Schnepp Senior Care: Resident Punched, Lip Split - MI
That was on the night of August 10th. By the morning of August 11th, when federal inspectors arrived, nobody had put a single protective intervention in the woman's care plan. Not one.
The resident, identified in inspection records only as R6, told an inspector what happened: R1 had been bothering other residents in the common area, so R6 told her to stop. R1 walked over and punched her in the mouth with a closed fist. "It hurt, it was bleeding," R6 said. "And I am still afraid of R1. That lady is so mean and awful, she shouldn't be here."
A behavior note written by nursing staff the morning of August 11th confirmed that R6 had become tearful with a nurse and a certified nursing aide, saying she was afraid of R1 and did not want to come out of her room that day.
The punch did not come without warning. It came after more than a week of documented incidents that inspectors found recorded in nursing notes, none of which had prompted the facility to act.
On August 3rd, nursing notes show R1 hit multiple staff members, grabbed at staff arms and wrists, pushed a male resident who was sleeping in a chair, and got directly in other residents' faces to speak to them or yell at them. Two days later, on August 5th, R1 hit a staff person in the face hard enough that the person's glasses cut their own face.
Then came August 9th. Notes from that day show R1 pushing a resident around the unit in a wheelchair, swinging at staff when they intervened, touching other residents who did not want to be touched, slapping a staff person, and going in and out of other residents' rooms most of the day.
The next evening, August 10th, came the punch to R6's mouth.
By the morning of August 11th, when inspectors reviewed R1's care plan, there were no interventions documented to protect other residents from her. None. Not a monitoring protocol, not a supervision requirement, not a restriction on her movement through common areas or into other residents' rooms.
A certified nursing aide named CNA R told inspectors that afternoon that R1 had not been placed on one-to-one supervision at any point before that day. Another aide, CNA M, was standing in R1's room when inspectors approached him and said he had been called in to provide one-to-one supervision for R1. That supervision began August 11th, the day inspectors were on site.
The facility reported the August 10th punch itself through a Facility Reported Incident dated August 11th, describing R1 as making a fist with her right hand and making contact with a closed fist to R6, noting the assault was unprovoked.
The federal inspection, completed August 13th, 2025, cited the facility for abuse, tagging the deficiency at a level of actual harm, meaning inspectors determined that real injury occurred, not just the risk of it. R6's split lip and her fear of leaving her room the next morning were the documented consequences.
What the inspection record shows is a facility that watched one resident assault staff and other residents repeatedly across eight days, wrote those incidents down in nursing notes, filed an incident report after a woman's lip was split open, and produced no care plan response to any of it until inspectors were already walking the halls.
The notes themselves are a detailed record of escalation. A sleeping resident pushed in a chair. A staff member's face cut by their own glasses. A resident pushed around the unit in her wheelchair against her will. A woman punched in the mouth in the common area after asking to be left alone. Each incident logged. Nothing changed.
R6 said she was still afraid. The behavior note says she was tearful. She did not want to come out of her room.
The inspection covers a complaint filed against Schnepp Senior Care and Rehabilitation Center, located at 427 East Washington in St. Louis, Michigan. The facility's federal identification number is 235384.
What the notes don't show, because the care plan contained nothing, is any moment when staff or administrators looked at what was being written down and decided to act before someone got hurt. R6 told R1 to stop bothering people. R1 crossed the room and hit her in the mouth. The facility had more than a week of documentation that something like that was coming.
R6 was still afraid of her the next morning. She said so to the nurse and the aide who came to her room. She said so to the inspector who interviewed her at 8:30 that morning. She did not want to come out.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Schnepp Senior Care and Rehabilitation Center from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 4, 2026 · Our methodology
Schnepp Senior Care and Rehabilitation Center in St. Louis, MI was cited for violations during a health inspection on August 13, 2025.
That was on the night of August 10th.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.