Corewell Health Rehabilitation & Nursing Center -

In the surveyor’s words

From the most serious findings on record at Corewell Health Rehabilitation & Nursing Center -, in the surveyor’s own words.

• Immediate jeopardy, isolatedF605Oct 1, 2025

  This citation pertains to intake: 2568667.Based on interview and record review, the facility failed to prevent the use of unnecessary psychotropic medications without adequate indication for use and without resident monitoring in 1 of 1 resident (Resident #101) reviewed for psychotropic medications, resulting in an Immediate Jeopardy when on [DATE] Resident #101 was prescribed a psychotropic medication, who then sustained a fall with a impacted acetabulum (hip socket) and pelvic fracture on [DATE] and subsequent death. Findings include: Resident #101 was prescribed lorazepam daily beginning [DATE]. Resident #101 had falls on 5/12, 5/20, and 5/28 with no major injury after no falls since February admission. […]

• Actual harm, isolatedF561Oct 1, 2025

  This citation pertains to intake: 2614764Based on interview and record review, the facility failed to ensure residents maintained their right to self-determination in 1 of 1 resident (Resident #100) reviewed for choices, resulting in frustration with not being able to go to sleep at a preferred bedtime, an altercation with staff and a left fractured humerus. Findings include: Resident #100: Review of an admission Record revealed Resident #100 was a female with pertinent diagnoses which included chronic pain, contracture of the left upper arm, debility, stroke, paralysis affecting left side, and dementia. […]

• Actual harm, isolatedF689Oct 1, 2024

  This citation pertains to intake #: MI00147147 Based on interview and record review the facility failed to ensure the safety and provide monitoring and/or supervision while eating in of 4 residents (Resident #1), reviewed for safety and supervision, resulting in Resident #1 choking on food and subsequent death. Findings: Resident #1 (R1) Review of an Admission Record revealed R1 was an [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: Dementia with behavioral disturbances, oropharyngeal dysphagia (difficulty swallowing), and a history of larynx cancer. R1 was his own responsible party (able to make his own decisions). […]

• Actual harm, isolatedF686Feb 1, 2023

  Based on observation, interview, and record review, the facility failed to comprehensively assess pressure related injuries and implement care plan interventions to prevent the development of a pressure ulcers in 1 of 3 residents (R201) reviewed for pressure ulcer prevention, resulting in the development of a pressure ulcer and the potential for infection, and overall deterioration of health status. Findings include: According to R201's Minimum Data Set (MDS) dated [DATE], R201 had diagnoses that included severe hypoxic ischemic encephalopathy and was dependent on staff for all activities of daily living. Section M revealed the resident was at risk of developing pressure ulcers and had received a clinical assessment with no unhealed pressure ulcer(s) at Stage 1 or higher. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observation, interview, and record review the facility failed to ensure the kitchen/kitchenettes' food contact and/or non-food contact surfaces were consistently maintained in a clean and sanitary manner and failed to consistently date, label, and discard food items appropriately with the potential to effect any resident out of the census of 98 who consumed food/beverages from the kitchen resulting in the potential for foodborne illness, physical food contamination, and/or pest issues.Findings include:Food Contact and/or Non-Food Contact Surfaces Not Maintained in a Clean and Sanitary Manner by Area:Ice Machines-During an observation and interview on 04/14/2026 at 9:29 AM, the ice machine in the kitchen had unknown black, orange, and pink material accumulated on the exterior of… […]