Plainwell Pines: Nurse Stole Resident Medication - MI
The level of harm was classified as minimal harm or potential for actual harm, affecting a small number of residents....
Latest reports, citations, and penalties from CMS data
The level of harm was classified as minimal harm or potential for actual harm, affecting a small number of residents....
That is the gap federal inspectors documented at The Villa at the Park this past September....
Immediate jeopardy is the most serious deficiency level the federal government assigns to nursing homes....
The inspector's interview with the director of nursing took place at 2:41 in the afternoon....
Eleven deficiencies in a single visit is a significant tally for any nursing facility, and the assessment failure sits at the center of it....
The assessment process at the center of this violation is not a formality....
The inspection was triggered by a complaint, not a routine visit....
The finding was one of 16 deficiencies cited during a complaint inspection conducted on September 18, 2025....
All three had care plans explicitly specifying full-body mechanical lift transfers....
The inspection was triggered by a complaint....
The grilled cheeseburger, served on a bun, was room temperature....
The resident, identified in inspection records as Resident 4, has lived at the facility since September 2018....
The incident involved Resident #205, a person identified in facility records as someone at risk for wandering....
Inspectors classified it as an isolated deficiency with no documented actual harm, but with the potential for more than minimal harm....
Nowhere in the policy did it say staff needed to clean their hands between removing soiled gloves and putting on clean ones....
They are almost entirely preventable with attentive repositioning, proper support surfaces, and consistent wound care....
Feeding tube placement is not a minor procedure....
You can't." CNA 2 was not available for interview during the inspection....
The aide, identified in inspection records only as CNA 1, was assigned to the resident from 7 a.m....
The inspection, completed September 17, 2025, was triggered by a formal complaint....