The Grand Rehabilitation and Nursing At Rome has a 1-star overall rating, with 1-star health inspection, staffing, and quality measures ratings. It also has recent federal penalties and $45,257 in fines over the last 24 months, and reported nurse staffing is 3.09 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: April 17, 2026Penalties, last 24 months: $45,257recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0906.
Staffing detail
Registered nurses
0.38
Licensed practical nurses
1.00
Nurse aides
1.71
Weekend nursing
2.54
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
35.2%34.2%Improving
Residents with a fall causing major injury
4.2%6%Worsening
Residents with pressure ulcers (bedsores)
7.3%9%Worsening
Residents with a urinary tract infection
0%0.8%Worsening
Residents who lost too much weight
7%3.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.8%10.1%Improving
Residents whose ability to walk got worse
15.2%8.5%Improving
Long-stay residents on antianxiety or sleep medication
17.4%23.9%Worsening
Short-stay residents newly given an antipsychotic
2.6%2.2%No change
Residents with a long-term catheter
1.6%0.6%Improving
Residents with new or worsening incontinence
29.7%15.1%Improving
Residents with depressive symptoms
12.4%14.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95%—
Long-stay residents given the pneumonia vaccine
73.6%73.9%No change
Short-stay residents given the seasonal flu vaccine
—52.7%—
Short-stay residents given the pneumonia vaccine
41.2%45.6%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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $45,257 was recorded.
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.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $76,542 in total fines.
Federal fine
Nov 5, 2025
$45,257
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
151.7 residents on an average day (95% of 160 beds)
Resident voice
Resident council
Medicare history
Certified for 50 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.