Sanilac Medical Care Facility

In the surveyor’s words

From the most serious findings on record at Sanilac Medical Care Facility, in the surveyor’s own words.

• Actual harm, isolatedF686Jul 1, 2024

  This Citation pertains to Intake Numbers MI00140471 and MI00142854. Based on observation, interview, and record review the facility failed to ensure comprehensive documentation and evaluation to prevent the development of an unstageable facility-acquired pressure ulcer for one resident (Resident #63) of seven residents reviewed for alterations in skin integrity, resulting in Resident #63 acquiring and developing an unstageable pressure ulcer. Findings include: Resident #63: During initial tour on 6/25/2024, Resident #63 was observed sitting in bed visiting with his wife. He stated his goal was to return home but know he has some work to do before that can occur. […]

• Actual harm, isolatedF689Jul 1, 2024

  This Citation pertains to Intake Numbers MI00144103 and MI00144517. Based on observation, interview and record review, the facility failed to ensure appropriate interventions were in place, interventions were followed and supervision was provided to prevent falls with injury for 2 residents (Resident #38, and Resident #44) of 5 residents reviewed for falls, resulting in Resident #38 falling during a transfer, having pain and a decline in transfer status to a Hoyer lift, and Resident #44 sustaining fractures in her right foot during a transfer. Findings Include: Resident #44: Accidents: On 6/25/24 at 10:56 AM, Resident #44 was observed sitting in a wheelchair in her room. She was alert and talkative. She said she broke some of her toes on her right foot during a transfer in the bathroom. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observation, interview, and record review, the facility failed to maintain best practices in the kitchen resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings include:On 08/19/2025 at 8:45AM during the initial kitchen tour with the Certified Dietary Manager (CDM) N, the rag sanitizer bucket was tested with Hydrion quaternary ammonia test strips, and the result was zero. The CDM N changed out the bucket and retested it, and the second result was between 150-200ppm. On 08/20/2025 at 9:03 AM the rag sanitizer bucket was retested with the quaternary test strips, and the result was zero. […]

• No harm, potential for more than minimal, widespreadF921Aug 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure cleanliness of the water system and the use of appropriate backflow prevention on cross connections. This deficient practice increases the likelihood of contamination of the water supply due to uncleanliness and a potential backflow event, potentially affecting all residents, staff, and visitors who consume water at the facility. Findings include:On 08/19/2025 at 1:30PM during the environmental tour with the Director of Operations K, Maintenance Assistant L, and Maintenance Assistant M, observed the water softener brine tank filled with a black foam substance in the main boiler room. […]

• No harm, potential for more than minimal, widespreadF812Jun 28, 2023

  Based on observation, interview and record review, the facility 1) Failed to ensure that food preparation and kitchen equipment were maintained in a sanitary manner and in good working condition, and 2) Failed to ensure that kitchen dish machine temperature logs were completed, resulting in an increased potential for food borne illness with possible hospitalization and with the potential to affect the census of 74 residents who consume nutrition from the facility kitchen. Findings include: During the initial kitchen tour on 6/22/23 at 8:00 a.m., accompanied by Cook D, the following was observed: -At 8:15 a.m., a large bag of open whipped cream with no dates at all was found in the cooler. -At 8:17 a.m., the large can opener had chipping silver paint on the blade. […]