Lansing Care and Rehab

In the surveyor’s words

From the most serious findings on record at Lansing Care and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF689Feb 17, 2026

  The facility documented a census of 52 residents. The sample included three residents. Based on observation, record review and interview, the facility failed to ensure a safe environment free from preventable accidents when staff turned cognitively impaired Resident (R) 1 and her wheelchair into her bed on 02/01/26, causing R1 to hit her left knee on the bed frame and R1 cried out in pain that staff broke her knee. The direct care staff decided to hug transfer R1 to bed without help from another direct care staff and R1 screamed they broke my [expletive] knee. R1 was dependent on staff for transfers and mobility in her wheelchair. The direct care staff informed the Nurse on 02/01/26 of the increased pain to R1's left lower extremity. […]

• Actual harm, isolatedF690Dec 19, 2023

  The facility identified a census of 50 residents. Three residents were reviewed for catheter (flexible tubing inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) care. Based on record review, interview, and observation, the facility failed to provide appropriate catheter cares for Resident (R) 1's indwelling urinary catheter when staff failed to provide flushes as ordered by the physician to prevent urinary tract infections (UTI), failed to ensure catheter cares were provided using acceptable standards of infection control practices, and failed to ensure interventions were consistently and correctly implemented to anchor the catheter to prevent worsening of catheter associated trauma. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2025

  The facility identified a census of 58 residents. The facility identified nine residents on Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms, which employ targeted gown and glove use during high contact care) and one resident on contact precautions (safeguards designed to reduce the risk of transmission of microorganisms by direct or indirect contact). Based on observations, interviews, and record review, the facility failed to ensure Resident (R) 62's continuous positive airway pressure (CPAP- ventilation device that blows a gentle stream of air into the nose to keep the airway open during sleep) mask was stored in a sanitary manner, and further failed to develop, implement, and maintain a water management program to… […]

• No harm, potential for more than minimal, patternF761Nov 17, 2025

  The facility identified a census of 58 residents. The sample included 16 residents, with one medication room, three medication carts, and two treatment carts. Based on observation, interviews, and record review, the facility failed to appropriately store medications and biologicals when staff failed to ensure the medication carts were always locked when the cart was not within the nurses' line of sight. Findings included:- On 09/22/25 at 07:33 AM, the treatment cart containing residents' treatment supplies, as-needed (PRN) creams, and insulin (hormone medication used to lower blood glucose) pens was unlocked. The cart was in the 200 Hall, and the Administrative Nurse E locked the medication cart. […]

• No harm, potential for more than minimal, patternF880Oct 5, 2022

  The facility identified a census of 56 residents. Based on observations, record review, and interviews, the facility failed to ensure proper hand hygiene, failed to disinfect mechanical lifts after resident usage, and failed to provide sanitary respiratory care and services for Resident (R) 3. This deficient practice increased the risk to spread illness and infection to all affected residents. Findings included: - On 10/05/22 at 11:28 AM, Administrative Nurse D donned (put on) gloves to perform a glucometer (instrument used to calculate blood glucose) check on R1 then doffed (removed) gloves. She exited R1's room and donned gloves to sanitize glucometer. Administrative Nurse D doffed gloves and touched papers handed to her by another staff member. […]