Helen Newberry Joy Hltcu Golden Leaves Living Cent
Helen Newberry Joy HLTCU Golden Leaves Living Cent in Newberry, MI — inspection on January 2, 2026.
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
putting her foot up when she's in bed.
The DON admitted the resident should have had pressure-reduction boots or a similar pressure-reducing device in place.The Kardex of R1 and the consultant report of 12/11/25 were reviewed with the DON.
The DON said there should have been a physician's order and care plan intervention for the boot as ordered by the consultant physician.
The DON said the Kardex should have included pressure-reducing interventions for staff to follow to promote healing of the existing PI and to prevent new PI from developing.After the interview, the DON went to her office and returned with the boot for R1 as referenced by the physician consultant on 12/11/25.
The DON said she did not know how long the boot had been in her office.
She said she first noticed the boot in her office on 12/31/25 but did not know who it was for.
The DON was asked what pressure-reducing devices or interventions were put in place until the boot was received.
The DON said, They [staff] should have been putting her foot up when she's in bed, and she should have had soft booties.The manufacturer's insert in the package with the boot contained the following information, in part: . [Brand name of boot redacted] eliminates pressure on the heel and toes, while dynamically positioning the foot in a neutral position for the treatment of foot and ankle contractures.
The floating heel design of the [brand name of boot redacted] eliminates pressure or friction on the heel, enhancing circulation vital to healing.
The manufacturer's warning list on the insert included: .1. [brand name of boot redacted] requires a physician order.The policy Wound Care Guidelines dated as revised 7/16/2024 read, in part: .
Elevate heels off mattress and support calves and ankles with a pillow or protective device float.The policy Skin and Wound Assessment dated as revised 1/14/2025 read, in part: .ALL [sic] residents that do have skin breakdowns and/or pressure ulcers receive necessary treatment and services to promote healing.
Avoidable Pressure Ulcer: Means that the resident developed a pressure ulcer and that the facility did not do one or more of the following:Evaluate the resident's clinical condition and pressure ulcer risk factors;Define and implement interventions that are consistent with resident needs, resident goals, and recognized standards of practice;Monitor and evaluate the impact of the interventions; or revise the interventions as appropriate.
The National Pressure Injury Advisory Panel (NPIAP) Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide Recommendations, 4th edition, 2025 [https://npiap.com/page/InternationalGuidelines?hhsearchterms=2025] recommends, in part: .It is good practice to frequently reposition individuals at risk of pressure injuries who are seated out of bed. position seated individuals in such a way that reduces pressure, shear and friction.
This includes: . ? position in which the individual's legs are elevated and supported so the heels are free from the support surface. It is good practice to elevate the heels of individuals at risk of pressure injuries, so the heels are not in contact with the support surface. We suggest using a heel offloading device that is appropriate to the individual's mobility and activity level. It is good practice to elevate the heels of individuals at risk of pressure injuries using standard pillows or cushions with sufficient height to ensure the heels are not in contact with the support surface.
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