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Laurels of Sandy Creek: Infection Control Failures - MI
Inspectors cited the facility under F0880, the federal tag covering infection prevention and control....
Latest reports, citations, and penalties from CMS data
Inspectors cited the facility under F0880, the federal tag covering infection prevention and control....
The new citation did not describe a facility that had ignored the problem....
The nurse, referred to in the report as LPN1, was observed performing wound care on R37....
A federal inspector recorded the temperature and flagged it....
That finding, Immediate Jeopardy, is the most serious classification available to federal inspectors under the Medicare and Medicaid oversight system....
What LPN B found when she arrived wasn't just a paperwork problem....
The resident walked out into freezing weather....
That belief shaped everything that followed....
The August 8, 2024 inspection was a complaint survey, meaning someone had raised concerns serious enough to trigger a return visit....
What the records showed was this: the facility had gone without a registered nurse on duty on ten separate days between Christmas and mid-January....
At Rio Hondo, that system had broken down across four distinct areas, each one touching something fundamental about how a nursing home is supposed to operate....
Federal inspectors who arrived in late March rated the lapse Immediate Jeopardy, the most serious classification available, affecting many residents....
The administrator-in-training acknowledged this herself....
By January 2025, inspectors were back....
The resident had been taking Depakote and Buspar at a prior facility....
No formal corrective plan was ever written....
The facility's administrator acknowledged the gap to inspectors during a March 2025 recertification survey....
It was the second time inspectors had cited the facility for the same deficiency....
The deficiency was tagged at a level of minimal harm or potential for actual harm, affecting a small number of residents....
Those were not the only problems inspectors documented during a May 2025 visit to The Laurels of Sandy Creek....