Kalkaska Memorial Health Center
Kalkaska Memorial Health Center in Kalkaska, MI — inspection on November 26, 2025.
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
During a phone interview on 10/16/25 at 1:54PM, CNA D stated nursing staff were supposed to notify families when there is a change in condition.A phone interview was conducted on 10/16/25 at 2:27 PM with LPN F who was working the night R3 fell, stated they did not call R3's POA.A review of the facility's Post Fall Documentation indicated R3 fell on [DATE] at 10:45PM.
The section labeled Document family member notified along with time/date indicated R3's POA was notified on 10/5/25 at 7:05AM.
This documentation lacked any family/POA notifications at time of R3's fall.
This resulted in the guardian not being informed of the resident's significant change in condition for over 8 hours, potentially delaying decision-making and necessary interventions.The NHA stated, during an interview at 2:40 PM on 10/5/25, the facility does not have a specific policy about notifications for change in condition.
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.
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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.