Canal View - Houghton County

In the surveyor’s words

From the most serious findings on record at Canal View - Houghton County, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 8, 2023

  This deficiency pertains to Facility Reported Incident (FRI) MI00141290. Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent an elopement which resulted in the likelihood of serious harm, injury, impairment, or death to one Resident (R102) out of one resident reviewed for safety and supervision. Review of the facility Investigation Summary Conclusion: [R102] exited the main door of Woodland Haven (secured Alzheimer's unit) unattended . […]

• Actual harm, isolatedF689Sep 25, 2025

  Based on interview and record review, the facility failed to ensure adequate toileting assistance to prevent a fall, for one Resident (R2) of three residents reviewed for falls. This deficient practice resulted in a fall with major injury, including fractured facial bones and subdural hematoma. Findings include: This deficiency pertains to Intake 2625013,Review of R2's Electronic Medical Record, revealed R2 was admitted to the facility on [DATE], with diagnoses that included the following, in part: Alzheimer's disease with late onset, dementia with agitation, dementia with anxiety, reduced mobility, need for assistance with personal care, stiffness of right hip, stiffness of left hip, and stiffness of right knee. […]

• Actual harm, isolatedF689Mar 6, 2024

  This citation pertains to Intake MI00142963. Based on observation, interview, and record review the facility failed to provide a safe transfer for one Resident (R1) of three residents reviewed for accidents and hazards. This deficient practice resulted in hospitalization for a right, lower leg fracture. Findings include: Resident #1 (R1) Review of the history and physical from the hospital dated 2/16/24, revealed R1 experienced pain in her leg and then transferred to hospital where an X-ray was performed on right knee. Review of progress note from the hospital records dated 2/17/24, stated R1 sustained a fracture of the proximal tibial metadiaphysis fracture near the knee in the larger of the two bones in the lower leg. […]

• Actual harm, isolatedF686Dec 8, 2023

  Based on observation, interview, and record review, the facility failed to provide necessary treatment and services to promote healing of a pressure injury and prevent the development of an additional pressure injury for one resident (R73) of two residents reviewed for wounds. This deficient practice resulted in harm when R73 developed a stage 3 pressure injury to the coccyx in addition to an existing facility-acquired pressure injury on the coccyx. Findings include: Resident 73 (R73) was admitted to the facility on [DATE] with diagnoses that included but were not limited to: need for assistance with personal care, contracture of the right shoulder, contracture of the left shoulder, dependence on wheelchair, symptoms and signs involving cognitive functions and awareness, catatonic… […]

• Actual harm, isolatedF689Jul 14, 2021

  This citation refers to Intake MI # 248: Based on observation, interview and record review, the facility failed to ensure that one Resident (#208) was adequately supervised out of three Residents reviewed for supervision. This deficient practice resulted in Resident #208 entering Resident #108's room during the evening hours, and Resident #108 experiencing psychosocial outcome of [CONDITION(S)] ([CONDITION(S)]). Findings include: A review of a facility reported incident, dated 9/14/20, revealed the following, .Social Worker (SW) F was working in the Memory Care Unit and noted Resident (#108) to appear to look upset. (SW F) asked (Resident #108) what was wrong and she stated she was, Raped last night. […]