Cass County Medical Care Facility

In the surveyor’s words

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

• Actual harm, isolatedF658Mar 20, 2024

  This citation pertains to intake #MI00143146 Based on interview and record review the facility failed to provide services that meet professional standards of nursing practice related to assessing, monitoring and providing wound care dressing changes for 1 resident (Resident #101) of 3 residents reviewed for professional standards, resulting in ineffective monitoring, dressing changes not completed as ordered, inaccurate documentation, and Resident #101 having a skin tear not cared for for 4 days with signs and symptoms of a wound infection. Findings include: Review of an Admission Record revealed Resident #101 had pertinent diagnoses which included: unspecified dementia, general anxiety disorder, reduced mobility, and urinary tract infection. […]

• Actual harm, isolatedF684Mar 20, 2024

  This citation pertains to intake #MI00143146 Based on interview and record review the facility failed to assess, monitor, and treat a resident with a skin tear in 1 resident (Resident #101) of 3 residents reviewed for quality of care, resulting in an Resident #101 having a skin tear not cared for for 4 days and signs and symptoms of a wound infection due to lack of care. Findings include: Review of an Admission Record revealed Resident #101 had pertinent diagnoses which included: unspecified dementia, general anxiety disorder, reduced mobility, and urinary tract infection. […]

• Actual harm, isolatedF658Mar 22, 2023

  Based on interview and record review the facility failed to ensure residents received care in accordance with professional standards of nursing practice for 1 of 18 residents (Resident #40) resulting in the worsening and infection of a cyst. Findings include: Review of an Admission Record revealed Resident #40 was a male with pertinent diagnoses which included diabetes, weakness, anxiety, restlessness & agitation, reduced mobility, dementia, and lipomatous neoplasm of skin and subcutaneous tissue of right arm (fatty tumor located just below the skin), and cyst. Review of current Care Plan for Resident #40, revised on 3/13/23, revealed the focus, .I have been diagnosed with skin infection r/t (related to) cyst (middle upper chest) . […]

• Actual harm, isolatedF686Mar 22, 2023

  Based on observation, interview, and record review, the facility failed to prevent the development and /or worsening of pressure ulcers in 2 of 2 residents (R56 and R31) reviewed for pressure ulcer prevention, resulting in the worsening of a sacral pressure ulcer and deep tissue injury for R56 and the development of pressure ulcers for R31. Findings include: Resident #56: Review of an Admission Record revealed Resident #56 was a female with pertinent diagnoses which included pressure ulcer of sacral region stage 2, down syndrome, adult failure to thrive, need for assistance with personal care, kidney failure, and incontinence without sensory awareness. […]

• No harm, potential for more than minimal, widespreadF812May 7, 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 5/5/26 at 9:48 AM, an initial tour of the walk-in cooler found a large bowl of tartar sauce dated 4/8 to 5/8, when asked if this is made in house, Certified Dietary Manger (CDM) DD stated, yes. Further review of the cooler found an open package of hot dogs with no legible date to indicate discard, an open package of sliced turkey dated 4/28 to 5/3, and a chunk of ham dated for discard on 5/2. On 5/5/26 at 10:52 AM, a tour of the Nutrition Kitchen found a container of individual prune pudding cups dated 4/10 to 5/10. […]