Faith Haven Senior Care: Abuse Reporting Failure - MI
Federal inspectors arrived at Faith Haven on August 21, 2025, following a complaint. What they found was documented in a CMS inspection report: a resident identified as R1 who said she experienced humiliation, fear for her safety, and a triggering of symptoms of Post-Traumatic Stress Disorder. She told inspectors she had been made to feel insignificant and targeted. She described the nurse, identified in the report as RN C, as emotionally and verbally abusive.
The incident at the center of the complaint happened on June 25, 2025.
According to the inspection report, multiple staff corroborated that RN C threatened to withhold R1's pain medications, coerced her into transferring to the hospital, told her "you're going to die because of her prescriptions," and openly ridiculed her while she was crying in pain.
RN C told inspectors a different version of events, at least in part. She said she had been helping staff address a change in R1's condition that day, and believed that the medication R1 was taking, combined with a recent bronchitis diagnosis, had affected her respiratory status. She said she called a physician assistant identified as PA T and received a verbal order to hold all narcotic medications.
She did not document that order.
When inspectors asked why, RN C admitted she should have. She said she applied two liters of oxygen via nasal cannula, and R1 stabilized and returned to baseline. She said R1 repeatedly refused transport to the emergency department, but that RN C felt she should go because of unstable vital signs.
The EMS prehospital summary told a more complicated story about those vitals. When paramedics arrived at 10:34 AM, R1's blood pressure was 139 over 75, pulse 54, oxygen saturation 93 percent. Twenty-five minutes later, still at the facility, her blood pressure was 127 over 67, pulse 77, saturation 92 percent. Inspectors noted that the vitals showed R1 was hemodynamically stable.
RN C also acknowledged that after R1's symptoms resolved, she never called PA T back. She never told the physician assistant that the acute change in condition had passed. She never asked whether holding R1's pain medications was still necessary. The verbal order to withhold narcotics, never documented, was simply left hanging.
The facility had already been tracking problems with RN C before the June 25 incident. An Employee Warning Record dated July 25, 2025, cited disciplinary action for what happened that day. A prior written warning had been issued on June 2, 2025, and the July record noted no substantial improvement since. The summary from the internal investigation found that RN C had communicated a verbal physician's order in a way that made R1 feel threatened, though it stopped short of finding intent. It recommended better tone, body language, and communication during stressful situations.
It also said that when an order needs clarification, the provider must be contacted immediately and documentation must reflect all steps taken to process or delay a physician's order. RN C had done neither.
What the facility did not do was report what had happened to the state.
R1 filed grievances on July 5, 2025, ten days after the incident. The covering nursing home administrator, identified as NHA E, told inspectors that after reviewing those grievances, it was clear the concerns were allegations of abuse and should have been reported to the state agency within a two-hour window. The Facility Reported Incident was not submitted until July 25, 2025. That was 20 days after the grievances made the abuse allegation explicit, and 30 days after the incident itself.
NHA E offered no explanation for the delay beyond acknowledging it.
The inspection report classified the violation under F0550, which covers resident dignity and respect, with a harm level of minimal harm or potential for actual harm, affecting few residents. That classification reflects the regulatory floor for the tag, not a judgment that what R1 experienced was minor.
R1 described it as anything but. She told inspectors the experience had been humiliating. She said she feared for her safety. She said she felt targeted. She connected what happened to symptoms of PTSD, a condition the report references without elaboration on her history. What is documented is her account: a nurse standing over her while she cried in pain, telling her she was going to die, threatening to take away the medication that managed that pain, and then mocking her.
Staff who were present confirmed the account.
The internal investigation found the communication was threatening in effect, if not in intent. The facility issued a written warning. It scheduled better communication training. It did not call the state for 20 days.
R1 was still a resident of Faith Haven when inspectors arrived on August 21.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Faith Haven Senior Care Centre from 2025-08-21 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 2, 2026 · Our methodology
Faith Haven Senior Care Centre in Jackson, MI was cited for abuse-related violations during a health inspection on August 21, 2025.
Federal inspectors arrived at Faith Haven on August 21, 2025, following a complaint.
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.