Caretel Inns Of Linden
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm
rights… You have the right to be treated with dignity and respect… Make Complaints: You have
the right to make a complaint to the staff of the nursing home… The nursing home must address the issue promptly…”
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
09/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Caretel Inns of Linden
202 South Bridge Street Linden, MI 48451
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)
F-Tag F0578
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-09.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0584
F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
had a list for Monday-Sunday. On it there was listed halls 100, 200, 300, 500 and 700. The facility only had halls 100, 200 and 300; 500, 700 and 800 were in the Assisted Living. Per the cleaning schedule Hall 100 was to be cleaned on Monday, Wednesday, Friday and Sunday. Hall 200 was to be cleaned on Monday, Tuesday, Thursday, Friday, and Saturday. Hall 300 was to be cleaned every day. In addition, the common areas were cleaned Monday, Wednesday, Friday and Sunday. The residents' rooms were not cleaned daily and per the residents they were not always cleaned on their scheduled days. The cleaning schedule also said the housekeepers would handle the laundry on the weekends between room cleaning. There was also
a list of items to be cleaned for the 200 hall (that was to be cleaned almost daily), but there was no list for
the 100 Hall.
Event ID:
Facility ID:
If continuation sheet
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
09/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Caretel Inns of Linden
202 South Bridge Street Linden, MI 48451
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)
F-Tag F0644
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-09-09.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
medication side effects, pain, date created and initiated 4/14/2022 and revised 5/17/2024. The Care Plan was last updated 6/23/2025 Ensure resident has stuffed comfort animal within reach to prevent restlessness. The Care Plans were not reviewed or revised after the resident fell on 8/9/2025. Potential for falls, Resident at risk for injury from falls, dated created 12/21/2022, and initiated and updated 6/11/2024 with Interventions last updated 6/11/2024. Resident #67 Pressure Ulcer/Injury A record review of the Face sheet, Minimum Data Set/MDS assessment and electronic medical record/emr indicated Resident #67 was admitted to the facility on [DATE REDACTED] and readmitted on [DATE REDACTED] with diagnoses: Diabetes, history of a stroke, dementia, pulmonary embolism, history of deep vein thrombosis, Parkinson's, heart failure, hypertension, Gout, depression, restless leg syndrome and pneumonia. The MDS assessment dated [DATE REDACTED] revealed the resident had a Brief Interview for Mental Status/BIMS score of 9/15 indicating moderate cognitive decline.
The resident also needed assistance with care. The resident discharged to the hospital on 8/8/2025 and did not return to the facility.The MDS section M for Skin Conditions dated 7/13/2025 revealed the resident did not have a pressure ulcer: Resident has a pressure ulcer/injury, a scar over bony prominence, or a non-removable dressing/device- No, was checked. The question Is this resident at risk of developing pressure ulcers/injuries? was checked Yes.On 9/09/2025 at 8:45 AM, during an interview with Confidential Person J she said Resident #67 developed 3 pressure ulcers at the facility: 1 left ear, sacrum/coccyx and left elbow. A review of the progress notes identified the following: 8/7/2025 at 3:27 PM, a Health status/progress note Left lateral elbow open area, 2cm x 1.5 cm, round/irregular shape, full thickness, with 100% firmly adherent yellow slough (dead tissue) covering wound bed, wound bed not observed. Moderate serous drainage. x2 open areas on sacrum observed, along spine: superior: 1.8cm x 1cm, thickness at least 0.1 cm, full thickness open area, oval configuration, 100% firm adherent yellow slough attached to wound bed. Inferior: 1.6cm x 0.8cm, oval configuration, thickness at least 0.1cm, full thickness open area with wound bed 50% non-granulated/adherent yellow slough. A note dated 8/3/2025 identified the resident had an open area on the left ear. A review of the Care Plans for Resident #67 identified the following: Skin: Potential for alteration of skin integrity, dated created and initiated 10/10/2024 with all interventions dated 10/10/2024, including: Check skin daily, Pressure redistribution mattress, Remind/Assist resident to reposition frequently. ADL (activities of daily living): Self-care deficit, require assist with ADL's r/t (related to) limited mobility, debility, and impaired balance, date created and initiated 10/10/2024 and revised 1/7/2025 with Interventions including: Bed Mobility: I need extensive assist of 2 to help me, dated initiated and created 10/10/2024. Potential/At Risk for alteration in skin integrity due to risk factors associated with Cognitive impairment, Immobility, date initiated 8/8/2025. The day of discharge. Alteration in skin integrity-Resident has Pressure Injury. Site: Sacrum/Left elbow, Factor that may inhibit wound healing: Immobility, Incontinence, dated created, initiated and revised 8/8/2025. The date 8/8/2025 was the day the resident was transferred to the hospital and did not return. There was no mention of the area on the resident's left ear. Per a Dietary review dated 4/23/2025 at 2:32 PM, Resident #67 had Weight loss of 10% x 5 weeks & x 5 months. A review of the Weight Summary indicated the resident had a gradual weight loss from 4/22/2025 to 8/1/2025 (10 lbs.), but had lost 70 lbs. from 10/11/2025 to 8/1/2025. The resident returned from the hospital on 7/10/2025 with a feeding tube. The resident's Care Plans were not updated to note her increased risk of skin breakdown, with her weight loss and declining condition.
Event ID:
Facility ID:
If continuation sheet
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
09/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Caretel Inns of Linden
202 South Bridge Street Linden, MI 48451
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)
F-Tag F0684
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-09.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0689
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-09.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0757
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-09-09.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0761
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-09.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0814
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-09-09.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0880
F 0880
potable water system. and Eliminate dead legs, which are sections of no- or low-water flow.
Level of Harm - Minimal harm or potential for actual harm
Resident #70
Residents Affected - Many
Resident R70 is [AGE] years old and admitted to the facility on [DATE REDACTED] with diagnoses that include dysphagia, heart failure, cerebral infarction and hemiplegia and hemiparesis.
On 09/05/2025 at 9:56AM, it was observed that Resident R70 is in enhanced barrier precautions related to their enteral tube. Licensed Practical Nurse (LPN) A was performing medication administration for Resident R70. LPN A was observed not applying the proper personal protective equipment (PPE) for the clinical situation. LPN A applied gloves only. LPN A performed medication administration for Resident R70 and exited the room upon completion. Upon exiting the room LPN A was asked if they should have applied PPE prior to administering medication for this resident? LPN A stated, yes, I should have applied a gown in addition to my gloves, prior to administration of the medication. LPN A' was asked why they didn't apply the proper PPE. LPN A stated, I just forgot, it was an oversight.
On 09/05/2025 at 10:30AM, record review revealed a physician's order that read, Maintain enhanced barrier precautions to prevent infections r/t enteral feeding tube/history of klebsiella pneumoniae and ecoli, dated 09/02/2025.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
09/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Caretel Inns of Linden
202 South Bridge Street Linden, MI 48451
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)
F-Tag F0881
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-09-09.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Implement a program that monitors antibiotic use.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0883
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-09-09.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0887
Federal health inspectors cited Caretel Inns of Linden in Linden, MI for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-09-09.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 15 deficiencies cited during this inspection of Caretel Inns of Linden.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
F-Tag F0921
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and
the public. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation and record review, the facility failed to ensure that the appropriate backflow prevention was installed on cross connections. This deficient practice increases the likelihood of contamination of the water supply due to a backflow event, potentially affecting all residents, staff, and visitors who consume water at
the facility.Findings include: On 09/03/2025 at approximately 7:25 AM, observed a hose attached to a spigot without a hose bib vacuum breaker located in the [NAME] sub kitchen. On 09/03/2025 at approximately 9:15 AM, observed a chemical dispenser attached to a utility sink downstream of an atmospheric vacuum breaker (AVB) without a wasting tee, located in the janitor's closet in 300, 200, and 100 hallways. According to the 2008 Cross Connection Manual on atmospheric vacuum breakers, AVBs shall not be installed where
they will be under continuous pressure for more than 12 hours (i.e. no downstream shutoff valve).According to the 2008 Cross Connection Manual on chemical feeder backflow prevention, Another concern with a hose being run from a faucet to the dispenser is that many times a valve is installed on the hose downstream of an AVB, which is not allowed since AVBs cannot be subject to continuous pressure.
Event ID:
Facility ID:
If continuation sheet
Caretel Inns of Linden in Linden, 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 Linden, 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 Caretel Inns of Linden or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.