The Grand Rehabilitation and Nursing At Rome has a 1-star overall rating, with 1-star health inspection, staffing, and quality ratings. Reported nurse staffing is 3.20 hours per resident per day, below the 4.1 federal benchmark, and the facility had $69,625 in fines in the last 24 months plus a recent federal penalty.
Last inspection: November 5, 2025Penalties, last 24 months: $69,625recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.204.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.94
Nurse aides
1.88
Weekend nursing
2.78
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
35.1%Improving
Residents with a fall causing major injury
4%Steady
Residents with pressure ulcers (bedsores)
6.5%Improving
Residents with a urinary tract infection
0.4%Improving
Residents who lost too much weight
5.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.7%Improving
Residents whose ability to walk got worse
14.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
20.5%Worsening
Short-stay residents newly given an antipsychotic
2.4%Steady
Residents with a long-term catheter
0.9%Worsening
Residents with new or worsening incontinence
29.1%Improving
Residents with depressive symptoms
14.6%Improving
Long-stay residents given the seasonal flu vaccine
95%Steady
Long-stay residents given the pneumonia vaccine
72.2%Improving
Short-stay residents given the seasonal flu vaccine
52.7%Steady
Short-stay residents given the pneumonia vaccine
44.3%Improving
What the inspectors found
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 627 — 42 CFR §483.15(c) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited June 2024 — limited pattern, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $69,625 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 9 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $100,910 in total fines.
Federal fine
Nov 5, 2025
$69,625
Federal fine
Oct 25, 2023
$31,285
Operator & ownership
Ownership
For profit - Individual
Chain
Part of THE GRAND HEALTHCARE · 16 homes · 1.8 stars avg
Occupancy
146.1 residents on an average day (91% of 160 beds)
Resident voice
Resident council
Medicare history
Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.