Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Newaygo Co Medical Care Facility during CMS and state inspections, most recent first.
Surveyors found that smoke barrier walls above the ceiling at cross corridor doors in two wings had wire bundle penetrations within the electrical conduit, compromising the required 1/2-hour fire resistance rating. This deficiency was confirmed by maintenance staff and could affect occupants in adjacent smoke compartments.
A deficiency was found when a wheel chair battery charger was used overnight in a resident's room, without the required fire barrier or automatic fire extinguishing system. Maintenance staff confirmed the charging practice, which did not meet fire safety requirements for hazardous areas and could affect two occupants if a hazardous gas release occurred.
The facility failed to follow policies and procedures, monitor, and assist a resident in preventing accidents and hazards related to toileting. The resident, who required partial/moderate assistance, was observed self-transferring without supervision, leading to multiple falls. Care plan interventions were not effectively implemented or monitored, and staff were unaware of the resident's current ambulatory status. The facility's policies on fall prevention and post-fall evaluations were not adequately followed.
The facility failed to ensure that an insulin pen was labeled with the resident's name for one of the two medication carts inspected. During an inspection, a previously used Humalog insulin pen without a resident's name on it was found in an unlabeled compartment. Staff admitted that without the label, they would not know for sure which resident the insulin pen belonged to, creating a potential risk for residents to receive medication from another resident's pen.
Smoke Barrier Wall Penetrations Compromise Fire Resistance
Penalty
Summary
Surveyors observed that the facility failed to ensure smoke barriers were constructed to a minimum 1/2-hour fire resistance rating as required by code. Specifically, on April 29, 2025, wire bundle penetrations were found within the smoke barrier walls above the ceiling at the cross corridor doors in both the A wing and B wing. These penetrations were located within the electrical conduit and were confirmed by maintenance staff at the time of observation. The deficiency was identified as potentially affecting 17 occupants within the adjacent smoke compartment if smoke were to pass through these penetrations during a fire. No information regarding the medical history or condition of specific residents was provided in the report.
Plan Of Correction
On April 29th, 2025, the smoke compartments/smoke barriers on unit A and B were immediately repaired by the maintenance department. Maintenance personnel performed a thorough compliance check of all smoke barrier panels throughout the facility. The Maintenance Director has added monthly barrier penetration checks to the Maintenance Care work-order program. Reminders will be auto-generated by the program and documented through Maintenance Care upon completion. The Maintenance Personnel conducted a thorough compliance check of all smoke barrier penetrations throughout the facility to ensure safety and adherence to fire codes. Following this evaluation, the Maintenance Director has implemented a new procedure that incorporates monthly smoke barrier penetration checks into the Maintenance Care work-order program. This proactive approach involves regularly monitoring and assessing the integrity of smoke barriers, which are crucial for maintaining fire safety. As part of this initiative, reminders for these checks will be automatically generated by the Maintenance Care program. Each check completion will be documented within the system to maintain a comprehensive record of compliance and any necessary maintenance actions taken. Maintenance Personnel will conduct a weekly audit for 4 weeks, then monthly or until the home has reached substantial compliance. Results will be taken to QAPI. The Maintenance Director or designee is responsible for sustained compliance. Date of Compliance: June 16th, 2025
Hazardous Area Deficiency Due to In-Room Wheelchair Battery Charging
Penalty
Summary
A deficiency was identified when a wheel chair battery charger unit was observed in use within a resident's room in the F wing, specifically room #114. The battery was being charged during night hours inside the resident's room, as confirmed by maintenance staff during an interview. This practice failed to comply with requirements for hazardous areas, which mandate protection by a fire barrier with a 1-hour fire resistance rating or an automatic fire extinguishing system, as outlined in 8.7.1.1 and 19.3.5.9. The deficiency was noted based on direct observation and staff interview, with the potential to affect two occupants in the event of a hazardous gas release within the room.
Plan Of Correction
All electric wheelchair chargers have been systematically removed from residents' individual rooms and relocated to designated Life Enrichment rooms. This decision was made to enhance safety and ensure compliance with new protocols. A comprehensive policy and procedure document has been developed to outline the new charging process. All staff members have undergone extensive training regarding the proper protocol for transporting unoccupied electric wheelchairs to the Life Enrichment room for overnight charging. Charging in residents' rooms is now strictly prohibited to minimize potential hazards and disturbances. The Life Enrichment room is strategically chosen as the charging location since it remains unoccupied overnight, reducing any risks associated with electrical equipment being near residents during those hours. As part of the onboarding process, new residents will receive thorough education about this policy and procedure to ensure they fully understand the charging process and its importance for safety. Additionally, the maintenance personnel have been assigned to conduct a detailed inspection of the charging setup on a weekly basis for the first month. Following this initial period, inspections will transition to a monthly schedule for the subsequent three months, or until the facility demonstrates substantial compliance with the established policy. The results of these inspections, along with any findings, will be tracked and presented to the Quality Assurance and Performance Improvement (QAPI) committee for further evaluation and action, ensuring that ongoing compliance and safety standards are maintained. This structured approach aims to provide a safe environment for residents while effectively managing the charging of electric wheelchairs. The Maintenance Director or designee will be responsible for sustained compliance. Date of Compliance: 06/16/2025
Failure to Prevent Accidents and Provide Adequate Supervision
Penalty
Summary
The facility failed to follow policy and procedures, monitor, and assist Resident #18 (R18) in preventing accidents and hazards related to toileting. R18, who was severely cognitively impaired and required partial/moderate assistance with toilet transfers, was observed multiple times self-transferring to the toilet and performing other activities without supervision. Despite having a care plan that required substantial assistance, R18 was left unattended, and the call light was often out of reach, leading to multiple falls and incidents of incontinence without timely assistance from staff. The incident reports for R18 revealed a pattern of falls and inadequate supervision. On several occasions, R18 was found on the floor after attempting to self-transfer, often in the bathroom, and was incontinent. The care plan interventions, such as using a touch pad call light, encouraging toileting every two hours, and ensuring the call light was within reach, were not effectively implemented or monitored. Additionally, there was no documentation of when R18 was last toileted or offered toileting, and post-fall neurological checks were not consistently performed. Interviews with staff, including the Assistant Director of Nursing (ADON), indicated a lack of awareness of R18's current ambulatory status and an absence of a system to evaluate the effectiveness of interventions after a fall. The facility's policies on fall prevention and post-fall evaluations were not adequately followed, resulting in repeated falls and a failure to provide a safe environment for R18. The care plan interventions were not re-evaluated for effectiveness, and the resident's needs were not anticipated or met as required by the facility's protocols.
Failure to Label Insulin Pen
Penalty
Summary
The facility failed to ensure that an insulin pen was labeled with the resident's name for one of the two medication carts inspected. During an inspection of the C Wing Medication Cart, a previously used Humalog insulin pen without a resident's name on it was found in an unlabeled slotted compartment in the top drawer of the medication cart. The other insulin pens in the compartment were labeled with a resident's name. The LPN stated that insulin pens should be labeled with the resident's name, the date it was first used, and the discard date. She admitted that without the label, she would not know for sure which resident the insulin pen belonged to, especially since another resident also had a Humalog pen in the same cart. Further interviews with other nursing staff revealed that insulin pens typically come from the pharmacy with a label containing the resident's name. If an insulin pen is pulled from the medication back-up box, the staff is responsible for labeling it with the resident's name and the date it was opened. The staff members interviewed stated that if they found an insulin pen without a label, they would discard it because they would not know which resident it belonged to. The facility's policy on labeling medications and biologicals requires that all medications be labeled with the resident's name to ensure safe administration. The failure to label the insulin pen created a potential risk for residents to receive medication from another resident's pen, which could lead to the spread of disease.
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What surveyors actually found near you
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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 Fremont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency At Fremont | 0.1 mi | ★★★★★ | 3 | 0 |
| Optalis Health & Rehabilitation Of Whitehall | 21.7 mi | ★★★★★ | 26 | 0 |
| Hillcrest Nursing And Rehabilitation Community | 21.8 mi | ★★★★★ | 12 | 0 |
| Christian Care Nursing Center | 22.1 mi | ★★★★★ | 5 | 0 |
| Lake Woods Nursing & Rehabilitation Center | 22.8 mi | ★★★★★ | 2 | 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 July 2026) and official state health department websites.