Public Record
Grand Lake Villa
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 100
- Avg. residents per day
- 64.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 27
- Inspections on file
- 6
- Last inspection
- 2025-06-13
*CMS
*CMS
*CMS
Citations
27 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.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0712Generalno actual harm
Have simulated fire drills held at unexpected times.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 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.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0004Generalno actual harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0374Generalpotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0522Generalpotential for harm
Have an externally vented heating system.
- 0039Generalno actual harm
Conduct testing and exercise requirements.
- 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.
- 0341Generalno actual harm
Install a fire alarm system that can be heard throughout the facility.
- 0353Generalno actual harm
Inspect, test, and maintain automatic sprinkler systems.
- 0741Generalpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0569Generalpotential for harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0725Generalpotential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0570Generalpotential for harm
Assure the security of all personal funds of residents deposited with the facility.
- 0640Generalpotential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 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.
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.
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspection9 deficiencies
- View inspection reportInspection9 deficiencies
- View inspection reportInspection16 deficiencies
- View inspection reportInspection16 deficiencies
FAQ
Questions and answers
- What is Grand Lake Villa?
- Grand Lake Villa is a Medicare- and Medicaid-certified nursing home in Grove, OK, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 375116.
- What is the CMS rating for Grand Lake Villa?
- Grand Lake Villa 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 Grand Lake Villa have?
- Grand Lake Villa is certified for 100 beds. It serves an average of 64.2 residents per day.
- How many citations does Grand Lake Villa have?
- Grand Lake Villa has 27 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Grand Lake Villa last inspected?
- Grand Lake Villa was last inspected on June 13, 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.
/nursing-home/375116-grand-lake-villa