Hartford Nursing & Rehab: Hydration Failures Found - MI
The man, identified in inspection records as R62, was cognitively intact, scoring a perfect 15 out of 15 on a mental status assessment. He had a documented hydration care plan. He also had a history of falls, carotid artery disease, and chronic obstructive pulmonary disease, conditions that make adequate fluid intake more than a comfort issue.
The CNA assigned to him that day, identified as CNA T, acknowledged at 3:00 p.m. that water had not been passed yet but said she was going to do it later. She told inspectors the residents should have had water at the start of the shift, at 7 a.m. Eight hours had passed.
A second CNA, identified as CNA U, was working an extended shift covering two other residents, R156 and R94, both of whom also had documented hydration care plans. At 4:16 p.m., CNA U told inspectors she had been busy but was passing water now. "The residents should have received fresh water before now," she said.
The Director of Nursing, interviewed two days later, did not hedge. Asked whether water should have been passed before 3 and 4 p.m., she said, "Absolutely." She told inspectors that fresh water should be passed by 10 a.m. at the latest, because the midnight shift typically provides water before leaving, and regardless of that, fresh water should be passed before 3 p.m.
The facility's own written hydration policy states it will assist residents to maintain adequate hydration whenever possible and that each resident will be provided bedside water.
R62's care plan, revised just five days before the inspection, identified him as having an alteration in nutritional and hydration status. The plan existed. The policy existed. The Director of Nursing knew exactly what the standard was.
At 1:30 in the afternoon, the cup was empty. There was no cup.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Hartford Nursing & Rehabilitation Center from 2026-01-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Hartford Nursing & Rehabilitation Center in Detroit, MI was cited for violations during a health inspection on January 29, 2026.
The man, identified in inspection records as R62, was cognitively intact, scoring a perfect 15 out of 15 on a mental status assessment.
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.