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Complaint Investigation

The Laurels Of Coldwater

Inspection Date: August 28, 2025
Total Violations 1
Facility ID 235302
Location Coldwater, MI
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Inspection Findings

F-Tag F0604

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0604 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

front of her and covered her with a blanket. LPN H reported Resident R1 fell asleep after approximately 15 minutes and then was put back in bed. LPN H reported Resident R1 was in bed all night after this until about 5:00 AM when it was discovered she fell in the doorway of her room. In an interview on 8/28/25 at 1:04 PM, Nursing Home Administrator (NHA) A reported Resident R1 their investigation showed Resident R1 was restrained to the wheelchair with a bedsheet on 8/19/25 at approximately 3:00 AM. During the onsite survey, past noncompliance (PNC) was cited after the facility implemented actions to correct the noncompliance which included: Resident R1 placed on one

on one for observation, investigation, review of the Abuse Prohibition Policy, staff education on the Abuse Prohibition Policy with the focus on identifying a physical restraint and reporting, and audits pf staff knowledge of abuse policy, restraints, and reporting. The facility was able to demonstrate monitoring of the corrective action and maintained compliance.

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📋 Inspection Summary

The Laurels of Coldwater in Coldwater, MI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Coldwater, 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 The Laurels of Coldwater or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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