Hoyt Nursing & Rehab Centre

In the surveyor’s words

From the most serious findings on record at Hoyt Nursing & Rehab Centre, in the surveyor’s own words.

• Actual harm, isolatedF686May 22, 2025

  Based on observation, interview and record review, the facility failed to prevent the development of a facility-acquired, Stage IV pressure ulcer for one resident (Resident #58) of two residents reviewed, resulting in the development of a new left heel pressure injury, while residing in the facility with the potential for pain /discomfort, prolonged illness, and infections. Findings include: Resident #58: In an interview on 05/20/25 at 08:56 AM Resident #58 stated that she has a new sore to the bottom of her foot that she did not have when she came. Resident #58 was noted to be seated in a reclining position in the bed watching (Detroit) Tiger baseball on TV. Observation of APM air mattress to bed was in place set to 27-minute cycle with #5 comfort level settings. […]

• Actual harm, isolatedF600Apr 11, 2025

  This Citation pertains to Intake Numbers MI00151907 and MI00152097. Based on observation, interview and record review, the facility failed to prevent resident-to-resident abuse/assault of one resident (Resident #101), resulting in Resident #101, who was totally dependent for all care and had bilateral lower limb amputations and upper extremities contractures, receiving a black eye with facial contusions while residing in the facility. Findings include. Record review of the Health Care Association of Michigan (HCAM) 'Rights or Residents in Michigan Nursing Facilities' 2022 booklet revealed 'You have the right to designate a representative, in accordance with state law and any legal surrogate so designated may exercise the resident's rights to the extent provided by state law . […]

• Actual harm, isolatedF684Apr 11, 2025

  This Citation pertains to Intake Number MI00151904. Based on interview and record review, the facility failed to 1) Ensure that a timely, complete and accurate resident assessment was done for a change of condition and 2) Transfer a resident to the hospital in a timely manner for 1 resident (Resident #101) of 5 residents reviewed for quality of resident care, resulting in a failure to transfer to the hospital during an acute change of condition, decreased blood pressure, increased pulse rate, increased temperature, and, subsequently, death. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 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 who consume food from the kitchen. Findings include:On 07/07/2026 at 9:15 AM during the initial kitchen tour, a dirty fan with dust on the surface of the fan was observed blowing directly at clean plates stored on a cart and wrapped silverware near the steam table. On 07/07/2026 at 9:23 AM a yellow discoloration on the interior wall of the ice machine was observed. During this observation, Dietary Manager S acknowledged that she saw the yellow discoloration and stated she will have the ice dumped out and have the machine cleaned. […]

• No harm, potential for more than minimal, widespreadF888Mar 16, 2022

  Based on observation, interview and record review, the facility 1) Failed to oversee and ensure that unvaccinated employees had documented COVID-19 testing results, 2) Failed to ensure that one 1st step nursing assistant had a complete vaccination status prior to working in the facility, 3) Failed to ensure that an Agency Nurse had documented vaccination status prior to working in the facility; and 4) Failed to ensure that use of N-95 respiratory protection was followed for unvaccinated employees, resulting in the likelihood of the spread of COVID-19 to residents, staff and visitors. Findings include. On 3/15/22, at 11:00 AM, Nurse B was observed to have a surgical mask on. Nurse B offered they were unvaccinated against COVID-19. […]