5 CMS Surveys
Inspection Report — Jun 26, 2025
Complaint Investigation
Date: Jun 26, 2025
Visit Reason
Investigation of a complaint received on 2025-06-26 about failure to inform resident of medication risks, failure to provide care for dependent residents, failure to provide enough food/fluids to maintain health, and failure to monitor weight loss.
Complaint Details
Failure to inform resident R51 of medication risks: established. Failure to provide care to dependent residents R49, R30, and R81: established. Failure to provide enough food/fluids to maintain health for resident R79: established.
Findings
Four deficiencies were established related to failure to inform resident of psychotropic medication risks, failure to provide care and assistance with activities of daily living, failure to provide enough food and fluids, and failure to monitor significant weight loss.
Deficiencies (3)
F 0552 Ensure that residents are fully informed and understand their health status, care and treatments: the facility failed to inform resident R51 of the risks and benefits of a new psychotropic medication prior to initiation.
F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable: the facility failed to provide care to dependent residents R49, R30, and R81, including failure to assist R49 to eat, failure to provide showers as scheduled for R30, and failure to provide adequate food assistance and appealing meals for R81.
F 0692 Provide enough food/fluids to maintain a resident's health: the facility failed to access, monitor, and identify significant weight loss for resident R79, including failure to complete a Diet History/Food Preferences Evaluation which was 45 days overdue.
Inspection Report — Jul 24, 2024
Complaint Investigation
Date: Jul 24, 2024
Visit Reason
Investigation of a complaint received about failure to ensure call lights were left within reach, failure to complete PASARR Level II Screening, and failure to provide and implement an infection prevention and control program.
Complaint Details
Call lights not left within reach: established. PASARR Level II Screening not completed: established. Infection prevention failures including PPE use and equipment sanitizing: established.
Findings
Three deficiencies were cited: failure to ensure call lights were left within reach for residents, failure to complete a required Mental Illness/Intellectual Disability/Related Condition Exemption Criteria Certification Level II Screening for one resident, and failure to provide and implement an infection prevention and control program including proper use of PPE and sanitizing shared equipment.
Deficiencies (3)
F 0558 Reasonably accommodate the needs and preferences of each resident: the facility failed to ensure call lights were left within reach for 3 residents, resulting in potential unmet care needs.
F 0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed: the facility failed to ensure a Mental Illness/Intellectual Disability/Related Condition Exemption Criteria Certification Level II Screening was completed for 1 resident.
F 0880 Provide and implement an infection prevention and control program: the facility failed to ensure proper use of Enhanced Barrier Precautions, Personal Protective Equipment, and sanitizing of shared medical equipment for 2 residents.
Inspection Report — Jul 28, 2023
Date: Jul 28, 2023
Visit Reason
Not a Michigan LARA licensing report; CMS nursing home survey statement of deficiencies.
Findings
No health deficiencies found.
Inspection Report — Jun 2, 2023
Complaint Investigation
Date: Jun 2, 2023
Visit Reason
Investigation of a complaint received about inadequate supervision leading to resident-to-resident altercations.
Complaint Details
Inadequate supervision leading to resident-to-resident altercations involving residents R21, R22, R26, R33, R35, and R36: established.
Findings
The facility failed to provide adequate supervision to prevent resident-to-resident altercations involving 6 residents, resulting in potential for injury.
Deficiencies (1)
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to supervise resident R22, who was involved in multiple altercations with other residents without staff supervision.
Inspection Report — Jun 2, 2023
Plan of Correction
Date: Jun 2, 2023
Visit Reason
Plan of correction submitted for deficiencies cited in the nursing home survey completed on 06/02/2023.
Findings
The facility failed to provide adequate supervision to prevent resident-to-resident altercations involving 6 residents, resulting in potential for injury.
Deficiencies (1)
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to provide adequate supervision to prevent resident-to-resident altercations involving residents R21, R22, R26, R33, R35, and R36, resulting in potential for injury.
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