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Public Record

Grace Village Health Care Facility

Nursing HomeWinona Lake, INCMS 155635
52 citations on record

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
71

*CMS

Avg. residents per day
53.8

*CMS

Inspection record

On record from CMS

Citations on record
52

*CMS

Inspections on file
6

*CMS

Last inspection
2025-03-24

*CMS

Citations

52 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0921Generalpotential for harm

    Ensure that testing and maintenance of electrical equipment is performed.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0500Generalpotential for harm

    Meet other general requirements that are deficient.

  • 0625Generalpotential for harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0300Generalpotential for harm

    Meet other general requirements that are deficient.

  • 0131Generalpotential for harm

    Meet requirements for sections of health care facilities separated by fire resistive construction.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0026Generalpotential for harm

    Establish roles under a Waiver declared by secretary.

  • 0025Generalpotential for harm

    Create arrangements with other facilities to receive patients.

  • 0271Generalpotential for harm

    Have exits that are accessible at all times.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0331Generalpotential for harm

    Construct fire resistant interior walls.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0741Generalpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0753Generalpotential for harm

    Have restrictions on the use of highly flammable decorations.

  • 0761Generalno actual harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0916Generalpotential for harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0037Generalpotential for harm

    Establish staff and initial training requirements.

  • 0036Generalpotential for harm

    Establish emergency prep training and testing.

  • 0029Generalpotential for harm

    Develop a communication plan.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0693Generalpotential for harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0352Generalpotential for harm

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0521Generalno actual harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0712Generalno actual harm

    Have simulated fire drills held at unexpected times.

  • 0345Generalpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0293Generalpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0251Generalpotential for harm

    Conform to length requirements for dead end corridors.

  • 0039Generalpotential for harm

    Conduct testing and exercise requirements.

  • 0013Generalpotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Grace Village Health Care Facility?
Grace Village Health Care Facility is a Medicare- and Medicaid-certified nursing home in Winona Lake, IN, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 155635.
What is the CMS rating for Grace Village Health Care Facility?
Grace Village Health Care Facility has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Grace Village Health Care Facility have?
Grace Village Health Care Facility is certified for 71 beds. It serves an average of 53.8 residents per day.
How many citations does Grace Village Health Care Facility have?
Grace Village Health Care Facility has 52 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Grace Village Health Care Facility last inspected?
Grace Village Health Care Facility was last inspected on March 24, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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