Grayling Nursing & Rehabilitation Community

In the surveyor’s words

From the most serious findings on record at Grayling Nursing & Rehabilitation Community, in the surveyor’s own words.

• Actual harm, isolatedF684May 21, 2026

  This Citation Pertains to Intake 3009239. Based on interview and record review, the facility failed to implement and operationalize policies and procedures to ensure timely and comprehensive assessment, treatment, and documentation, per professional standards in practice, for change in condition for two Residents (#701 & #702) of three residents reviewed. This deficient practice resulted in: Delay in diagnostic testing and treatment for a Urinary Tract Infection (UTI) causing sepsis for Resident #701, and;Lack of monitoring and follow up of laboratory testing, causing Acute Kidney Injury (AKI) and need for emergency dialysis for Resident #702. […]

• Actual harm, isolatedF684Jan 16, 2024

  Based on observation, interview, and record review, the facility failed to adequately monitor a change in condition after a fall for one (Resident #1) of three residents reviewed for a fall with injury. This deficient practice resulted in a delay in the treatment of a hip fracture and a prolonged period of sustained intractable pain. Findings include: This citation pertains to intake MI00142046. Resident #1 (R1) Review of R1's electronic medical record (EMR) revealed admission to the facility on [DATE] with diagnoses including age-related osteoporosis (a condition in which bones become weak and brittle), fracture of first lumbar vertebra (a bone in the lower spine), and ankylosing spondylitis of the thoracic region (a type of arthritis that causes stiff, painful joints in the mid-back). […]

• No harm, potential for more than minimal, widespreadF814Mar 11, 2026

  Based on observation and record review the facility failed to properly dispose of waste and maintain dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility. Findings include: On 03/10/2026 at 2:05 PM observed both dumpsters full of garbage and due to the volume of garbage in the dumpsters, the lids would not close. Fourteen bags of garbage and eight empty cardboard boxes were noted sitting on the ground behind one of the full dumpsters. Record review of facility email communications with the garbage disposal company notes that pick up wash scheduled for Friday March 6th, and the pick-up never occurred.

• No harm, potential for more than minimal, widespreadF921Mar 11, 2026

  Based on observation and interview, the facility failed to maintain general repair of the premise. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents in the facility. Findings include:On 03/10/2026 at 12:59 PM observed the drain line from the three-compartment sink indirectly connected to the floor drain by means of a rubber adapter. Dietary Manager (DM) B was asked if raw vegetables were used in the facility and if so, where they were washed. DM B stated, Vegetables come in fresh and were washed in the third compartment of the three-bin sink. DM B said the rubber adapter was in place to prevent splashing onto the floor. […]

• No harm, potential for more than minimal, widespreadF880Feb 14, 2024

  Based on observation, interview, and record review, the facility failed to follow transmission-based precautions for five (Residents #3, #5, #14, #35, and #41) of 14 residents reviewed for a gastrointestinal illness. This deficient practice resulted in the potential for transmission of infectious organisms to all 56 residents of the facility. Findings include: On 2/12/24 at approximately 9:30AM, an observation of contact and droplet isolation precaution signage was noted on the door of room numbers 18, 19, and 20. The contact precaution signage read, in part: EVERYONE MUST: Clean their hands, including before entering and when leaving the room. PROVIDERS AND STAFF MUST ALSO: Put on gloves before room entry. Discard gloves before room exit. Put on gown before room entry. […]