Munson Healthcare Crawford Continuing Care Center in Grayling, MI was fined $27,600 by CMS following 22 deficiency citations identified during federal surveys.

Munson Healthcare Crawford Continuing Care Center (Grayling, MI) — $27,600 in CMS Fines

Outcome: Munson Healthcare Crawford Continuing Care Center in Grayling, MI was fined $27,600 by CMS following 22 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Give the resident's representative the ability to exercise the resident's rights.


• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.


• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.


• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.


• Provide and implement an infection prevention and control program.


• Develop and implement policies and procedures to prevent abuse, neglect, and theft.


• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.