The Laurels Of Hudsonville
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review the facility failed to report an allegation of abuse to the State Agency for one of four residents (Resident #1) reviewed. Findings:Resident #1(Resident R1)Review of an admission Record revealed Resident R1 was a [AGE] year-old female who was admitted to the facility on [DATE REDACTED].Review of a Nursing Progress Note dated 08/24/25 revealed .Resident used her phone and called 911. CNA (certified nurse aide) walking by saw her on her phone and went in to investigate and noticed 911 was talking to her. CNA explained (to 911 dispatch) that resident was confused, and the call was an accident. Dispatch stated they needed to send an officer out to do a well-check. During an interview on 08/26/25 at 12:10 PM, the Administrator/Abuse Coordinator stated that she was not aware that Resident R1 had called 911 on 08/24/25 nor was she aware that police came to the facility to interview Resident R1 shortly after the call to 911. During an
interview on 08/26/25 at 1:35 PM, Ottawa County Sherrif Deputy G reported that the narrative of the call made by Resident R1 to 911 on 08/24/25 included the following: the resident stated she was being held against her will, resident stated she had been assaulted by staff, resident stated staff would not allow her to make phone calls, and the resident implied that she had been sexually assaulted by staff at the facility. During an
interview on 08/26/25 at 1:00 PM, CNA B indicated her recollection of events on 08/24/25 that involved Resident R1 were as follows: she (CNA B) was walking down the hallway and saw that Resident R1 was in her room on the phone, CNA B went into Resident R1's room and asked who she was talking to and Resident R1 handed CNA B the phone.
CNA B stated that 911 dispatch was on the phone and dispatch told CNA B that Resident R1 reported being abuse by a staff person in the facility. CNA B told 911 dispatch that Resident R1 was confused, Resident R1 was ok, and the call was
a mistake. CNA B also stated that she should have notified the Abuse Coordinator but didn't. During an
interview on 08/26/25 at 12:51 PM, CNA A stated that she was working the evening of 08/24/25, was aware that Resident R1 had called 911, and was told by CNA B that Resident R1 had told 911 dispatch that she was being abused.
CNA A also stated that she did not report the allegation of abuse to the Administrator/Abuse Coordinator because I assumed the nurse would take care of it.Review of the facility policy Abuse Prohibition Policy revealed .allegations of guest/resident abuse .shall be thoroughly investigated by the Administrator and reported to appropriate state agencies .allegations by anyone .must be immediately reported to the Administrator.
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
The Laurels of Hudsonville in Hudsonville, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Hudsonville, 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 Hudsonville or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.