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Complaint Investigation

Niles Care Center, Llc

August 20, 2025 · Niles, MI · 911 S 3rd St
Citations 2
CMS Rating 2/5
Beds 100
Provider ID 235361
Healthcare Facility
Niles Care Center, Llc
Niles, MI  ·  View full profile →
Inspection Summary

Niles Care Center, LLC in Niles, MI — inspection on August 20, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

was initiated for Licensed Nurses, CENAs, Dietary and Housekeeping, Activities, Maintenance and Administrative staff members.

Education will be completed by the DON or a designated nurse manager and included the following topics: Change of Condition, Life Threatening Change, Change of ConditionMonitoring, Change of Condition- Reporting, Alert Charting Process, Stop and Watch, Facility Call List, Rounding- beginning of shift and periodically throughout the shift, DNR/Advance Directives [DATE]. (As of [DATE] 6 out of 15 Licensed Nurses have been educated.

Any staff member who has not received the education, will receive before the start of their next shift.

They will not be allowed to work until education has been completed), EMS/Hospital Transfer (As of [DATE] at 430PM, 27 out of 71 staff members have received the education.

Any staff member who has not received the education, will receive before the start of their next shift.

They will not be allowed to work until education has been completed.)Medical Director was notified of these findings on [DATE].

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Niles Care Center, LLC

911 S 3rd St Niles, MI 49120

SUMMARY STATEMENT OF DEFICIENCIES

During business hours the receptionist will monitor doors.

This will be in place until the wanderguard system is serviced.8/19/2025 service was completed- it determined all doors were properly secured and were functioning and in working order.

The front door needed the sensitivity increased, which was completed by the technician during his visit.8/16/2025 Signage was placed at door for family and visitors to stop at nursing station for assistance.2.

On 8/15/2025 the facility completed a head count of residents to ensure no other residents were affected. 52 out of 52 residents were accounted for.3. 8/16/2025 All residents were reviewed to ensure a wander assessment was completed in the last 90 days and residents at risk for wander/elopement were reviewed to ensure resident safety and proper plan of care in place.4. On 8/15/2025, education was initiated for All Staff which includes Licensed Nurses, CENAs, Dietary, Housekeeping, Activities, Maintenance and Administrative staff members.a.

Education will be completed by the DON or a designated nurse manager and included the following topics: 1.

Elopement Policy and Procedures, Door Alarm and Wanderguard Alarm. 2.

Verbal education provided on redirecting residents with exit seeking behaviors. 8/19/2025 facility added additional education on exit seeking behaviors- redirection includes offering snacks, walking with resident, calling family, seeing if personal needs are met (i.e. need to use bathroom, ensuring they are not too warm or cold, tired, looking for their room etc.), place on 15 minute supervision to keep in line of sight.b.

As of 8/19/2025 at 1000AM, 47 out of 62 staff members have received the education.Any staff member who has not received the education, will receive before the start of their next shift.

They will not be allowed to work until education has been completed.5.

Medical Director was notified of these findings on 8/15/2025.6. 8/18/2025 QAA Committee has reviewed the plan and will continue to review the audits to ensure adherence to scope of practice, specifically elopement policy and procedures.7. On 8/20/2025 Errors were identified for resident 104, therefore, all residents at risk for elopement had care plans reviewed and updated.

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 Niles, 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 Niles Care Center, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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