Greentree of Hubbell: Coffee Burn Blisters Resident - MI
The resident, identified in inspection records only as R5, was seated at the dining room table at Greentree of Hubbell Rehabilitation and Health when the cup spilled. A staff member noticed she was wet and flagged it — R5 had just been changed before breakfast, so the wetness made no sense. When staff brought her back to her room, they found redness across her breast and right stomach. The burn extended down to her upper thighs. Her left thigh had already begun to blister.
CNA J, as she is identified in the September 2025 inspection report, did not deflect. "I take full responsibility for that mistake," she told inspectors. "I have no problem admitting I made a mistake."
Then she said something the inspection record preserved in full: "I made the mistake because we don't have enough staff to manage that many residents on our daily assignments, and remember everything, it is impossible to do that under the conditions we are working."
She added: "I am so sorry. I feel absolute horrible."
The inspection, triggered by a complaint, classified the violation as causing actual harm to a small number of residents. The facility is located at 52225 B Avenue in Hubbell, in Michigan's Upper Peninsula.
CNA J described a breakfast shift where she was running between residents, ferrying coffee from the kitchen, aware of individual needs, trying to hold it all together. She knew R5 was supposed to have a lid on her cup. She knew the coffee was too hot to hand over without one. She got the ice. She started toward the lid. And then the staffing situation caught up with her, the way she said it always does, and a woman who trusted the facility to keep her safe went back to her room with blisters on her thigh.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Greentree of Hubbell Rehabilitation and Health from 2025-09-16 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 23, 2026 · Our methodology
Greentree of Hubbell Rehabilitation and Health in Hubbell, MI was cited for violations during a health inspection on September 16, 2025.
A staff member noticed she was wet and flagged it — R5 had just been changed before breakfast, so the wetness made no sense.
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.