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Grandview faces uncertain future

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Survey finds facility conditions constitute immediate jeopardy to residents’ health and safety, substandard quality of care

By Zac Oakes

 

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There is a great deal of uncertainty around the community with the recent announcement that Grandview Nursing and Rehabilitation could potentially be closing, and approximately 80 residents would have to be relocated, with no clear picture on where many could ultimately wind up. 

As of now though, there has been no official notice that the facility will be closing. A spokesperson for the Center for Medicaid and Medicare Services (CMS) said the investigation is still ongoing.

A survey of the facility was taken on July 20, according to CMS, and three additional surveys have taken place since July 20. Those took place on Aug. 2, Aug. 9, and Aug. 24. 

The state survey agency is continuing to work on the Aug. 2 and Aug. 9 reports, according to the CMS spokesperson, and the CMS Atlanta Office just received the Aug. 24 report Monday. 

“CMS is now reviewing those findings to determine the necessary next steps,” the spokesperson said. “We expect that report will be publicly available by the end of the week.”

A letter dated Aug. 1 from CMS to Grandview Administrator Cindy O’Banion states, “This survey [on July 20] found that your facility was not in substantial compliance with the participation requirements, and that conditions in your facility constituted immediate jeopardy to residents’ health and safety and substandard quality of care,” the letter reads. “The immediate jeopardy was identified to exist as of April 6, 2018, and is considered ongoing.”

A press release from the Centers for Medicare and Medicaid Services was sent out Aug. 1 regarding the involuntary termination of Grandview, stating that the facility, located at 640 Water Tower Bypass, ceased participating in the Medicare program after Aug. 12. 

Federal law requires that CMS must terminate the Medicare provider agreement of a facility within 23 days after a survey reveals conditions constituting immediate jeopardy.

“CMS requires facilities to meet certain health and safety standards to be certified as a Medicare provider,” the release said. “Involuntary termination of a provider agreement is generally a last resort after all other attempts to remedy the deficiencies at a facility have been exhausted. In this instance, the Atlanta Regional Office has found that The Grandview Nursing & Rehabilitation Facility is out of compliance with CMS basic health and safety requirements.

“The facility has been notified that Medicare will cease to pay for services furnished to Medicare and Medicaid beneficiaries admitted after Aug. 12, 2018, although payment may continue for up to 30 calendar days for patients admitted on or before Aug. 12, 2018. CMS is committed to patient safety and quality of care. We are closely monitoring the relocation of Medicare and Medicaid patients to other facilities.”

The relocation process for residents at Grandview would likely not be an easy one. Many nursing homes in the surrounding area are already at or near capacity, which means there could be a lengthy period of time that has to pass before residents can be placed, and many could be placed at a facility much further away. 

“While we understand the relocation of residents and patients can be challenging for all parties involved, CMS prioritizes patient safety and care quality,” the release stated. 

Additionally, more than 100 employees will be left searching for employment if the facility shuts its doors next month. 

Meetings were held on Sunday for families to discuss the plans moving forward. Hundreds of individuals from Campbellsville and from out of town, who have family members at Grandview, formed a prayer chain around the perimeter of the building Sunday afternoon. 

There has been a display of support for Grandview on Facebook as well, as many have taken to social media to express their support for the facility and leave glowing reviews of the care their loved ones have received while there. 

The first report, issued by CMS, was a 173-page document detailing the findings of surveyors from their first survey of Grandview, from June 26 to July 20. 

In that report, surveyors wrote that, “the facility failed to protect 6 of 22 residents from abuse/neglect.” The surveyors also wrote that the facility failed to report and investigate the allegations of abuse and neglect. 

The full 173-page document is available below. 

More information on this story will be released as it becomes available.