Ingham County Medical Care Facility

In the surveyor’s words

From the most serious findings on record at Ingham County Medical Care Facility, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 30, 2023

  Based on observation, interview and record review facility failed to: 1) accurately assess, monitor and prevent the development of pressure ulcers consistent with professional standards of practice to prevent avoidable pressure ulcers; and 2) implement care-planned and non-care-planned interventions for one Resident (R21) of four reviewed for pressure ulcers, resulting in R21 facility acquired stage 4 pressure wound(Full thickness tissue loss with exposed bone, tendon or muscle) that developed infection requiring antibiotic treatment, pain, and the increased likelihood for delayed wound healing and/or worsening of wounds and overall deterioration in health status. […]

• Actual harm, isolatedF689Feb 23, 2023

  This citation pertains to MI00132943 and MI00132547 Based on observation, interview and record review the facility failed to prevent falls and/or accidents for three (Resident #113, #114 and R111) of five reviewed, resulting in fall from mechanical lift with injuries and fracture and skin tear during care. Findings include: Resident #113(R113) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R113 was a [AGE] year-old female admitted to the facility on [DATE], with diagnoses that included hypertension (high blood pressure), dementia, arthritis, diabetes, seizure disorder, and anxiety. […]

• No harm, potential for more than minimal, widespreadF804Dec 15, 2025

  Based on observations, interviews, and record reviews, the facility failed to: (1) provide palatable food products, and (2) provide consistent dietary glassware and flatware affecting 131 residents who consume food, resulting in the increased likelihood for resident decreased food acceptance, nutritional decline, and undignified dining.Findings include:During an observation, interview and record review on 12/09/2025 at 12:10 PM several residents were sitting in Main Dining Room and staff were present appearing to be getting ready to serve lunch. Review of the posted menu located behind the silverware at the serving window reflected tomato Florentine soup, Korean BBQ chicken, moist fluffy rice, curried cauliflower, [NAME] gelatin, margarin, and 2% milk was on the menu for lunch. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2025

  Based on observations, interviews, and record reviews, the facility to effectively clean and maintain food service equipment affecting 131 residents who consume food, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings include:On 12/09/2025 at 10:25 A.M., An initial tour of the food service was conducted with Dining Service Director F. The following items were noted: One 12-inch-wide by 12-inch-long return-air-exhaust ventilation grill was observed heavily soiled with accumulated and encrusted dust/dirt deposits, adjacent to the mechanical dish machine. […]

• No harm, potential for more than minimal, widespreadF812Oct 11, 2024

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety. Findings include: An observation of the main kitchen reach in cooler on [DATE] at 08:36 AM with Dining Services Manager (DSM) P revealed the following: - a container of chicken with a use by date of [DATE] - two containers of pureed vegetables with a use by date of [DATE] - a container of blue cheese dressing with a use by date of [DATE] - a container of pureed pasta with a use by date of [DATE] - an unlabeled/undated container of food. DSM P removed the expired/undated food items from the cooler and reported they believed the unlabeled container was pumpkin pie filling. […]