The Grand Rehabilitation and Nursing at Rome
801 North James Street · Rome, NY · 13440 · 3153370550
160 certified beds For profit - Individual Chain: The Grand Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $69,625 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$69,625 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 2 · $100,910 |
Inspection citations (37 in the current record)
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Potential for harm · D April 17, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 3, 2026 · Quality of Life and Care
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Potential for harm · D April 17, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 3, 2026 · Pharmacy Service
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Potential for harm · E April 17, 2026 · found via complaint
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.
Corrected June 3, 2026 · Pharmacy Service
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Potential for harm · E April 17, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 3, 2026 · Nutrition and Dietary
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Immediate jeopardy · J November 5, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 2, 2025 · Resident Rights
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Potential for harm · D August 1, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · E June 28, 2024
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.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · D June 28, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 28, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 27, 2024 · Nutrition and Dietary
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Potential for harm · D June 28, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 27, 2024 · Administration
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Potential for harm · D June 28, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 27, 2024 · Resident Rights
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Potential for harm · E June 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 27, 2024 · Quality of Life and Care
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Potential for harm · E June 28, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 27, 2024 · Nutrition and Dietary
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Potential for harm · D June 28, 2024 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 27, 2024 · Nutrition and Dietary
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Potential for harm · E June 28, 2024 · found via complaint
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected August 27, 2024 · Environmental
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Immediate jeopardy · J October 25, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 15, 2023 · Quality of Life and Care
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Potential for harm · D October 25, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 25, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 15, 2023 · Administration
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Potential for harm · D August 15, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 7, 2022 · Resident Rights
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Potential for harm · D August 15, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 7, 2022 · Resident Rights
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Potential for harm · E August 15, 2022
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.
Corrected October 7, 2022 · Resident Rights
-
Potential for harm · D August 15, 2022
Respond appropriately to all alleged violations.
Corrected October 7, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 15, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 7, 2022 · Quality of Life and Care
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Potential for harm · D August 15, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 7, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 5, 2025 | Fine | $69,625 |
| October 25, 2023 | Fine | $31,285 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335589 · certified since August 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.