The incident occurred at Creekside Village on September 26 when CNA A entered the resident's room at 11:30 AM to change her heavily soiled brief.
Nursing Home News — Page 459
All Stories
The incident occurred at Kalkaska Memorial Health Center on October 5, when Resident #3 slipped off the edge of his bed at 10:45 PM.
She handed the liquid to one resident, then distributed the medication cups to two other residents identified as R15 and R21.
She confirmed that nurses had received training on infection control and oxygen tubing care.
During interviews with facility staff, the Social Service Director admitted she didn't know when the mail actually arrived at the facility.
Federal inspectors found the facility's Direct Care Daily Staffing Numbers still showed November 11 when they arrived at 8:51 AM on November 12.
Resident #1 told federal inspectors in October that she experienced "some confusion with her medications at the facility" following her September admission.
The incident at Regency Village unfolded when the resident's catheter stopped working properly, soaking him in his own waste.
Assistant Director of Nursing A provided even more alarming details about the potential consequences.
The facility hired her on July 17, 2025, meaning she worked the entire duration of her employment without valid certification.
During interviews with federal inspectors in September, he initially said he had emailed a copy of the discharge notice to the ombudsman.
The Ellison John Transitional Care Center admitted the 28-year-old resident on October 28 with cellulitis in his lower leg, colon cancer, and heart failure.