Portagepointe
PortagePointe in Hancock, MI — inspection on May 29, 2025.
Found 4 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
During a phone interview on 5/27/25 at 2:09 p.m., Family Member (FM) B reported she was the responsible party for R26 and the facility did not call her to obtain permission for the foley catheter to be placed in R26's bladder. FM B stated, I want to call the facility right away to find out why (R26) has a catheter.
During an interview on 5/29/25 at 8:33 a.m., the Director of Nursing (DON) acknowledged the physician was not called to obtain doctors orders to insert a catheter into R26, and conceded there was no diagnosis that would necessitate the use of a urinary catheter.
The DON acknowledged the responsible party for R26 was not notified.
The DON reported Registered Nurse (RN) A had inserted the catheter into R26 and should have called the physician to obtain an order for the insertion of the catheter.
During a phone interview on 5/29/25 at 8:53 a.m., RN A reported, R26 was seeping urine, and I decided to put the catheter into the resident. RN A acknowledged she did not call the physician and did not call the responsible party.
Review of facility policy titled Long Term Care (LTC) Indwelling Catheter Maintenance and Care last revised 3/5/24, read in part .These guidelines are related to .appropriate use of indwelling catheters .insert catheters only for appropriate indications.
Avoid use of urinary catheters in elders for management of incontinence . confirm provider's (physician) order.
Confirm appropriate diagnosis for insertion of foley catheter .
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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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 235624 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Portagepointe 500 Campus Drive Hancock, MI 49930
F 0801 2-102.20 Food Protection Manager Certification. (A) A PERSON IN CHARGE who demonstrates knowledge by being a FOOD protection manager that is certified by a FOOD protection manager certification program
potential for actual harm conforming to the Conference for Food Protection Standards for Accreditation of FOOD Protection Manager Certification Programs is deemed to comply with 2-102.11(B). (B) A FOOD ESTABLISHMENT that has a
and listed by a Conference for FOOD Protection recognized accrediting agency as conforming to the Conference for FOOD Protection Standards for Accreditation of FOOD Protection Manager Certification Programs is deemed to comply with S2 102.12.
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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 235624 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Portagepointe 500 Campus Drive Hancock, MI 49930
F 0812 (B) Except as specified in (E) -(G) of this section, refrigerated, READY-TO-EAT TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and PACKAGED by a FOOD PROCESSING PLANT shall be
potential for actual harm held for more than 24 hours, to indicate the date or day by which the FOOD shall be consumed on the PREMISES, sold, or discarded, based on the temperature and time combinations specified in (A) of this
(1) The day the original container is opened in the FOOD ESTABLISHMENT shall be counted as Day 1;
(2) The day or date marked by the FOOD ESTABLISHMENT may not exceed a manufacturer's use-by date if the manufacturer determined the use-by date based on FOOD safety.
On [DATE] at 7:15 a.m., the high-temperature dishwasher in the Pewabic Kitchen was observed for appropriate sanitation temperatures. KM C stated that this dishwasher does not get to the correct wash temperature, Our [Company Name] representative said if this strip turns black then it was fine despite the temperature it is saying on the dish machine.
A sanitization strip was placed on a clean plate and KM C began a cycle.
The final rinse temperature was 137 degrees Fahrenheit ( F), and the sanitization strip did not turn black to indicate that the dishes was properly sanitized.
On [DATE] at 12:15 p.m.
Dietary Aide (DA) D was observed using the Pewabic dish machine. DA A was first observed taking a pitcher and scooping out water in the bottom of the dish machine.
Then placing dishes into the machine, closing the door and having to hold the door shut so the dish machine would run. A towel was observed near the bottom of the dish machine to collect water.
The final rinse temperature of the dish machine was 117 F.
The FDA 2022 Food Code states:
,d+[DATE].11 Hot Water and Chemical.
After being cleaned, equipment food-contact surfaces and utensils shall be sanitized in: (A) Hot water manual operations by immersion for at least 30 seconds and as specified under S ,d+[DATE].111; P (B) Hot water mechanical operations by being cycled through EQUIPMENT that is set up as specified under SS ,d+[DATE].15, ,d+[DATE].112, and ,d+[DATE].113 and achieving a UTENSIL surface temperature of 71 C (160 F) as measured by an irreversible registering temperature indicator.
235624
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 235624 B.
Wing 05/29/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Portagepointe 500 Campus Drive Hancock, MI 49930
Review of the facility's LTC (long term care) Food Brought in from Outside Sources Revised 1/13/23 read, in part, .Family/friends are to inform the nurse and/or elder associates of any food or beverages brought into the House for elder consumption .Perishable food from outside sources should be stored in the refrigerator.
The items is to be labeled with the Elder's name, and date.
Prepared food items are to be discarded within 72 hours if not consumed.
Shelf stable food items will be stored for up to 7 days .
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