Mackinac Straits Long Term Care Unit

In the surveyor’s words

From the most serious findings on record at Mackinac Straits Long Term Care Unit, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 15, 2025

  This citation pertains to intakes 2638726 and 2641135.Based on observation, interview and record review the facility failed to provide safe transport to an outside appointment for one Resident (#10) of three residents reviewed for accidents/hazards. This deficient practice resulted in harm when R10 sustained a fractured left hip from being improperly secured during transport and fell from her seat when the transport van hit an obstacle in the road. Findings include:Resident #10 (R10)Review of the Minimum Data Set (MDS) assessment, dated 9/10/2025, revealed R10 was admitted to the facility on [DATE] and had diagnoses including diabetes and heart failure. […]

• Actual harm, isolatedF686Jun 26, 2024

  Based on observation, interview, and record review the facility failed to ensure timely interventions to prevent facility acquired pressure injuries for one resident (#16) and failed to ensure comprehensive wound documentation for two residents (#16 and #6), per professional standards of practice. This deficient practice resulted in harm when resident #16 developed two Stage 2 pressure injuries and the potential for worsening and delayed healing of Stage 3 pressure injury for resident #6. Resident #16 (R16) A review of the Electronic Medical Record (EMR) for R16 revealed admission to the facility on [DATE] with diagnoses of Alzheimer's disease (progressive memory disorder), Down Syndrome (intellectual and developmental delay condition), and seizures. […]

• No harm, potential for more than minimal, widespreadF812Jul 1, 2026

  Based on observation, interview, and record review, the facility failed to maintain proper food safety and equipment in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 6/29/2026 at 10:45 AM, observed the slicer was covered with a clear protective cover. During this observation, when asked, Long-Term Care [NAME] F said that the protective cover means that the slicer has been cleaned and sanitized and is ready for use again. The exterior of the slicer was observed with dried tomato debris and seeds stuck to the slicer. Dietary cook for Hospital Acute Care G, stated Dietary [NAME] (DC) I normally cuts all the tomatoes on the slicer. DC I was not working at the time of the observation. […]

• No harm, potential for more than minimal, widespreadF880Jul 1, 2026

  Based on observation, interview and record review, the facility failed to follow proper infection control practices including: 1) adhering to Personal Protective Equipment (PPE) requirements in accordance with facility policy and CDC recommendation for one Resident (#37) of one reviewed for transmission based precautions and 2) failing to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility.Findings Include: Resident #37 (R37) The medical record revealed R37 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF880Apr 26, 2022

  .Based on interview and record review, the facility failed to perform appropriate tracking and surveillance pertaining to Covid outbreaks for two of three months reviewed (January and March 2022) for Covid outbreak surveillance and one month (April, 2022) of four months reviewed for overall infection tracking. This deficient practice resulted in the potential for lack of awareness of clusters and opportunities to contain the spread of Covid and other potentially contagious infections. Findings include: During an interview with the Director of Nursing (DON) on 4/26/22 at 10:45 a.m., the DON reported there had been Covid outbreaks in the facility during the months of January and March of 2022. […]