Grand Oaks Nursing Center
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
was not hurt but had a scrape on her arm. I guess my mom hit him and he pushed my mom onto the bed. I ended up talking to the sheriff and decided not to press charges. The sheriff told me that they were making
a report and that the podiatrist would be banned from coming back onto the property. I think the podiatrist handled my mom's negativity wrong, I think he needs more training to deal with Alzheimer's patients or he needs another job. During an interview on 1/28/26 at 11:35 AM, the DON stated, I was pulled out of a meeting by (DOR C) and told that an incident occurred. Before I could get down the hallway, my Unit Managers (CCC's) were bringing him (doctor/podiatrist) down to my office. The doctor claimed (Name of Resident R1) assaulted him. He said she hit and kicked him while she was still sitting on the bed, and then he tipped her leg back while she was on the bed. (CNA A) said he saw him shove her onto the bed. The doctor said
she assaulted him, and I did observe some pink on the side of his head, but it went away while we were waiting for the sheriff to show up. The DON revealed that while waiting for the sheriff to show-up, the Doctor wanted to leave and wanted to know when the sheriff department would get there. He also wanted to continue to see the rest of the residents on his list or leave. The DON said she told him he had to stay there and he continued to explain why he felt what he did was appropriate. She stated that he didn't seem to think or act like it was a big deal. The DON further revealed she did not do a full skin assessment because (Resident R1) would not allow them to and as they were attempting to assess what they could she started getting more upset and agitated. She then stated that Resident R1 did not have any concerning behaviors receiving care by the doctor prior to this and this was the first time she was aware of a problem. The DON stated that he (doctor/podiatrist) would go into resident rooms by himself because a lot of the residents he saw were bedbound and more comfortable being seen in their rooms. The DON stated as result of this incident, all ancillary services will now have a staff member with them. During an interview on 1/28/25 at approximately 3:45 PM, the Nursing Home Administrator (NHA) revealed they only had one other resident complaint about the doctor/podiatrist the day of this incident. The other resident complained the doctor had an attitude and was rude. The rest of the residents (approximately 20) seen that day had no concerns. The NHA further revealed that she had heard from the company the podiatrist works for earlier today and they wanted to know when he could come back into the facility. The DON stated, I informed them that he would not be welcomed back to our building.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
01/29/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Grand Oaks Nursing Center
600 Denmark Street Baldwin, MI 49304
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
should be documented and monitored. Any labs for residents are resident specific and depends on how long they were on a medication and the residents' baseline. Review of Resident R2's Care Plans revealed they are showing incorrect information or missing information pertaining to the resident's current medical status and do not include pertinent interventions per medical orders. Further review of Resident R2's Care Plans reveals no Care Plan for Chronic Kidney Disease (CKD) for Resident R2, hyperkalemia, hyponatremia, and prostatic hyperplasia.
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Grand Oaks Nursing Center in Baldwin, 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 Baldwin, 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 Grand Oaks Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.