MyMichigan Skilled Nursing Facility

In the surveyor’s words

From the most serious findings on record at MyMichigan Skilled Nursing Facility, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 6, 2024

  Based on observation, interview and record review, the facility failed to prevent the development of facility-acquired pressure ulcer injuries for one resident (Resident #8), resulting in facility-acquired (in-house) development of pressure ulcers, pain, discomfort, and the likelihood for prolonged illness or hospitalization . Findings include: Record review of the facility provided 'Skilled Nursing Facility Skin Conditions Prevention and Treatment' policy, dated 11/20/2023, revealed the purpose was to promote the prevention of pressure ulcer development, healing of those that are present and prevention of additional pressure wounds. Pressure injury- is localized damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical or other device. […]

• Actual harm, isolatedF689Mar 6, 2024

  Based on observation, interview and record review, the facility failed to implement and operationalize policies and procedures for fall prevention for one resident (Resident #6) of five residents reviewed, resulting in a lack of implementation of Physical Therapy recommendations, lack of enactment and reevaluation of planned care plan interventions, and Resident #6 experiencing a fall with a head laceration necessitating emergency medical treatment, staples, unnecessary pain, and the likelihood for additional falls with injury. Findings include: Resident #6: On 3/4/24 at 11:23 AM, Resident #6 was not in their room. An observation of their room was completed. There were no fall prevention interventions, including a fall mat observed in the room. […]

• Actual harm, isolatedF689Nov 15, 2023

  This Citation pertains to Intake Number MI00140583. Based on observation, interview and record review, the facility failed to ensure necessary supervision for one resident (Resident #101), who was left in the dining room unsupervised with a hot cup of coffee, which did not have a lid on it. The resident spilled the hot coffee on her lower abdomen and upper thigh area, resulting in first and second degree burns, pain, wound care and prolonged healing time. Findings Include: Resident #101: Review of the Face Sheet, Minimum Data Set (resident assessment tool) dated 9/22/23, progress notes dated 10/20/23, physician's orders dated 10/20/23 through 11/16/23 and care plans dated 9/21/23, revealed that Resident #101 was [AGE] years-old, admitted to the facility on [DATE], had decreased cognition,… […]

• No harm, potential for more than minimal, widespreadF880Apr 15, 2026

  Based on observation, interview, and record review, the facility failed 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 existing and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility. Findings include:On 04/14/2026 at 9:53am observed two spigots on dirty side of laundry room. During this observation, Housekeeping Manager C was interviewed on whether the spigots were used for anything, and she stated they are not used. On 04/14/2026 at 9:55am observed two dead-end lines coming down from the ceiling that are not connected to anything, adjacent to the washers. […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2024

  Based on observation, interview and record review, the facility failed to label food items with Use by dates, resulting in an increased likelihood for food borne illness with hospitalization and potentially affecting all 24 residents who consume oral nutrition from the facility kitchen. Findings include: Record review of facility provided 'Food and Supply Storage' policy, dated 1/2024, revealed all food, non-food items and supplies used in food preparation be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption. Procedure: Most, but not all products contain an expiration date. The words sell-by, best-by or use-by should precede that date. […]