Grandvue Medical Care Facility
Grandvue Medical Care Facility in East Jordan, MI — inspection on March 20, 2025.
Found 2 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 the EMR demonstrated the laboratory draw was obtained on [DATE].
The laboratory report read Test not performed.
Specimen submitted in expired/outdated collection device.
The laboratory report documented the specimen was obtained on [DATE] but not reported until [DATE].
R25 was transferred to the hospital Emergency Department on [DATE] and the hospital obtained an INR.
The EMR of R25 revealed laboratory results were not reported for at least 24 hours after laboratory specimens were collected.
The results of an INR collected on [DATE] was reported to the facility on [DATE]. A laboratory report containing critical results was obtained on [DATE] and reported to the facility [DATE].
The results of an INR collected on [DATE] was reported to the facility on [DATE]. A laboratory result collected on [DATE] was reported on [DATE].
235062
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 235062 B.
Wing 03/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Grandvue Medical Care Facility 1728 S Peninsula Road East Jordan, MI 49727
F-F883 Grandvue
Based on interview and record review, the facility failed to administer recommended pneumococcal vaccinations or document the clinical reasons for withholding the pneumococcal vaccinations in three Residents (#36, #75, and #15) of five residents reviewed for immunizations.
Findings include:
Resident #36 (R36)
A nurse progress notes in the EMR (Electronic Medical Record) on 12/3/24 documented R36 was confused with no verbal response to questioning. R36 had a temperature of 101.4 degrees Fahrenheit and a heart rate of 122 beats per minute.
The on-call provider was notified and ordered R36 transferred to the Emergency Department (ED) for evaluation. R36 was subsequently admitted to the hospital with Pneumonia.
A review of the EMR for R36 revealed an [AGE] year-old resident admitted to the facility on [DATE]. An admission Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15 indicating R36 was cognitively intact on admission.
The MDS documented the pneumococcal vaccinations for R36 were up to date.
A vaccination consent form signed by R36 on 6/5/24 documented R36 wished to receive the pneumococcal vaccines indicated per CDC (Centers for Disease Control) guidelines, including a PCV20 (type of pneumococcal vaccine).
An immunization report for R36 was reviewed on 3/20/25 and revealed R36 received the PCV13 vaccination on 5/18/15 and a PPSV23 vaccination on 10/31/07. No further pneumococcal vaccinations were administered to R36, including the PCV20 recommended by the CDC and requested on the consent form signed by R36.
There was no physician's documentation in the Electronic Medical Record (EMR) for R36 indicating the physician addressed the request for administration of PCV20 for R36.
Resident #75 (R75)
R75 was an [AGE] year-old resident admitted to the facility on [DATE]. A vaccination consent form was signed by the resident representative on 8/8/23 requesting vaccinations if indicated per CDC guidelines, including the PCV20. An admission MDS dated [DATE] documented the pneumococcal vaccinations for R75 were up to date.
An immunization report for R75 was reviewed on 3/20/25 and revealed R75 received PCV13 on 10/5/16 and PPSV23 on 6/1/18. No further pneumococcal vaccinations had were administered to R75, including the PCV20 recommended by the CDC and as requested on the consent signed by the resident representative of R75.
235062
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 235062 B.
Wing 03/20/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Grandvue Medical Care Facility 1728 S Peninsula Road East Jordan, MI 49727