Adira Nursing And Rehabilitation
Inspection Findings
F-Tag F0686
F 0686 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
from the inception of Resident 1's wounds with classification and subsequent diagnosis of the wounds. On 9/16/2025 at 3:15 PM, an interview was conducted with MDS (Minimum Data Set) Coordinator J. She reported she recently completed a significant change for Resident #1 based on his wounds. While she does not complete a physical assessment of the wound she does review the documentation, and the team discusses the wounds in their meetings. When coding the wounds for the MDS she goes off the ARD (Assessment Reference Date), and recent documentation closet to her seven day look back period. Review was completed of the CAA (Care Area Assessment) Worksheet dated 8/25/2025 and it stated the following, (Resident #1) is a long term care resident here at the facility. He requires assist with all adls (activities of daily living). He has three facility acquired pressure ulcers.he is incontinent of bowel and bladder and requires assist with incontinence care and toileting.He has a stage 3 pressure ulcer to his coccyx, a DTI to his left heel and an unstageable pressure ulcer to his left lateral malleolus. According to the National Pressure Injury Advisory Panel, dated 9/11/2025 . The heel is one of the most common anatomical sites for PI (pressure injuries.Review was conducted of the facility policy entitled, Skin Management Guidelines Prevention of Pressure Ulcers/Injuries, reviewed 11/2024. The policy stated, .Inspect the skin on a daily basis when performing or assisting with personal care or ADLs. Identify any signs of developing pressure injuries (i.e., nonblanchable erythema). For darkly pigmented skin, inspect for changes in skin tone, temperature, and consistency; Inspect pressure points (sacrum, heels, buttocks, coccyx, elbows, ischium, trochanter, etc.); Wash the skin after any episodes of incontinence, using pH balanced skin cleanser.
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Adira Nursing and Rehabilitation in Saginaw, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Saginaw, 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 Adira Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.