Lenawee Medical Care Facility
Inspection Findings
F-Tag F0583
F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to Intake 2621377. Based on observation, interview, and record review, the facility failed to respect
the right to privacy for one (Resident R1) of three reviewed. Findings include:Review of the medical record revealed Resident R1 was admitted to the facility on [DATE REDACTED] with diagnoses that included Parkinson's Disease, vascular dementia, and major depressive disorder. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/2/25 revealed Resident R1 scored 9 out of 15 (moderate cognitive impairment) on the Brief
Interview for Mental Status (BIMS-a cognitive screening tool). Review of the facility's investigation revealed Witness G showed Human Resources Assistant (HRA) D videos that Certified Nursing Assistant (CNA) E recorded while in resident rooms and sent to CNA F. The investigation revealed The second video [Witness G] showed [HRA D] was of the same staff member [CNA E] recording one of our residents in Windsor Ridge while her back was to the camera and resident was on the phone with someone. At the end of the video, the staff member turns the camera on herself, and I [HRA D] was able to verify the second video was also recorded by [CNA E]. On 9/22/25 at 10:52 AM, the above-mentioned video was observed with Corporate Compliance & Quality Assurance Manager (CCQAM) C. The video was recorded from behind a resident as she sat in her wheelchair in front of her television, while talking on the telephone in her room. At
the end, the video turns to CNA E's face. CCQAM C reported the resident in the video was Resident R1 who was not aware that she had been recorded. On 9/22/25 at 9:18 AM, Resident R1 was observed in a wheelchair in her room. Resident R1 was not aware of any instances of being recorded. When asked how she would feel about being recorded, Resident R1 stated it would depend on what it would be. In a telephone interview on 9/22/25 at 10:47 AM, CNA F reported they received one video via social media messenger from CNA E. CNA F reported CNA E recorded a video while in a resident's room and the back of a resident's head was seen in the video. CNA F reported herself and Witness G shared a social media account and that is how Witness G acquired the video. In a telephone interview on 9/22/25 at 11:14 AM, CNA E reported they recorded a video in Resident R1's room as a way of their own complaining and documentation of false allegations that were happening against us at that time. CNA E reported Resident R1 turned her call light on, she responded, and Resident R1 shooed her away because
she was on the telephone. CNA E reported she then took a video and sent it to CNA F In an interview on 9/22/25 at 10:26 AM, HRA D reported CNA E was terminated from employment due to violating the facility's policy of no photography or video recordings on the property, not treating Resident R1 with respect, and violating Resident R1's right to privacy.
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Lenawee Medical Care Facility in Adrian, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Adrian, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Lenawee Medical Care Facility or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.