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Complaint Investigation

Orchard Grove Health Campus

Inspection Date: August 20, 2025
Total Violations 1
Facility ID 235721
Location Romeo, MI
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Inspection Findings

F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0689 Level of Harm - Actual harm Residents Affected - Few

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

fairly new admit to the facility and had minimum interventions in the care plan. The DON stated that it was their understanding that following dinner Resident R701 was placed at a table near the nurse's station on the 200 hall. They did not have an exact time of when the resident was placed there and noted there were no cameras on the floor that would confirm timing. The DON then noted at some point in the evening Resident R701 moved themselves from the table to the 100 hall and was found by Nurse B trying to get out of their chair and moved to a different area by the TV. Following the move by Nurse B, the resident had an unobserved fall. The DON was asked about the transfer of Resident R701 following the fall as notes by Nurse A describe the resident as grimacing and grabbing their right lower extremity. The DON stated that staff believed yelling was their baseline did not believe resident was in pain. As such, staff took vitals and utilized a mechanical lift to get them up in their wheelchair and then into bed. The DON was asked was asked why at 9:38 PM it was noted Resident R701 was given both Xanax and Oxycodone . The DON was not able to provide an answer as to whether the PRN medications were given prior to or after the fall and the reason for administering the medication. Subsequent information provided by the Administrator noted the medication was given following the fall indicating PRN Xanax is used for sundowning symptoms and yelling after the resident was laid in their bed. As for the PRN Oxycodone, no specific details as to why pain medication was given were noted.

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📋 Inspection Summary

Orchard Grove Health Campus in Romeo, 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 Romeo, 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 Orchard Grove Health Campus or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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