Michigan Veterans Home of Chesterfield Township

In the surveyor’s words

From the most serious findings on record at Michigan Veterans Home of Chesterfield Township, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 7, 2022

  This citation pertains to intake MI 306. Based on observation, interview, and record review the facility failed to prevent resident to resident abuse, for four sampled residents (R901, R902, R903, and R904) of four reviewed for abuse, resulting in an injury to R901's head and R904's hand. Findings include: Resident #901 (R901) A review of the facility's report incident allegation noted, It was reported there was a resident-to-resident physical abuse incident which resulted in injury. On 6/7/22 at 12:03 PM, R901 was observed in the common area of the unit. R901 was interviewed and asked about the incident but was unable to recall the incident. A review of R901's medical record noted, Incident 4/25/2022 19:28. […]

• No harm, potential for more than minimal, isolatedF684Mar 3, 2026

  This citation pertains to intake 2747949.Based on observation, interview, and record review, the facility failed to provide prompt care and services to one resident (R901) of three reviewed for quality of care. Findings include: On 03/03/26 at 8:50 AM, R901 was observed seated in their wheelchair, dressed interacting with a staff member who was working on the computer. At 2:54 PM, R901 was seated in an armchair with a walker toward the left of the chair, and a Certified Nurse Assistant (CNA) to their right. […]

• No harm, potential for more than minimal, isolatedF688Jan 31, 2023

  Based on observation, interview, and record review, the facility failed to apply and/or document refusals of a palm protector for one resident (R82) out of one reviewed for range of motion, resulting in the potential for contractures and/or delay in treatment. Findings include: On 1/30/2023 at 9:55 AM, an interview was conducted with R82 regarding their stay in the facility. R82 stated that they enjoyed being in the facility, however they would like their therapy to be a little more intense. R82 stated that they would like to work more on their hands and sitting up. […]

• No harm, potential for more than minimal, isolatedF880Jan 31, 2023

  Based on observation, interview, and record review, the facility failed to don a gown for a contact precaution room for one resident (R82) out of one reviewed for isolation precautions, resulting in the potential for the spread of infection. Findings include: A review of the medical record revealed that R82 admitted into the facility on [DATE] with the following diagnoses, Muscle Wasting and Atrophy and Unspecified Injury at Unspecified Level of Cervical Spinal Cord. A review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status score of 13/15 indicating an intact cognition. R82 also required total two-person assistance with bed mobility and transfers. […]