Skip to main content
Complaint Investigation

Brittany Manor

October 8, 2025 · Midland, MI · 3615 East Ashman Street
Citations 1
CMS Rating 2/5
Beds 138
Provider ID 235245
Healthcare Facility
Brittany Manor
Midland, MI  ·  View full profile →
Inspection Summary

Brittany Manor in Midland, MI — inspection on October 8, 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.

Advertisement

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Based on interview and record review, the facility failed to implement policies and procedures for ensuring reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Social Securities Act regarding reportable incidents for 2 residents (R101 and R102) of 3 residents reviewed for abuse.

Findings include:Review of an admission Record revealed R101 admitted to the facility on [DATE] with pertinent diagnoses which included dementia and parkinson's disease.

Review of an admission Record revealed R102 admitted to the facility on [DATE] with pertinent diagnoses which included dementia and encephalopathy.

Review of MI-FRI #61781 Facility Investigation Report revealed on 9/14/2025 at 3:30 PM R101 struck R102 on the mouth in the activity room.

This event was witnessed by facility staff and reported to the Director of Nursing (DON) on 9/14/2025 at 4:00 PM.

Further review revealed the Nursing Home Administrator (NHA) submitted the 2-hour notification to the state agency the following morning, 9/15/2025 at 9:18 AM. In a telephone interview on 10/8/2025 at 2:00 PM, the DON reported the incident of abuse that occurred on 9/14/2025 between R101 and R102 was not submitted to the state until the morning of 9/25/2025 as she believed the facility had 24 hours to submit abuse incidents to the state unless the incident caused serious injury.

The DON reported the facility's regional staff educated her and the NHA that all abuse incidents and allegations needed to be reported to the state agency within 2 hours.

Review of facility policy/procedure Abuse Prohibition, dated 10/14/2022, revealed .reporting abuse. any State or Federal agencies of allegations per state guidelines (2 hours if abuse allegation) .

During the onsite survey, past noncompliance (PNC) was cited after the facility implemented actions to correct the noncompliance which included education of the NHA and DON and ongoing surveillance.

The facility was able to demonstrate monitoring of the corrective action and maintained compliance.

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

Facility ID:

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 Midland, 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 Brittany Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement