Grand Oaks Nursing Center: Treatment Care Failures - MI
The resident's daughter told investigators her mother had a scrape on her arm. She said she ended up speaking with the sheriff and chose not to press charges. "I think the podiatrist handled my mom's negativity wrong," she said. "I think he needs more training to deal with Alzheimer's patients or he needs another job."
The Director of Nursing said a CNA witnessed the incident and reported that the doctor shoved the resident onto the bed. The podiatrist told a different story, claiming the resident had assaulted him by hitting and kicking him while seated. The DON said she did observe some pink on the side of his head, but it faded while they waited for the sheriff.
He did not wait quietly. The DON said the doctor kept explaining why he felt his actions were appropriate, wanted to know when the sheriff would arrive, and asked to continue seeing the remaining residents on his list or be allowed to leave. "He didn't seem to think or act like it was a big deal," she said.
The DON acknowledged she had been allowing the podiatrist to see residents alone in their rooms, because many were bedbound and more comfortable that way. She said she could not complete a full skin assessment on the resident afterward because the woman became too agitated. It was, she said, the first time she was aware of any problem with him.
The nursing home administrator said one other resident complained that same day that the doctor had an attitude and was rude. The roughly 20 other residents he saw that day raised no concerns.
By afternoon, the podiatrist's employer had already called the facility asking when he could return. The DON said she told them he would not be welcomed back.
Grand Oaks has since required that a staff member accompany all outside medical providers during visits. Before that day, nobody had.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Grand Oaks Nursing Center from 2026-01-29 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 9, 2026 · Our methodology
Grand Oaks Nursing Center in Baldwin, MI was cited for violations during a health inspection on January 29, 2026.
The resident's daughter told investigators her mother had a scrape on her arm.
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.