The level of harm was cited as minimal harm or potential for actual harm, and the problems affected some residents.
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State inspectors documented the failure during a complaint inspection at Huron Woods on May 27, 2026.
The resident grabbed a hand-grabber and started swinging it.
That was the last time anyone systematically documented what was happening to his legs.
The facility had a written policy for exactly this situation.
Not anywhere inspectors could find.
The family reported the breach to Waters of Tipton Skilled Nursing Facility.
The resident, identified in inspection records only as R2, was admitted to the facility on March 10, 2026, transferred from a hospital.
The resident, a woman in her sixties whose cognition was fully intact, had been placed on enhanced barrier precautions by physician order since April 15.
Federal inspectors who visited the 21-resident facility on May 26 and 27 found that the previous Director of Nursing had quit on April 29.
Families could enter during non-business hours using facial recognition.
Federal inspectors cited Avir at Western Hills following a complaint inspection on May 27, 2026.