Bayside Village: Fall Prevention Program Missing - MI
That admission, made during a May 27 complaint inspection, sat at the center of what investigators found at the Baraga County facility. Seventeen residents had fallen a combined 46 times in the previous three months. Thirty-seven of those falls happened with no staff present to witness them.
None of the three residents whose records inspectors reviewed had their fall risk level documented in their care plans. No stickers, symbols, or any other visual markers appeared on room name plates or wheelchairs anywhere in the building to signal which residents needed closer watching. The Director of Nursing confirmed it herself: "No, we have no stickers on doors. They do not have stickers on their wheelchairs."
The Building Operations Manager, who had been assigned to supervise the inspection during the nursing home administrator's absence, acknowledged the facility was not doing what it had previously indicated it would do for high fall risk residents. No further explanation was offered for the gap.
Two certified nursing aides, identified in the report as CNA E and CNA F, were interviewed together at 10:20 a.m. Both said they would look to a resident's care plan to find out if that person was a high fall risk. When CNA E pulled up the care plan for one of the residents under review, identified as R1, and looked for a fall risk designation, there wasn't one. "I think it should be in the care plan," CNA E said.
CNA F agreed. Neither aide had any other method for identifying which residents needed extra supervision. When asked which residents in the building they considered high fall risks, both named R2 and R3, not because anything in the care plan or on the door said so, but because those residents had bed alarms. That was the only system they had.
Inspectors checked the care plans for R2 and R3 later that morning and afternoon. Neither documented a fall risk level.
A walkthrough of the facility at 2:15 p.m. confirmed what the staff had described. The name plates and wheelchairs for R1, R2, and R3 were clear of any fall risk markings. So was every other name plate and wheelchair in the building.
At the exit conference at roughly 3:30 p.m., the nursing home administrator acknowledged the full scope of what inspectors had found: residents with high fall risks had no documentation of that risk in their care plans, no visual identifiers anywhere in the facility, and staff had no reliable way to know who needed closer supervision. The administrator connected those failures directly to the outcome, saying the absence of a program resulted in staff not knowing which residents needed increased supervision and contributed to the potential for higher fall rates.
CNA F, when asked whether knowing a resident's fall risk level would increase their awareness and attention to that person, nodded yes. CNA E agreed. Both aides understood exactly what the information would mean for how they did their jobs. The facility simply hadn't given it to them.
Forty-six falls. Thirty-seven of them with no one in the room.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bayside Village from 2026-05-27 including all violations, facility responses, and corrective action plans.
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: August 12, 2026 · Our methodology
Bayside Village in L' Anse, MI was cited for violations during a health inspection on May 27, 2026.
That admission, made during a May 27 complaint inspection, sat at the center of what investigators found at the Baraga County facility.
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.