Niles Care Center, LLC

In the surveyor’s words

From the most serious findings on record at Niles Care Center, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Aug 20, 2025

  This citation pertains to intake #2588471 and #2594155.Based on interview and record review, the facility failed to ensure residents received care in accordance with professional standards and advance directives were honored in 1 resident (Resident #101) of 4 residents reviewed for quality of care, resulting in an immediate jeopardy when, beginning on [DATE] at approximately 3:00 PM the resident had a serious acute change of condition (shortness of breath) and staff failed to assess, monitor and act promptly by notifying emergency services, resulting in death from cardiac arrest. […]

• Immediate jeopardy, isolatedF689Aug 20, 2025

  This pertains to intake #2592743.Based on observation, interview and record review the facility failed to prevent an elopement and ensure safety in 1 resident (Resident #104) of 4 residents reviewed for safety/supervision, resulting in an Immediate Jeopardy when on 8/15/25 at approximately 7:00 P.M., Resident #104 (who was a known elopement risk) exited the facility unbeknownst to facility staff through an emergency exit door and was discovered outside by another resident and EMS (emergency medical services) who notified facility staff. Resident #104 was approximately 350 feet from the facility driveway walking alongside the main road, when he was first attended by facility staff at approximately 7:15 PM. […]

• Immediate jeopardy, isolatedF678Dec 20, 2022

  This citation pertains to intake MI00132852. Based on interview and record review, the facility failed to follow and implement their CPR (cardiopulmonary resuscitation) policy regarding AED use for 1 of 1 resident (Resident #143) reviewed for events surrounding death, resulting in an immediate jeopardy when beginning on [DATE] at approximately 9:20 AM, the facility failed to ensure that staff had access to a working AED (automated external defibrillator) per facility policy and Resident #143 was found unresponsive with no pulse or respirations and CPR was initiated. Resident #143 was pronounced dead at the hospital. […]

• Actual harm, isolatedF697Dec 10, 2025

  This citation pertains to Intake #2682078.Based on observation, interview, and record review, the facility failed to ensure that 1 resident (Resident #3) received physician ordered pain medication for effective pain management in 1 of 3 residents reviewed for medication management resulting in uncontrolled pain for 11 days and unmet needs.Findings include: Resident # 3 (R3) Review of the admission Record and Minimum Data Set (MDS) dated [DATE] revealed R3 admitted to the facility on [DATE] with pertinent diagnoses including chronic pain, obesity, depression and osteoarthritis left hip (degenerative joint disease where joint cartilage breaks down causing bones to rub, leading to pain in the groin, buttocks and outer thigh, stiffness, swelling and reduced movement). […]

• Actual harm, isolatedF689Oct 4, 2023

  This citation pertains to intake # MI00139483 Based on observation, interview, and record review, the facility failed to provide adequate supervision and assistance during cares for 1 (Resident #100) of 3 reviewed for falls, from a total sample of 5, resulting in Resident #100 sustaining a fall, fractured femur, decreased functional abilities, increased pain, and emotional distress. Findings include: Review of a Admission Record for Resident #100 dated 7/27/23 revealed the resident was admitted to the facility with the following pertinent diagnoses: Heart Failure ( a condition in which the heart does not pump blood as well as it should), Chronic Respiratory Failure(condition in which the lungs cannot get enough oxygen into the blood), Muscle Weakness, Major Depressive Disorder, Weakness,… […]