Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Michigan Veterans Home Of Chesterfield Township during CMS and state inspections, most recent first.
A resident with dementia, severely impaired cognition, impaired vision, and multiple fall risk factors, known for wandering and self-transferring between chairs, was observed on video transferring between chairs with a CNA monitoring and then missing a chair arm and ending up on the floor. At the time, the resident had one shoe and one non-slip sock on. A CNA at the scene called toward the nurse station and requested help, but an LPN and other nurses, who saw the resident on the floor and believed the resident was safe, continued their documentation and did not respond immediately. Another CNA reported that the CNA at the scene asked for additional staff assistance but the nurses did not come right away. Review of the video by the administrator showed that about 15 minutes passed between the fall and the nurses’ response, despite facility policies requiring immediate assistance and licensed nurse assessment after an incident or accident.
Delayed Nursing Response and Assessment After Resident Fall
Penalty
Summary
The deficiency involves the facility’s failure to provide prompt care and services following a fall for one resident reviewed for quality of care. The resident, who had dementia, severely impaired cognition (BIMS 3/15), impaired vision, and multiple fall risk factors including Alzheimer’s disease, impaired safety awareness, arthritis, hypertension, and a history of stroke, had a known history of falls, self-transferring, urinating, and disrobing in common areas. The care plan identified the resident as at risk for falls and documented behaviors such as bending down to pick items up from the floor and going to hands and knees, and included an intervention to assist the resident to the floor if they asked to sit on the floor. The CNA Kardex indicated that when the resident demonstrated less ability to walk, staff should use a wheelchair. On the date of the fall, the resident was observed on video transferring themself back and forth between different chairs in a common area while a CNA monitored. At one point, the resident missed the arm of a chair and went to the floor. A progress note documented that at the time of the fall the resident had one shoe and one non-slip sock on. Staff interviews indicated that the resident typically wandered from chair to chair and might fall asleep in a chair when winding down. The fall occurred during the evening shift change, and a CNA at the scene attempted to get the resident up but encountered resistance from the resident. Following the fall, the CNA called toward the nurse station to alert nurses that the resident was on the floor. An LPN reported hearing the CNA say the resident was on the floor, turned and saw the resident on the floor playing with their feet, and felt the resident was safe, so continued working on computer documentation. The LPN stated that two nurses at the nurse station reacted similarly and did not immediately respond. Another CNA reported that the CNA at the scene requested assistance, including asking for two male staff to help, but the nurses “just looked” at the CNA and did not come right away. The administrator’s review of the video showed that nurses did not immediately get up to assess the resident, and approximately 15 minutes elapsed between the time of the fall and the nurses’ response, contrary to facility policies requiring immediate assistance and assessment after an incident or accident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Chesterfield Township
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Village Of East Harbor | 2.9 mi | — | 1 | 0 |
| Martha T Berry Mcf | 4.3 mi | — | 7 | 0 |
| Lakepointe Senior Care And Rehabilitation Center | 6.1 mi | — | 0 | 0 |
| Church Of Christ Care Center | 7.3 mi | — | 1 | 0 |
| Medilodge Of Shoreline | 8.2 mi | — | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.