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Complaint Investigation

The Laurels Of Fulton

Inspection Date: October 8, 2025
Total Violations 1
Facility ID 235513
Location Perrinton, MI
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Resident. CNA G reported that three or four staff came out and escorted the Resident into the facility. On 10/8/25 at 10:40 AM a telephone interview was conducted with Licensed Practical Nurse (LPN) D. LPN D reported on the afternoon of Sunday 9/21/25 she was getting ready to pass medications and the CNAs were getting residents ready for dinner. LPN D reported she answered a phone call from a night CNA (CNA G) who was coming in early and had picked up (name of Resident R101) down the road from the facility. LPN D indicated she did not know Resident R101 had left the facility. LPN D reported she went out to the parking lot with several other staff members and walked Resident R101 into the facility. LPN D reported that Resident R101 had said that her mom told her to go get some medicine. On 10/8/25 at 10:38 AM a telephone interview was initiated with CNA F who reported she had worked on Sunday 9/21/25. CNA F reported that Resident R101 had been at the Nurse's station a few minutes prior when CNA G called on the telephone and reported that the Resident was outside in her car. CNA F indicated she did not know Resident R101 had left the facility or why Resident R101 did not have a [brand name of alarming device] on. CNA F reported the Resident had recently returned from a psychiatric facility and should have been wearing a [brand name of alarming device]. CNA F reported a [brand name of alarming device] would have locked the front doors when close to them and would have prevented Resident R101 from leaving the building.On 10/8/25 at 10:08 AM an interview was conducted with LPN E who reported she worked on Sunday 9/21/25. LPN E reported she had seen Resident R101 chatting at the front desk and a short while later a CNA coming into work had called and said, I have (name of Resident R101). LPN E reported she went out to the parking lot and helped escort the Resident back into the facility. LPN E reported she immediately assessed and put a [brand name of alarming device] on Resident R101, then entered the Resident into the facility elopement book.During the onsite survey, past noncompliance (PNC) was cited

after the facility implemented actions to correct the noncompliance which included.The Immediate Jeopardy that began on 9/21/25 was removed on 9/22/25 when the facility 1) Re-assessed the elopement risk for Resident R101 and implemented measures to prevent recurrence.2) Performed a resident count to ensure no other residents had eloped.3) Assessed all facility residents for risk of elopement for any previously unidentified residents at risk and ensured appropriate safety measures were in place.The Deficient Practice was corrected on 9/22/25 when the facility:1) Reviewed and updated the facility Missing Guest/Elopement book.2) Re-education of the Elopement policy was initiated for all staff. 3) Re-education of the Missing Guest Procedure for all staff was initiated4) The Nursing Home Administrator was re-educated on the facility elopement policy and the expected information to be ascertained to ensure compliance with the facility policy across disciplines. The facility was able to demonstrate monitoring of the corrective action and maintained compliance as of 9/22/25.

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📋 Inspection Summary

The Laurels of Fulton in Perrinton, MI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Perrinton, 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 The Laurels of Fulton or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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