Munson Healthcare Crawford Continuing Care Center
Munson Healthcare Crawford Continuing Care Center in Grayling, MI — inspection on April 29, 2026.
Found 1 citation. 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
regarding the wanderguard system. MD B stated it is protocol to manually test the system with a
with CNA C who verified she was working at the time of R1's elopement. CNA C confirmed R1 had
door just 15 minutes prior to the successful elopement. CNA C confirmed the door alarm did not sound when R1 successfully eloped from the facility at 4:24 PM on 4/9/26.On 4/29/26 at 11:40 AM, an interview was conducted with the Nursing Home Administrator (NHA) who verified R1 eloped from the facility on 4/9/26 and was unattended in the facility parking lot for approximately 19 seconds.
The NHA confirmed the root cause of the elopement was failing to manually test the wandergard system following service for proper functioning resulting in a faulty alarm.During the onsite survey, past noncompliance (PNC) was cited after the facility implemented actions to correct the noncompliance which included:A staff member was placed at the door to monitor for any residents attempting to exit the facility while the wandergard system was being serviced following the elopement.
The system was determined to be appropriately functioning on 4/9/26 at 8:15 PM. Resident #1 was assessed with no injury following the event and was placed on 1:1 supervision until transferred to a secured dementia unit.Audits of the main entrance door and elevators were conducted for proper functioning.
All residents wearing wanderguards were checked for proper functioning following the event and continued to be checked twice per day.The Facilities Department has been educated on manually testing the wandergard system following any repairs or services.
The charge nurse is now responsible for testing the functioning of the exit door and elevator alarms every shift.The NHA or designee will review the main entrance door and elevator door weekly for four weeks then monthly at the discretion of the facility Quality Assurance Performance Improvement Committee to ensure wandergard units are functioning appropriately for continued compliance.The facility was able to demonstrate monitoring of the corrective action and maintained compliance as of 4/27/26.
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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.