Michigan Veteran Homes at Grand Rapids

In the surveyor’s words

From the most serious findings on record at Michigan Veteran Homes at Grand Rapids, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jun 11, 2026

  Based on observation, interview, and record review the facility failed to ensure the kitchen/kitchenettes' food-contact and/or nonfood-contact surfaces were consistently maintained in a clean and sanitary manner or good repair with the potential to affect any resident out of the census of 121 who consumed food/beverages from the kitchen resulting in the potential for foodborne illness and/or physical food contamination.Findings include:Slicer:During an observation and interview on 06/9/26 at 10:31 AM, the slicer (meat/deli slicer) in the main kitchen had dried brown food debris in several areas between the blade and metal plate surrounding it. […]

• No harm, potential for more than minimal, widespreadF812Feb 8, 2023

  Based on observation, interview, and record review the facility failed to properly date mark and discard food product. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected all residents who consume food from the kitchen. Findings Include: During the initial tour of the kitchen, starting at 9:18 AM on 2/6/23, an interview with Culinary Supervisor (CS) D, found that potentially hazardous foods are labeled with a preparation date to keep track of date marking. Observation of the walk-in cooler found an opened bag of lettuce with a use by date of 2/4/23. […]

• No harm, potential for more than minimal, isolatedF657Jun 11, 2026

  Based on interview and record review, the facility failed to review and revise a comprehensive, individualized plan of care for 4 (Resident #13, #86, and #111) of 24 residents reviewed for care plans, resulting in the potential for further falls to occur. Findings include: Resident #13 Review of an admission Record revealed Resident #13 was originally admitted to the facility on [DATE] with pertinent diagnoses which included difficulty in talking and limitation of activities due to disability. […]

• No harm, potential for more than minimal, isolatedF689Jun 11, 2026

  Based on interview and record review, the facility failed to provide adequate supervision and implement appropriate care planned interventions for 1 (Resident #16) of 10 residents reviewed for falls, resulting in the potential for residents to sustain a fall with injury. Findings include: Resident #16: Review of admission Record revealed Resident #16 was a female with pertinent diagnoses which included anxiety disorder, diabetes, Alzheimer's disease, wandering, dementia (decline in mental abilities severe enough to interfere with daily life), lack of coordination, adjustment disorder (emotional or behavioral responses to a stressor is prolonged, causing disruption to your life), cognitive communication deficit (impairment in communication from underlying brain changes), and need for… […]

• No harm, potential for more than minimal, isolatedF842Apr 30, 2025

  Based on interview, and record review, the facility failed to maintain complete and accurate medical records for 1 resident (Resident#25) of a total sample of 25, resulting in a potential for missed wound care and worsening of a wound going unrecognized. Findings include: Review of an admission Record revealed Resident #25 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: atherosclerosis (condition causing a narrowing of blood vessels due to the build up of plaque, pressure ulcer of the sacral region (lower back, base of spine, pelvic area), diabetes (condition resulting in elevated blood sugar levels), and chronic pain. […]