Brittany Manor
Inspection Findings
F-Tag F0600
F 0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Level of Harm - Actual harm Residents Affected - Few
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to intake # 2656241 and #2658212.Based on interview and record review, the facility failed to protect the resident's right to be free from physical abuse by a staff person, for two of three residents (Resident #100 and Resident #101) reviewed for abuse, resulting in the need for emergency medical attention and admission to the hospital for Resident R100. Findings: Resident #100 (Resident R100)Review of an admission
Record revealed Resident R100 was an [AGE] year-old female, originally admitted to the facility on [DATE REDACTED], with pertinent diagnosis of dementia. Review of Resident R100's Plan of Care reflected that Resident R100 was independent with walking, bed mobility, feeding herself with set-up assistance, and transferring between surfaces. During an
interview on 11/06/25 at 9:37 AM, Resident R100 stated that in the past, staff shoved her and that it made her mad.
Review of an admission Record revealed Resident R101 was a [AGE] year-old male, admitted to the facility on [DATE REDACTED] with pertinent diagnoses of dementia. Review of video and audio footage, provided by the Administrator, showed the following events that occurred on 10/20/25 at 2:50 AM:-Resident R100 and Resident R101 walked
in the hallway, appeared calm, and spoke to no one. -Certified Nurse Aide (CNA) A sat in the hallway and
the view of CNA A was partially obstructed by equipment. No other staff were visible on the video footage. -Resident R100 entered a room (room [ROOM NUMBER]) that did not belong to her. CNA A called out for Resident R100, got up from the chair, and entered room [ROOM NUMBER].-CNA A came back into the hallway, alone after a few seconds and yelled God in a frustrated voice. CNA A put on her shoes and went back toward room [ROOM NUMBER].-As CNA A entered room [ROOM NUMBER], Resident R101 walked into the doorway behind CNA A. CNA A turned partially around and faced Resident R101, extended the right arm and shoved Resident R101, on the shoulder, and caused Resident R101 to stumble backwards in the hallway. -CNA A entered room [ROOM NUMBER].
Nothing was heard while CNA A and Resident R100 were in the room together, i.e. no yelling, no instruction by CNA
A for Resident R100 to leave the room, no sounds of a physical scuffle, and no calls for help by CNA A.-Resident R100 stepped into the doorway, with her back to the hall, and was propelled across the hallway, hitting the back of her head on the wall across from room [ROOM NUMBER]. A thud was heard on the video/audio recording as Resident R100 hit the wall. CNA A stood in the doorway of room [ROOM NUMBER].-Resident R100 was sent to the emergency room and treated for an open and bleeding cut to the back of her head that required sutures and for a large hematoma (bruise) to her buttock. The 4 cm (centimeter) hematoma to Resident R100's right buttock showed underlying bleeding and Resident R100 was admitted to the hospital for two days to monitoring for bleeding.
During an interview on 11/06/25 at 10:07 AM, the Administrator stated that CNA A was fired for her failure to follow the facilities abuse policy and procedure and for the inappropriate physical contact with Resident R100 that caused injury and for shoving Resident R101. During the onsite survey, past noncompliance (PNC) was cited after
the facility implemented actions to correct the noncompliance which included the re-education of staff regarding recognizing staff burn-out, behavior management, and the abuse policy and procedure. 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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Brittany Manor in Midland, 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 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.