Gladwin Nursing and Rehab: Missing Physician Order - MI
That finding sits at the center of a complaint inspection completed at the facility in late May....
Latest reports, citations, and penalties from CMS data
That finding sits at the center of a complaint inspection completed at the facility in late May....
The resident, identified only as Resident #1 in inspection records, had been living at the 46-bed facility after suffering a stroke....
The resident, identified in inspection records only as R3, was prescribed Vancomycin every six hours....
"I work today and tomorrow," CNA M told inspectors on May 27....
The residents who raised the concern were not wrong about the risk....
The resident, identified in inspection records only as Resident 2, was admitted with paraplegia, obstructive uropathy, and urine retention....
The incident happened on the night of April 18, 2026....
They didn't hear anything overnight....
The resident, identified in inspection records only as Resident 3, has anxiety and depression and is cognitively impaired....
Her care plan flagged chronic pain as a problem area and called for staff to give her analgesic medications as her physician ordered....
Under the facility's own written policy, received the same day as the incident, threats of harm directed at a resident constitute verbal abuse....
That failure had a name and a paper trail....
The answer, confirmed by the facility's own leadership, was nothing....
When an inspector observed the bathroom sink on May 27, 2026, standing water sat in the basin, no stopper in place....
That was the scene inspectors documented on May 28, 2026, during a complaint inspection at the facility on Fred Rogers Drive....
Inspectors visited Kadima Rehabilitation & Nursing at Latrobe on May 28, 2026, responding to a complaint....
None of them could say why this one didn't....
Specifically, oxygen saturation levels were not being measured and documented every day for those residents....
The level of harm was cited as minimal harm or potential for actual harm, and the problems affected some residents....
State inspectors documented the failure during a complaint inspection at Huron Woods on May 27, 2026....