Church of Christ Care Center: Grooming Neglect - MI
When inspectors visited Church of Christ Care Center on August 18, 2025, the resident, identified in inspection records as R20, had facial stubble that appeared to have gone unshaved for three to four days. Two days later, on August 20, the stubble was still there, longer now.
R20 had been admitted to the facility with hypertensive heart disease with heart failure and a mood disorder with depressive features. His care plan noted he needed one-person assistance for self-care tasks.
At 1:09 in the afternoon on August 20, an inspector sat with R20 and asked him directly whether he preferred to grow his facial hair out or stay clean-shaven. He said he preferred to stay clean-shaven. He said he had trouble doing it himself. He said staff had helped him shave before, but not very often.
Fourteen minutes later, a certified nursing assistant identified as CNA K told the inspector that a male aide shaved R20 on his shower days, twice a week.
That was the protocol. Shower days, shave days. Twice a week, unless a resident asked for something different.
At 1:31 PM, the facility's Director of Nursing confirmed it. Shaving on shower days is the current facility protocol, the DON said, unless a resident requests otherwise. The DON was then asked whether shaving preferences are assessed when a resident is admitted. They are not, the DON said. The preference for frequency of shaving is not specifically addressed during establishment of the care plan.
So a man who could not shave himself, who wanted to be shaved, who had asked staff for help and been told to wait for shower day, had no documented preference in his file and no plan to meet the one he had clearly stated.
The facility's own Activities of Daily Living policy, dated August 3, 2020, states that a resident who is unable to carry out activities of daily living will receive the necessary services to maintain good grooming and personal hygiene, and that the resident's needs and care approaches will be updated in the care plan and reviewed as needed. R20's care plan had not been updated to reflect what he wanted.
CMS cited the facility under F0677, which covers basic personal hygiene and grooming, and rated the level of harm as minimal harm or potential for actual harm. The violation affected few residents.
What the inspection captured was narrow: one man, two visits, three or four days of stubble that should not have been there. But the Director of Nursing's answer about admissions is what gives it weight. The facility was not assessing shaving preferences when residents arrived. That means R20 was not an exception to a working system. He was the predictable result of a system that hadn't asked.
R20 had been admitted recently enough that his full Minimum Data Set assessment had not yet been completed. He was still new. The facility was still learning what he needed. He had already told them.
He preferred to be clean-shaven. He had trouble doing it himself. Staff had helped him, but not very often.
On August 20, 2025, two days after inspectors first saw him unshaved, he was still waiting for shower day.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Church of Christ Care Center from 2025-08-20 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 3, 2026 · Our methodology
Church of Christ Care Center in Clinton Township, MI was cited for neglect violations during a health inspection on August 20, 2025.
Two days later, on August 20, the stubble was still there, longer now.
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.