Based on interview and record review, the facility failed to test residents that were exposed to COVID-19 when they became aware an employee tested positive for at the end of there shift on 1/26/22, resulting in delayed testing results for one resident R12 and the potential for other residents to have a delay in identification of the onset of COVID-19 which can lead to serious health problems and/or death. Findings include: During an interview with the Director of Nursing (DON) on 1/31/22 at 8:49 AM the DON said Licensed Practical Nurse (LPN) E tested positive for COVID-19 on 1/26/22 after her shift was over. The DON was asked for verification resident COVID-19 testing. …
F886 citations in Michigan
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Michigan cites F886 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2023, this is the portion that was F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F886 findings written in Michigan, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review the facility failed to conduct routine Covid-19 testing on all facility employees in accordance with the Center for Disease Control (CDC) and local Public Health Department guidelines during the facilities current Covid-19 outbreak resulting in the potential and likely hood for Covid-19 to spread in the facility and placing the residents at risk for acquiring Covid-19 in a current facility census of 50 residents. Findings Included: In an interview on 03/16/2023 at 09:11 a.m. Director of Nursing (DON) B explained that the facilities most recent outbreak of Covid-19 occurred on February 27, 2023. She explained that on that date four residents and two employees were positive for Covid-19. …
Based on interview and record review, the facility failed to perform COVID-19 testing for staff according to facility policy for 1 of 2 staff reviewed, resulting in the potential for unidentified COVID-19 infection and the potential for the spread of infection. Findings include: Review of the facility policy Employee COVID-19 Vaccinations date implemented 11/8/21, effective 1/27/22. Date Reviewed/Revised: 1/5/22, 1/26/22 revealed, It is the policy of this facility to ensure that all eligible employees are vaccinated against COVID-19 .as per applicable federal, state and local guidelines .Compliance guidelines: .8. …
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