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Complaint Investigation

Heartwood Lodge Trinity Health

Inspection Date: August 26, 2025
Total Violations 1
Facility ID 235373
Location Spring Lake, MI
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observation, interview, and record review, the facility failed to treat one of three residents (Resident #8) with dignity. Findings: Resident #8 (Resident R8) Review of an admission Record revealed Resident R8 was a [AGE] year-old male, admitted to the facility on [DATE REDACTED], with pertinent diagnoses of dementia. During an observation on 8/22/25 at 8:57 AM, Resident R8 sat at the dining table in the common area of the yellow unit eating breakfast. Resident R8 asked Certified Nurse Aide (CNA) G to warm up his eggs, they are ice cold. CNA G responded to him and told Resident R8 that the microwave was broken. CNA G then turned and left the area. Resident R8 did not finish his breakfast. During

an interview on 8/22/25 at 9:15 AM, Dietary Manager (DM) O stated that there was a working microwave in

the kitchen. During an interview on 8/26/25 at 9:10 AM, Resident R8 recalled the incident on 8/22/25 (when his eggs were cold and he asked the aide to warm them up) and stated that CNA G sometimes did not help him.

During an interview on 8/26/25 at 10:00 AM, the Administrator indicated that CNA G 's interaction with Resident R8

on 8-22-25 was not acceptable and not how staff were expected to treat residents.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

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

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

Heartwood Lodge Trinity Health in Spring Lake, 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 Spring Lake, 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 Heartwood Lodge Trinity Health or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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