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 North Woods Nursing Center during CMS and state inspections, most recent first.
The facility did not provide documentation showing that battery-powered emergency lighting was tested annually for 90 minutes and function tested monthly for 30 seconds, as required by NFPA standards. No records of these tests were available during the survey, and this was confirmed by the Director of Facilities.
Staff did not perform required 30-day inspections on portable fire extinguishers in multiple areas, including the attic, Therapy Storage room, and Boiler room, as confirmed by observation and interview with the Director of Facilities.
The facility failed to follow infection control practices during peri-care for two residents and medication preparation. CNAs used contaminated gloves to handle various items and did not sanitize surfaces after care. An RN dispensed medication without hand hygiene, handling pills with bare hands. These actions were against the facility's infection control practices.
The facility failed to obtain and document vital signs before administering medications for two residents. One resident with diabetes did not have blood sugar levels checked before receiving insulin, and another with hypertension did not have blood pressure assessed before receiving Bisoprolol. Staff interviews confirmed the lack of documentation, despite facility policy requiring vital signs to be taken when medication administration is contingent upon them.
A facility failed to timely report and investigate a witnessed incident of staff-to-resident abuse involving a resident with dementia and other conditions. The incident, where an RN was observed restraining a resident and making inappropriate comments, was not reported to the DON until 11 days later. During this time, the RN continued working, potentially exposing residents to further abuse. The delay in reporting and investigation led to a deficiency citation.
A facility failed to provide written notification and obtain consent for a room change for a resident with dementia and Alzheimer's, leading to potential emotional distress. The resident became upset and agitated when she attempted to return to her old room, resulting in an incident of aggression towards staff. The room change was due to incompatibility with her previous roommate, but there was no documentation of consent from the resident's POA or any issues with the previous roommate.
A resident with dementia and Alzheimer's was verbally and physically abused by an RN, who restrained the resident's arms and made derogatory comments. The incident was witnessed by multiple staff members, but the facility delayed reporting it to the state agency and allowed the RN to continue working. A skin assessment showed bruising on the resident's arms following the incident.
Failure to Document Required Emergency Lighting Tests
Penalty
Summary
The facility failed to provide documentation that all battery-powered emergency lighting was tested annually for 90 minutes and function tested monthly for 30 seconds, as required by NFPA 101, 7.9.3.1.1. During a record review, no activity reports or documentation of these tests were available for surveyor review. These findings were confirmed through an interview with the Director of Facilities at the time of the record review. No information regarding specific patients, their medical history, or their condition at the time of the deficiency was provided in the report.
Plan Of Correction
K291 Emergency Lighting Element 1: Action taken to identify residents: No residents were identified. Element 2: Identification of other residents: All occupants could be affected in the event of an electrical power failure. Element 3: (1) Measures Taken: The Administrator or designee will conduct and document the needed annual 90-minute testing of the facility's battery-operated emergency lighting. Element 3: (2) Measures Taken: The Administrator or designee will conduct and document the needed monthly 30-second testing of the facility's battery-operated emergency lighting. Element 4: Monitoring: The Administrator or designee will compile a report of the battery-operated emergency lighting test for review and recommendations by the Quality Assurance Performance Improvement Committee monthly, three times, and periodically thereafter. The Administrator will assume responsibility for attained compliance.
Failure to Perform Required 30-Day Fire Extinguisher Inspections
Penalty
Summary
Facility staff failed to ensure that portable fire extinguishers were selected, installed, inspected, and maintained in accordance with NFPA 10 standards. On March 6, 2025, during an observation at approximately 12:23 PM, it was found that the fire extinguisher located in the attic space had not been checked at least every 30 days as required by NFPA 10, 7.2.1.2. Additionally, several other fire extinguishers throughout the facility, including those in the Therapy Storage room and two in the Boiler room, were also missing documentation of 30-day inspections. These findings were confirmed through an interview with the Director of Facilities at the time of observation.
Plan Of Correction
K355 Portable Fire Extinguishers Element 1: Action taken to identify residents: No residents were identified. Element 2: Identification of other residents: All occupants could be affected in the event of an electrical power failure. Element 3: Measures Taken: The Administrator or designee will add the attic fire extinguisher locations on the monthly fire extinguisher log. The Administrator will also verify that all the fire extinguishers are verified from the outside contracted annual fire sprinkler inspection that was performed on the facility fire extinguisher. Element 4: Monitoring: The Administrator or designee will compile a report of the monthly inspections of the fire extinguishers for review and recommendations by the Quality Assurance Performance Improvement Committee monthly, twice, and periodically thereafter. The Administrator will assume responsibility for attained compliance.
Infection Control Deficiencies in Peri-Care and Medication Preparation
Penalty
Summary
The facility failed to adhere to proper infection control practices during the provision of peri-care for two residents and while preparing medications for administration. For Resident #46, who has profound intellectual disabilities and is dependent on total assistance, certified nurse aides (CNAs) N and O were observed using two washcloths to clean the resident's genitalia and then placing them on the over-bed table without sanitizing it afterward. CNA N, after completing peri-care, did not remove contaminated gloves and proceeded to touch various items, including the broda chair, gait belt, the resident's clothing, and bed linens, and also handled the tube feed and abdominal binder with the same gloves. For Resident #2, who has spastic quadriplegic cerebral palsy and a history of urinary tract infections, CNA J used a washcloth to clean stool from the resident's bottom multiple times without changing gloves. CNA J then touched various items, including a cupboard and a bottle of baby powder, with the same contaminated gloves. Additionally, CNA J placed a packet of remedy protect zinc oxide in her pocket with contaminated gloves, which she later removed with bare hands. Furthermore, RN M was observed not performing hand hygiene while dispensing medication, handling pills with bare hands, and placing them into a medication cup for administration, which was against the facility's practice as confirmed by the Director of Nursing.
Failure to Document Vital Signs Before Medication Administration
Penalty
Summary
The facility failed to adhere to professional standards of practice by not obtaining and documenting vital signs prior to medication administration for two residents. Resident #6, a female with diabetes mellitus, had orders to receive Insulin Lispro with meals, contingent upon her blood sugar levels being above 110. However, on multiple occasions, her blood sugar was not assessed before the administration of insulin at 8:00 AM, as required. The Director of Nursing reported that the nurse responsible for administering the insulin documented the medication as given without proper blood sugar assessment, and there was no documentation explaining the lack of assessment on one occasion. Resident #51, a male with hypertension, was prescribed Bisoprolol Fumarate, which was to be held if his heart rate was below 60 or systolic blood pressure was below 90. The medication was to be administered at 8:00 AM and 4:00 PM, contingent upon these parameters. However, the resident's blood pressure was not assessed prior to the administration of the medication on several occasions, and the Medication Administration Record inaccurately reflected blood pressure readings that were not taken at the time of administration. The Nursing Home Administrator confirmed the absence of documentation for these missing assessments. Interviews with staff revealed that both CNAs and licensed nurses are responsible for obtaining vital signs, and the electronic medical record system prompts nurses to input these vital signs. Despite this, the facility's policy on medication administration, which requires vital signs to be taken if medication administration is contingent upon the results, was not followed. This led to the deficiency in professional standards of practice for medication administration.
Delayed Reporting and Investigation of Staff-to-Resident Abuse
Penalty
Summary
The facility failed to timely report and investigate a witnessed incident of staff-to-resident abuse involving a resident with dementia, psychotic disturbance, mood disturbance, anxiety, claustrophobia, and Alzheimer's. The incident occurred when a Registered Nurse (RN) was observed holding the resident's wrists down in a wheelchair and making inappropriate comments. Despite the incident being witnessed by multiple staff members, it was not reported to the Director of Nursing (DON) until 11 days later. During this period, the RN continued to work several shifts, potentially exposing the resident and others to further abuse. Interviews revealed that a housekeeping staff member and an activities aide witnessed the incident but delayed reporting it due to uncertainty and reliance on the RN's assurance that he would inform the DON. The DON was informed of the incident on two separate occasions but did not report it to the State Agency until a second housekeeper expressed concerns about the RN's aggressive behavior. The facility eventually suspended the RN pending investigation, but the delay in reporting and investigating the abuse resulted in a deficiency citation.
Failure to Provide Written Notification and Consent for Room Change
Penalty
Summary
The facility failed to provide advanced written notification and obtain consent for a room change for a resident, resulting in potential emotional distress. The resident, who had been diagnosed with dementia, anxiety, and Alzheimer's, was moved from her original room without documented consent from her Power of Attorney (POA). The resident became upset and agitated when she attempted to return to her old room, leading to an incident where she was verbally and physically aggressive with staff. Despite attempts to redirect her, the resident only calmed down after being moved to a different area and given medication. Interviews with facility staff revealed that the resident's room change was due to incompatibility with her previous roommate, although there were no documented altercations between them. The Social Worker claimed to have informed the POA about the room change but could not find any documentation to support this. The lack of documentation and consent for the room change highlights the facility's failure to honor the resident's rights, as there was no evidence of any issues with the resident's previous roommate in the electronic medical record.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from verbal and physical abuse by staff. The incident involved a registered nurse (RN) who was reported to have restrained a resident's arms and made derogatory comments. The resident, who had a history of dementia, Alzheimer's, and anxiety, was admitted to the facility with these diagnoses. On the evening of the incident, the resident was upset about a room change and became verbally and physically aggressive. Multiple staff members witnessed the RN restraining the resident and making inappropriate comments, but the incident was not reported immediately. The facility's investigation revealed that the RN continued to work several shifts after the incident before being suspended. Witnesses reported that the RN held the resident's wrists down and made statements indicating frustration with the resident's behavior. The resident was visibly upset, screaming, and crying during the incident. A skin assessment conducted the day after the incident showed bruising on the resident's upper extremities, which was attributed to a recent behavioral episode. The facility's policy on abuse reporting was not followed, as the incident was not reported to the state agency until several days later. The delay in reporting and the failure to immediately suspend the RN after the initial report of abuse were significant factors in the deficiency. The facility's policy requires immediate reporting of abuse allegations, but in this case, the report was delayed, and the RN continued to work with residents during the investigation period.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 48 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Farwell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medilodge Of Clare | 7.7 mi | — | 5 | 0 |
| Medilodge Of Mt. Pleasant | 18.7 mi | — | 6 | 0 |
| The Laurels Of Mt. Pleasant | 19.2 mi | — | 0 | 0 |
| Isabella County Medical Care Facility | 19.2 mi | — | 8 | 0 |
| Gladwin Pines Nursing And Rehabilitation Center | 21.8 mi | — | 16 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for North Woods Nursing Center.
100% money-back within 48 hours.
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.