Calhoun County Medical Care Facility

In the surveyor’s words

From the most serious findings on record at Calhoun County Medical Care Facility, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 1, 2022

  This citation pertains to MI 724 Based on observation, interview, and record review the facility failed to prevent the elopement of one resident (Resident #2) of two reviewed, resulting in immediate jeopardy when on 1/30/22 at approximately 8:05 PM, R2 eloped from the facility and was found approximately 50 minutes later outside, behind a barn, on his hands and knees in the snow. Findings include: Review of the medical record revealed Resident #2 (R2) was admitted to the facility on [DATE] with diagnoses that included Alzheimer's Disease, [CONDITION(S)] with behavioral disturbance, history of falling, diabetes, major depressive disorder, and anxiety. R2 had a Durable Power of Attorney and was not his own person. […]

• Actual harm, isolatedF600Nov 24, 2025

  Based on observation, interviews and record review, the facility failed to protect the resident's (R1) right to be free from mental and physical abuse by facility staff. This citation pertains to intake number 2672519.Findings Included:Per the facility face sheet Resident #1 (R1) was a [AGE] year-old female with diagnoses of cognitive communication deficit, dementia, muscle weakness, and need for assistance with personal care.Review of R1 Minimum Data Set, dated [DATE], revealed R1 had a Brief Assessment of Mental Status or BIMS score of nine out of 15 which indicated R1 had a moderate impairment with her cognition. […]

• No harm, potential for more than minimal, widespreadF812Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 4/22/26 at 9:42 AM, observation of the main ice scoop holder found the bottom with white and brown crusted debris. An interview with Dietary Manager (DM) J found that it should get cleaned weekly. When asked why the inside bottom was roughed up, DM J stated they replaced the scoop and the old one had some rough edges, we will replace it. On 4/22/26 at 9:43 AM, observation of the underside of the tabletop mixer found some white accumulation of debris in the crevices of the under arm of the unit. […]

• No harm, potential for more than minimal, widespreadF880Apr 24, 2026

  Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP), resulting in the potential for increased risk of respiratory infection among all residents in the facility.Findings include: On 4/22/26 at 1:24 PM, an interview with Facilities Operations Manager (FOM) K, regarding the facilities Water Management Plan, found that housekeeping staff flush the domestic water lines in the soiled utility rooms that are not used regularly. When asked if there were other rooms, or fixtures, that needed to be regularly flushed, FOM K stated that they typically don't have empty resident rooms for long and there were no other fixtures that would need flushing. […]

• No harm, potential for more than minimal, widespreadF812Feb 21, 2025

  Based on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen. Findings include: During an evaluation of the kitchen, at 10:02 AM on 2/18/2025, it was observed that clear plastic scoops of the bulk storage containers were found hanging on the outside perimeter of the containers facing where staff would walk by. Observation found two of the scoops with discolored dingy surfaces. When asked if the scoops are normally stored open exposed on the front of the bin about a foot or so off the ground, Certified Dietary Manager (CDM) K stated that's where they have been kept. […]