Orchard Grove Health Campus
Orchard Grove Health Campus in Romeo, MI — inspection on August 20, 2025.
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
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 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 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 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 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.