Hazel I Findlay Country Manor

In the surveyor’s words

From the most serious findings on record at Hazel I Findlay Country Manor, in the surveyor’s own words.

• Actual harm, isolatedF684May 5, 2021

  This Citation Pertains To Intake #MI 590 Based on interview and record review, the facility failed to follow Physician orders for 1 of 4 residents (R1) reviewed for quality of care, resulting in one on one supervision not being assigned as ordered by the physician and R1's subsequent death. Findings include: According to the clinical record Resident 1 (R1) was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . R1 was admitted for short term rehabilitation with the intent to return home with family. R1 expired at the facility on [DATE]. Review of the nursing progress notes Late entry from [DATE]. Resident A+OX1 (person) and follows commands without difficulty. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2025

  Based on observation, interview, and record review the facility failed to effectively clean and maintain food service equipment affecting 99 residents. On 09/10/2025 at 08:31 a.m. an initial tour of food services was conducted with Dietary Aide F and then Certified Dietary Manager (CDM) G. The following items were observed:Main Freezer had ice on the floor approximately 1 inch tall and the circumference of a silver dollar. Dietary Aide F explained that it may be coming from the cooler refrigeration fan.Dishwasher was observed to have lime scale on the outside of the machine and floor was visibly soiled around the dishwasher.Hand sink to the right of the entrance was visible soiled and the faucet was covered with lime scale.Hand sink across from the tray line was visible soiled and the… […]

• No harm, potential for more than minimal, patternF602Jul 13, 2022

  This citation pertains to intake MI 780. Past Non-Compliance was determined appropriate by the state agency for this citation. Plan outlined below. Based on observation, interview and record review, the facility failed to prevent misappropriation for 4 residents (Residents #16, #31, #42 and #178), reviewed for misappropriation. The deficient practice resulted in the misappropriation of controlled medications (narcotics) from Residents #16, #31, #42 and #178 when their medications were signed out but the nurse was never observed entering the rooms to administer the medications. Findings include: The facility provided the policy Abuse, Neglect and Exploitation dated 5/2005 with a last revised date of 2/12/21 for review. […]

• No harm, potential for more than minimal, isolatedF607Sep 15, 2025

  Based on observation, interview, and record review the facility failed to implement its own written policies and procedures for Abuse and Neglect for two residents (#6, #15) of 4 residents reviewed. Resident #6 (R6): Per the facility face sheet R6 was admitted to the facility on [DATE]. R6 had stated during the screening process on 9/10/2025 that about two weeks ago she had waited two hours for her call light to be answered. R6 said the RCA (resident certified aid), who she could not recall the name of, entered her room and was disgusted with her, then turned her side to side jerking her side to side; then told her to stop yelling, but she could not because it was hurting her. […]

• No harm, potential for more than minimal, isolatedF609Sep 15, 2025

  Based on observation, interview, and record review the facility failed to report an allegation of abuse to the State Agency for two residents (#6,#15) of four residents reviewed for abuse. Findings Included: Resident #15 (R15) Review of the medical record revealed R15 was admitted to the facility 05/12/2025 with diagnoses that included Huntington’s Disease (inherited condition in which nerve cells in the brain break down over time), dry eye syndrome, bilateral myopia (near sightedness), bilateral astigmatism, dysphagia (difficulty swallowing), gastro-esophageal reflux, depression, and insomnia. […]