Villa at Green Lake Estates: Fall Injury, No Care Plan - MI
The inspection at The Villa at Green Lake Estates, triggered by a complaint, focused on the care of a single resident identified in records as R103....
Latest reports, citations, and penalties from CMS data
The inspection at The Villa at Green Lake Estates, triggered by a complaint, focused on the care of a single resident identified in records as R103....
The staff member at the center of the complaint was identified in the report only as Staff C, a certified nursing assistant....
Inspectors visited the facility on September 2 and 3, 2025, following a complaint....
Federal inspectors identified it during a complaint inspection at Care One at Newton completed September 3, 2025....
Eleven days later, the doctor's order to treat the resident's bone condition still hadn't been entered into her medication record....
The resident, identified in inspection records only as R303, was admitted to Optalis Health and Rehabilitation of Troy in April 2025....
That was one of the findings federal inspectors documented during a September 4 complaint inspection at the Burke County facility....
Federal inspectors cited the 247 E....
The inspection, triggered by a complaint and conducted September 3, 2025, centered on an incident that occurred August 28 at Thryve of Burbank....
Not a phone call to the attending physician....
The first incident involved Resident 1 and Resident 2....
On August 10 alone, the resident received doses at 12:30 a.m., 4:00 a.m., and 8:00 p.m....
The violation, cited at a level of minimal harm or potential for actual harm, affected a small number of residents....
He left a message to pass along in the morning report....
The sequence of events, reconstructed from the inspection report, began in the early morning hours when transport picked R1 up from the facility....
The nurse, identified in inspection records only as LPN1, described what happened in an interview with inspectors on September 2....
The inspector noted the time: 11:37 a.m....
That admission came during a September 2025 complaint inspection at Brookhaven, a 140-bed facility on West Mt....
He had told staff he wanted to go home to his family....
The resident had moderate cognitive impairment....