Dimondale Nursing Care Center

In the surveyor’s words

From the most serious findings on record at Dimondale Nursing Care Center, in the surveyor’s own words.

• Actual harm, patternF689Apr 28, 2022

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and safe transfers to prevent falls in 5 of 7 residents (Resident #101, #48, #10, #86, and #110) reviewed for falls, resulting in falls with majory injury (fracture(s)) for Resident #48 and #10, fall with injury needing outside medical intervention for Resident #101, and the potential for falls with injury for Residents #86 and #110. Findings include: Resident #101 Review of an Admission Record revealed Resident #101 admitted to the facility on [DATE] with pertinent diagnoses which included dementia and age related physical debility. […]

• Actual harm, isolatedF686Jul 8, 2025

  Based on observation, interview, and record review the facility failed to correctly identify, treat, resulting in worsening and non-healing of pressure ulcers for three residents (R29, R32, R81) out of five residents reviewed for pressure ulcers. Findings Include: Resident #29 (R29) Wounds were reviewed for R29. Review of the medical record reflected R29 was admitted to the facility on [DATE], with diagnoses that included chronic pain, delirium, and reduced mobility. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of [DATE], reflected R29 scored 9 out of 15 (cognitively impaired) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). […]

• Actual harm, isolatedF684Feb 13, 2025

  Based on observation, interview and record review, the facility failed to assess, monitor, document, and provide appropriate and timely treatment per professional standards of practice for one (#9) of one Residents reviewed for management of known Congestive Heart Failure (CHF-inability of the heart to pump blood efficiently, causing shortness of breath, fatigue, leg and foot swelling, and weakness), resulting in a 44 pound weight gain, shortness of breath, acute respiratory failure with hypoxia, acute pulmonary edema and acute re-hospitalization for acute exacerbation of CHF. […]

• Actual harm, isolatedF580Jun 28, 2024

  This citation refers to intake MI00145124. Based on observation, interview and record review, the facility failed to competently assess and monitor for changes in condition and notify the physician of pertinent findings in a timely manner for 2 residents (Resident #103 and Resident #104) resulting in the potential for and actual harm from unrecognized, clinically significant changes in condition and uncontrolled pain. Findings: Resident #103(R103) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R103 was a [AGE] year old male admitted to the facility on [DATE], with diagnoses that included aftercare arthroplasty right hip removal prosthesis and insertion of antibiotic spacer post hip infection, muscle weakness, need for assistance with person care,… […]

• Actual harm, isolatedF684Jun 14, 2024

  Based on observation, interview, and record review, the facility failed to provide timely, appropriate care and services to meet the needs of three of 27 residents reviewed for quality of care (Resident #11, Resident #15 and Resident #121), from a total of 27 sampled residents, resulting in these residents potentially not receiving adequate and/or appropriate care required for them to maintain or achieve their highest practicable physical well-being. Findings Include: Resident #11 (R11) Review of the medical record reflected R11 was an initial admission to the facility on [DATE] with a readmission on 04/25/24. […]