MyMichigan Medical Center Sault

In the surveyor’s words

From the most serious findings on record at MyMichigan Medical Center Sault, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jul 28, 2021

  Based on observation, interview, and record review, the facility failed to maintain adequate Infection Control procedures due to failure to: 1. Properly isolate a Resident (#36) who had an exposure to a COVID-19 positive Resident (#16). 2. Ensure a Resident (#18) who was not under investigation for COVID-19 exposure was not placed with a Resident (#36) who was under investigation for COVID-19 exposure. 3. Implement and/or maintain isolation measures for Residents (#14, #15, #17, #27, #29, #34, #36, #142) under investigation for COVID-19 exposure or symptoms consistent with COVID-19. 4. Properly dispose of waste from a Resident (#36) room under investigation for COVID-19 exposure. 5. Perform hand hygiene when necessary to prevent spread of infections. 6. […]

• Actual harm, isolatedF686Jan 14, 2026

  Based on observation, interview and record review, the facility failed to effectively monitor for progression of a Stage IV pressure injury (full-thickness tissue loss with exposed muscle, bone, tendon or cartilage exposed) for one Resident (#21) of two residents reviewed for pressure injuries. This deficient practice resulted in unidentified worsening of the wound with infection requiring debridement and intravenous (IV) drug therapy.Findings include:Resident #21 (R21)An observation on 1/12/2026 at 12:49 p.m. revealed R21 seated in bed, reading. A wound vac (vacuum-assisted wound closure device) was observed with tubing leading from the device toward the resident, disappearing under the Resident's blanket near the area of her buttocks. […]

• Actual harm, isolatedF689Feb 19, 2025

  This citation pertains to intake MI00150095. Based on observation, interview and record review, the facility failed to follow care planned interventions to ensure staff performed safe transfers for two Residents (#1 and #3) of four residents reviewed. This deficient practice resulted in actual harm when Resident #1 experienced a fall resulting in a right femur fracture and subsequently required surgical intervention and pain. Findings include: Resident #1 (R1) Review of a Witnessed Fall, report, provided by the Director of Nursing (DON) and dated 1/29/2025 at 5:41 p.m., revealed the following: Resident [R1] was ambulating x 1 CNA [Certified Nursing Assistant] assist to toilet when legs became weak, and the resident was lowered to the ground with a gait-belt . […]

• Actual harm, isolatedF689Jul 27, 2023

  This citation pertains to intake MI00138227. Based on observation, interview and record review, the facility failed to safely transfer one Resident (R35) of three residents reviewed for accidents. This deficient practice resulted in actual harm when R35 fell to the floor and sustained a left femur (thigh bone) fracture and left tibia (shin bone) dislocation with subsequent hospitalization , surgical intervention and pain. Findings include: On 7/26/2023 at 10:20 a.m., R35 was observed in her room, sitting in bed. R35 was observed wearing an immobilizing leg brace on her left leg. R35's left lower extremity could not be visualized due to being covered by the brace from her mid-thigh to ankle. […]

• Actual harm, isolatedF760Jul 27, 2023

  This citation pertains to intake MI00136508. Based on interview and record review, the facility failed to ensure freedom from significant medication errors for one Resident (R20) of three residents reviewed for medication administration. This deficient practice resulted in actual harm when R20 was administered another Resident's (R35) narcotic medication, resulting in R20 becoming unresponsive, requiring resuscitation and hospitalization . Findings include: A review of R20's Emergency Department Note, dated 4/22/2023, revealed the following: (R20) presents the (sic) emergency department sent over from long-term care for acute altered mental status change. In emergency department . unresponsive to voice . has shallow and slow repirations . […]