Frankenmuth, MI

Medilodge of Frankenmuth

4-star overall rating with 3-star inspections with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

500 West Genesee, Frankenmuth, MI

(989) 652-6101

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Medilodge

Operator or chain grouping

Approved since

1975-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

50 facilities

Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.34

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.85

CMS adjusted RN staffing hours

Adjusted total hours

4.39

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

69%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,195

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.12

Baseline 21.27% · Performance 20.91% · Measure score 1.12 · Achievement 1.12 · Improvement 0.34

Healthcare-associated infections

2.47

Baseline 7.58% · Performance 7.10% · Measure score 2.47 · Achievement 2.47 · Improvement 1.36

Total nurse turnover

0.34

Baseline 66.67% · Performance 63.16% · Measure score 0.34 · Achievement 0 · Improvement 0.34

Adjusted total nurse staffing

4.54

Baseline 3.51 hours · Performance 4.37 hours · Measure score 4.54 · Achievement 4.54 · Improvement 3.27

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.42%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 191 · Observed rate 7.33% · Lower 95% interval 6.15%
Discharge to community	54.67%	50.57% 4.1 pts better	No Different than the National Rate · Eligible stays 105 · Observed rate 51.43% · Lower 95% interval 45.33%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 37 · Denominator 37
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 37
Discharge self-care score	35.71%	53.69% 18 pts worse	Numerator 10 · Denominator 28
Discharge mobility score	53.57%	50.94% 2.6 pts better	Numerator 15 · Denominator 28
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 37 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.1%	7.12% About the same	No Different than the National Rate · Eligible stays 97 · Observed rate 6.19% · Lower 95% interval 4.17%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 118
Staff flu vaccination coverage	61.64%	42% 19.6 pts better	Numerator 45 · Denominator 73
Discharge function score	46.43%	56.45% 10 pts worse	Numerator 13 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.5 1.1 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.8%	95.0% 25.2 pts worse	93.4% 23.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 81.0% · Q3 58.3% · Q4 58.7% · 4Q avg 69.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	82.3%	95.0% 12.7 pts worse	95.5% 13.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 82.3%
Percentage of long-stay residents experiencing one or more falls with major injury	3.4%	3.1% 0.3 pts worse	3.3% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.2% · Q3 1.7% · Q4 1.6% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	4.1% 3.5 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	6.8%	5.5% 1.3 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 8.5% · Q3 6.2% · Q4 6.0% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.7%	19.6% 1.1 pts worse	19.6% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 18.4% · Q3 21.6% · Q4 24.0% · 4Q avg 20.7%
Percentage of long-stay residents who received an antipsychotic medication	17.6%	16.5% 1.1 pts worse	16.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 27.8% · Q3 17.5% · Q4 2.6% · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.7%	13.9% 8.2 pts better	16.3% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.6%	11.7% 4.1 pts better	14.9% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 4.9% · Q3 6.7% · Q4 4.7% · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	1.7% 1.3 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.3%	20.4% 4.9 pts worse	19.8% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 24.2% · Q3 21.9% · Q4 21.5% · 4Q avg 25.3%
Percentage of long-stay residents with pressure ulcers	4.1%	5.6% 1.5 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 2.3% · Q3 3.7% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	40.5%	82.8% 42.3 pts worse	81.7% 41.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 62.5% · Q2 34.5% · Q3 21.7% · Q4 40.0% · 4Q avg 40.5%
Percentage of short-stay residents who had an outpatient emergency department visit	12.9%	11.5% 1.4 pts worse	12.0% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 16.2% · Expected 14.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.7%	1.3% 3.4 pts worse	1.6% 3.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.4% · Q3 5.0% · Q4 5.6% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	38.9%	79.5% 40.6 pts worse	79.7% 40.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 38.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.0%	24.2% 5.2 pts better	23.9% 4.9 pts better	Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 24.3% · Expected 30.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-03 · Fire 2025-04-03

11 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-01 · Fire 2024-05-01

21 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-05-19 · Fire 2023-05-19

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-03

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-03

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-04-30

F · Potential for more than minimal harm 2025-04-03

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-30

E · Potential for more than minimal harm 2024-05-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-05-01

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-05-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-04

F · Potential for more than minimal harm 2023-05-19

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-05-31

F · Potential for more than minimal harm 2023-05-19

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-06-06

F · Potential for more than minimal harm 2023-05-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-02

E · Potential for more than minimal harm 2023-05-19

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-05-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-03

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-04-03

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-04-30

D · Potential for more than minimal harm 2025-01-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-04

E · Potential for more than minimal harm 2024-10-07

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-10-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-10-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-10-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-17

D · Potential for more than minimal harm 2024-10-07

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-10-17

G · Actual harm 2024-05-01

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-06

E · Potential for more than minimal harm 2024-05-01

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-06-04

E · Potential for more than minimal harm 2024-05-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-04