17, 2024, to December 7, 2024. On the day shift, the facility was short of the required number of NAs on November 17, 21, 29, 30, December 3, and 5, 2024, with the number of NAs working being less than required based on the resident census. Similarly, on the evening shift, the facility did not meet the required NA ratio on November 18 and 30, 2024. The Human Resource Manager/Scheduler confirmed these staffing shortages during an interview on December 11, 2024.
Plan Of Correction
There were no negative care impacts to any resident as a result of the identified concern. The daily per patient day (PPD) staffing numbers remained over the state minimum. The facility cannot retroactively correct this finding. Nursing leadership will be re-educated on the Pennsylvania licensed professional staffing requirements by the Director of nursing or designee. The Scheduler was re-educated on CNA ratios by the Nursing Home Administrator. The facility will continue to recruit their own staff and contract with various agencies to meet CNA ratios. The Director of nursing or Designee will audit staffing ratios five times per week for four weeks, then re-evaluate for need to increase or decrease monitoring to verify that all measures are being taken to meet licensed practical nurse staffing ratios. Audit findings will be submitted to the Quality Assurance and Performance Improvement Committee for further review and recommendations.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident R26, received showers as scheduled. Resident R26, who was admitted with diagnoses including dementia, dysphasia, Parkinsonism, and a history of falling, was supposed to receive showers on Wednesdays and Saturdays according to their care plan. However, a review of the nurse aide documentation revealed no evidence that the resident received a shower from October 16 to October 23, a period of seven days. This lack of documentation also did not indicate whether the resident was offered or refused a shower during this time. Interviews with Resident R26's family member raised concerns about the resident not receiving routine showers and being observed in the same clothes on consecutive days. The Director of Nursing and Assistant Director of Nursing confirmed the absence of documented evidence for the showers during the specified period. This deficiency highlights a failure in the facility's responsibility to provide necessary assistance with activities of daily living, such as bathing, for residents who are unable to perform these tasks independently.
Neglect Leads to Pressure Ulcer Development in Two Residents
Penalty
Summary
The facility failed to protect residents from neglect, resulting in the development and worsening of pressure ulcers for two residents. Resident CR1 was admitted with a Stage Two pressure ulcer on the right buttocks, which worsened to a Stage Three ulcer, and a new Stage Three ulcer developed on the left heel. The facility's records lacked evidence of regular skin assessments and turning/repositioning interventions, despite the resident's moderate risk for pressure ulcers as indicated by the Braden Scale. The facility's failure to conduct these assessments and interventions led to the deterioration of the resident's skin condition. Resident CR2 was admitted with no pressure areas, but within a short period, developed Stage Three pressure ulcers on the coccyx, right buttocks, and left buttocks. The resident was initially assessed as low risk for pressure ulcers, but the facility did not perform the required weekly skin assessments or implement the recommended turning and repositioning interventions. This neglect resulted in the rapid development of severe pressure ulcers, indicating a lack of adequate care and monitoring. Both residents' clinical records showed a lack of compliance with physician orders for weekly skin assessments and the absence of documented interventions to prevent pressure ulcers. The Director of Nursing and the Nursing Home Administrator confirmed these deficiencies, acknowledging the facility's failure to provide necessary care to prevent harm to the residents. The neglect led to actual harm, as evidenced by the development and worsening of pressure ulcers in both residents.
Failure to Prevent and Monitor Pressure Ulcers
Penalty
Summary
The facility failed to ensure proper monitoring, assessment, and implementation of preventative measures for pressure ulcers, resulting in actual harm to two residents. Resident CR1 was admitted with a Stage Two pressure ulcer on the right buttocks, which worsened to a Stage Three ulcer, and developed a new Stage Three ulcer on the left heel. The facility's records lacked evidence of regular skin assessments and turning/repositioning interventions, as recommended by the Wound Certified Registered Nurse Practitioner (CRNP). The Director of Nursing (DON) and Nursing Home Administrator (NHA) confirmed the absence of these assessments and interventions. Resident CR2 was admitted with no pressure ulcers but developed Stage Three pressure ulcers on the coccyx, right buttocks, and left buttocks within a 23-day period. Despite being assessed as low risk for pressure ulcers, the facility failed to conduct weekly skin assessments and implement recommended interventions, such as limiting sitting time and ensuring regular repositioning. The lack of documentation for these preventative measures was confirmed by the DON and NHA. Both residents' clinical records showed a lack of adherence to physician orders and facility policies regarding skin assessments and pressure ulcer prevention. The facility's failure to monitor and implement necessary interventions led to the development and worsening of pressure ulcers, causing actual harm to the residents. The deficiencies were identified through a review of clinical records, facility policies, and staff interviews.
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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) |
|---|---|---|---|---|
| Quality Life Services - Grove City | 0.2 mi | — | 5 | 0 |
| Orchard Manor | 1.1 mi | — | 13 | 1 |
| Transitions Healthcare Autumn Grove Care Center | 4.6 mi | — | 0 | 0 |
| Avalon Springs Care Center | 10.4 mi | — | 6 | 0 |
| Quality Life Services - Mercer | 10.5 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.