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Complaint Investigation

Lake Orion Nursing Center

Inspection Date: December 23, 2025
Total Violations 2
Facility ID 235481
Location Lake Orion, MI
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm

On 12/23/25 at 3:15 PM, MW 'H' was interviewed and asked if he had helped move Resident R402 on 10/16/25. MW 'H' explained the Administrator came and got them and told them they had to move a resident per doctor's orders. thought it was an infection control issue. Resident R402 was not happy, she was yelling and crying the whole way. everyone could hear her. he felt bad for her, she did not want to move.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Lake Orion Nursing Center

585 East Flint Street Lake Orion, MI 48362

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0725

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

change. Minimum Nursing Coverage Licensed nursing coverage will be maintained at all times in accordance with state and federal regulations. CNA staffing will support timely completion of activities of daily living (ADLs) and resident safety. Additional licensed staff may be scheduled to support admissions, treatments, wound care, IV therapy, care coordination, and clinical oversight as needed. Acuity and Throughput Adjustments Staffing levels may be increased to support high-acuity or short-term rehabilitation populations, new admissions and census growth, behavioral or complex medical needs, infection outbreaks, enhanced monitoring requirements, and safe throughput with reduced delays in care transitions.

Overtime and Agency Use Overtime and agency staff may be utilized to ensure safe staffing when internal resources are insufficient. Agency use is intended as a temporary solution and will be monitored for cost, quality, and consistency. Recruitment, retention, and scheduling efficiencies will be pursued to reduce reliance on agency staffing. Scheduling and Accountability Department leaders are responsible for maintaining schedules that ensure adequate coverage, minimize burnout, and promote staff retention.

Staffing variances and call-ins will be addressed promptly to protect resident safety. Monitoring and Review Staffing effectiveness will be monitored through quality indicators, incident reports, survey outcomes, overtime and agency utilization, and budget variance analysis. This policy will be reviewed and updated as operational needs evolve.Overtime and Agency Use Overtime and agency staff may be utilized to ensure safe staffing when internal resources are insufficient. Agency use is intended as a temporary solution and will be monitored for cost, quality, and consistency. Recruitment, retention, and scheduling efficiencies will be pursued to reduce reliance on agency staffing. Scheduling and Accountability Department leaders are responsible for maintaining schedules that ensure adequate coverage, minimize burnout, and promote staff retention. Staffing variances and call-ins will be addressed promptly to protect resident safety. Monitoring and Review Staffing effectiveness will be monitored through quality indicators, incident reports, survey outcomes, overtime and agency utilization, and budget variance analysis. This policy will be reviewed and updated as operational needs evolve.

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Facility ID:

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📋 Inspection Summary

Lake Orion Nursing Center in Lake Orion, MI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Lake Orion, 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 Lake Orion Nursing Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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