Norlite Nursing Center

In the surveyor’s words

From the most serious findings on record at Norlite Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Nov 4, 2022

  This deficient practice has two separate DPS's part A and part B: DPS A: Based on interview and record review, the facility failed to maintain an effective bowel management program for 17 Residents (#19, #4, #8, #9, #17, #27, #31, #46, #48, #49, #50, #52, #55, #59, #63, #66, & #225) of 73 residents reviewed. This deficient practice was identified as an immediate jeopardy (IJ) when one Resident (#19) developed signs and symptoms consistent with a bowel obstruction on 6/13/22. The facility failed to send Resident #19 to the emergency room (ER) per Resident #19's request and developed a perforated bowel which required emergency surgery on 6/20/22 and placement of a [CONDITION(S)] on 6/21/22. […]

• Immediate jeopardy, isolatedF678Dec 1, 2021

  This citation pertains to Intake MI 352. Based on interview and record review, the facility failed to ensure a resident's choice for advanced directives of Cardiopulmonary Resuscitation (CPR) was followed. This deficient practice was detected at an Immediate Jeopardy (IJ) level due to staff not providing CPR to a Resident (#1) who had elected to have full code resuscitation status and was found to be unresponsive, without pulse, and not breathing. This deficient practice led to Resident #1 not receiving CPR prior to death and had the potential to affect 19 other residents who continued to reside at the facility, and who had elected to have Full Code resuscitation status. […]

• Actual harm, isolatedF675Jan 28, 2026

  Based on observation, interview, and record review, the facility failed to ensure the necessary equipment was readily available to provide care for two dependent Residents (#62 and #46) out of 18 residents reviewed for quality of life. This deficient practice resulted in emotional distress, feelings of frustration, social isolation, and physical discomfort.Findings include:Resident #62 (R62)Review of R62's Electronic Medical Record (EMR) revealed initial admission to the facility on 3/8/23 with diagnoses including hemiparesis (partial weakness, reduced strength, and/or impaired motor function on one side of the body) following cerebral infarction (stroke), multiple sclerosis (MS), muscle weakness, and need for assistance with personal care. […]

• Actual harm, isolatedF600Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to prevent a Resident-to-Resident physical abuse, resulting in minimal harm for one Resident (R38) of two residents reviewed for abuse. This deficient practice resulted in numerous bruising sites and persistent fear of further abuse. Findings include: Intake Number: MI00139309 Review of the Facility Reported Incident (FRI) dated 9/10/23, revealed the following, .On 9/10/23 at 1556 (3:56 p.m.), (R50) exited his room on foot wearing socks, a shirt, and his brief. He glanced up the hall for a moment, and then proceeded to walk across the hall into (R38's) room. This had occurred 3 times prior in the past two weeks per (R38's) report. […]

• Actual harm, isolatedF684Aug 11, 2021

  Based on observation, interview, and record review, the facility failed toensure timely follow-up with a physician specialist according to physician order and professional standards of practice for one Resident (#4) of 16 residents reviewed for quality of care. This deficient practice resulted in actual harm when Resident #4 developed severe tissue damage with the potential for infection and [CONDITION(S)]. Findings include: Resident #4 Resident #4 was admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . coli) (a type of bacteria normally found in the lower intestinal tract of humans), urinary tract infection, [CONDITION(S)], acquired (surgical) absence of the left leg above and right leg above knee, cognitive communication deficit, and diabetes. […]