Calvin Community

In the surveyor’s words

From the most serious findings on record at Calvin Community, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF656Dec 18, 2025

  Based on clinical record review, staff interview, policy review, and Resident Assessment Instrument manual the facility failed to develop a comprehensive care plan that included behaviors/interventions for residents receiving psychotropic medications( anti-anxiety, antipsychotic, and antidepressants) for 4 of 5 residents reviewed (Residents #3,#6, #2, and #44). The facility reported a census of 55 residents. Findings include: 1.The MDS completed 11/3/25 revealed Resident #3 with a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Diagnoses include major depressive disorder, recurrent, and moderate. The MDS indicated the use of antianxiety and antidepressant medications. […]

• No harm, potential for more than minimal, patternF880Dec 18, 2025

  Based on observation, clinical record review, staff interviews and policy review, the facility failed to use proper hand hygiene and infection control practices during medication administration and wound care and further failed to use full Enhanced Barrier Precautions (EBP) during wound care for 1 of 1 residents reviewed (Resident #38) for pressure ulcers. The facility reported a census of 55 residents. Findings include:During a continuous observation on 12/17/25 beginning at 7:25 AM, observation of Staff B, Registered Nurse (RN) administer medications to residents on the 3rd floor. Staff B administered medications to a resident after taking a blood pressure and heart rate reading with a wrist blood pressure cuff that contained both plastic and cloth. […]

• No harm, potential for more than minimal, patternF804Jan 23, 2023

  Based on observations, staff interviews, and facility policy review the facility failed to access temperatures of food before serving the meal to the residents to ensure hot food for 11 of 52 residents reviewed. The facility reported a census of 52. Findings: On 1/19/23 at 9:50 AM observed the preparation of pureed meal for five (5) residents on pureed diets by Staff H, Director of Food Services: a. 15 ounce (oz.) of ground seasoned meat added with five (5) buns and broth to the robo-coup mixed to pudding like consistency for five (5) residents, one (1) cup servings b. 28 steak fries, five (5) fries per serving (relayed by the dietary manager) was added to the vita-mixer and pureed to pudding consistency with milk for five (5) one (1) cup servings of potatoes c. […]

• No harm, potential for more than minimal, patternF725Aug 5, 2021

  Based on record review and resident, family, and staff interviews, facility staff failed to respond in a timely manner (15 minutes) when residents activated their call lights for seven of seven residents reviewed. The facility reported a census of 48 residents. Findings include: During a confidential group interview on 08/02/21 01:30 PM 4 of 5 residents present stated the facility had long call light response times. The residents reported it took staff up to 30 to 45 minutes to provide assistance after they had turned on their call light. Two residents reported it took longer on weekends or during care and meal times. […]

• No harm, potential for more than minimal, isolatedF628Dec 18, 2025

  Based on clinical record review, staff interview and policy review, the facility failed to complete a discharge summary, including a recapitulation of stay, and failed to provide a discharge summary to the resident/family for 1 of 1 residents reviewed for discharge (Resident #65). The facility reported a census of 55 residents. Findings include:The admission Minimum Data Set (MDS) dated [DATE] documented Resident #65 admitted to the facility on [DATE] and had diagnoses to include fractures and other multiple trauma. Review of the clinical record for Resident #65 revealed the resident discharged from the facility on 9/23/25. […]