The Orchards At Douglas Cove
The Orchards at Douglas Cove in Douglas, MI — inspection on September 5, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #104's Weekly Skin Review dated 9/1/25 revealed, Skin observation: Any new skin issues identified? No, Indicate sites below: (none listed), Progress note r/t (related to) current skin condition noted on assessment: no new skin impairments observed.Review of Resident #104's Visit Notes from the community day center dated 8/18/25 revealed, .PI (pressure injury) on left lateral ankle with dressing intact, no other dressings on.
Left plantar foot (bottom) diabetic ulcer with thick scab, peri wound warm to touch and pink.
Left 5th toe also scabbed and open to air.(RN N) checked in with (LPN E) to inform of above as well as concern with slight redness to left foot, need to keep sock on to protect. (LPN E) verbalizes understanding and states they will assess left foot routinely.
Review of Resident #104's Visit Notes from the community day center dated 8/25/25 revealed, .check in on wounds and skin status.Has dressing on LLE (left lower extremity) dated 8/23/25. (RN N) removed all dressings.
Diabetic ulcer on left plantar foot.
Wound care provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Douglas Cove Health and Rehabilitation
243 Wiley Road Douglas, MI 49406
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #103's Weekly Skin Observations with the most recent skin observation was documented on 8/12/25 revealed, Skin observation: Any new skin issues identified? No, Indicate sites below: (none listed), Progress note r/t (related to) current skin condition noted on assessment: no new concerns.In an interview on 9/5/25 at 11:11 AM, Director of Nursing (DON) B reported that LPN E had forgotten to apply Resident #103's calcium alginate and would be disciplined for not following physician orders. DON B reported that Resident #103's care plan did not include all of her wounds and the CNA's use that as their direct care reference. DON B also reported that Resident #103 did not have weekly skin observations documented for the past 3 weeks.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Douglas Cove Health and Rehabilitation
243 Wiley Road Douglas, MI 49406
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited Douglas Cove Health and Rehabilitation in Douglas, MI for a deficiency under regulatory tag F-F0695 during a complaint investigation conducted on 2025-09-05.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of Douglas Cove Health and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-29.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.