Grand Rapids, MI

Medilodge of Grand Rapids

1-star overall rating with 1-star inspections with $57,658 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

2000 Leonard NE, Grand Rapids, MI

(616) 458-1133

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Medilodge

Operator or chain grouping

Approved since

1967-01-01

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

0.77

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.91

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.40

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.79

CMS adjusted RN staffing hours

Adjusted total hours

4.02

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

74%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,804

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

Performance score

22.47

Composite VBP score used to determine payment impact.

Payment multiplier

0.9829

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.18

Baseline 22.12% · Performance 20.76% · Measure score 2.18 · Achievement 1.45 · Improvement 2.18

Healthcare-associated infections

1.02

Baseline 6.70% · Performance 7.53% · Measure score 1.02 · Achievement 1.02 · Improvement 0

Total nurse turnover

1.08

Baseline 78.87% · Performance 70.31% · Measure score 1.08 · Achievement 0 · Improvement 1.08

Adjusted total nurse staffing

4.70

Baseline 5.03 hours · Performance 4.42 hours · Measure score 4.70 · Achievement 4.70 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.26%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 13.43% · Lower 95% interval 7.66%
Discharge to community	31.94%	50.57% 18.6 pts worse	Worse than the National Rate · Eligible stays 56 · Observed rate 17.86% · Lower 95% interval 22.88%
Medicare spending per beneficiary	0.79	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	50%	53.69% 3.7 pts worse	Numerator 12 · Denominator 24
Discharge mobility score	66.67%	50.94% 15.7 pts better	Numerator 16 · Denominator 24
Pressure ulcers or injuries, new or worsened	2.7%	2.29% 0.4 pts worse	Numerator 1 · Denominator 37 · Adjusted rate 2.53%
Healthcare-associated infections requiring hospitalization	7.53%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 10.81% · Lower 95% interval 4.05%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 95
Staff flu vaccination coverage	10.47%	42% 31.5 pts worse	Numerator 18 · Denominator 172
Discharge function score	87.5%	56.45% 31 pts better	Numerator 21 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 17 · 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	2.7	1.7 1 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.1 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.5 0.5 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.4 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	95.0% 3.8 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.2% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.1% 0.7 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.8%	4.1% 3.3 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight	11.9%	5.5% 6.4 pts worse	5.4% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 12.5% · Q3 19.4% · Q4 10.5% · 4Q avg 11.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.3%	19.6% 4.7 pts worse	19.6% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 22.5% · Q3 27.3% · Q4 28.9% · 4Q avg 24.3%
Percentage of long-stay residents who received an antipsychotic medication	7.1%	16.5% 9.4 pts better	16.7% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 8.8% · Q3 0.0% · Q4 10.7% · 4Q avg 7.1% · 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	0.0%	13.9% 13.9 pts better	16.3% 16.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	11.7% 8 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 0.0% · Q3 6.7% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.9% 0.3 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.7% 1.1 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.4%	20.4% 4 pts better	19.8% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 14.7% · Q3 17.9% · Q4 13.6% · 4Q avg 16.4%
Percentage of long-stay residents with pressure ulcers	6.1%	5.6% 0.5 pts worse	5.1% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.3% · Q3 2.9% · Q4 6.2% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.2%	82.8% 6.4 pts better	81.7% 7.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.2% · Q2 91.5% · Q3 91.2% · Q4 87.2% · 4Q avg 89.2%
Percentage of short-stay residents who had an outpatient emergency department visit	10.8%	11.5% 0.7 pts better	12.0% 1.2 pts better	Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 11.5% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.3% 0.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 2.3% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.7%	79.5% 2.8 pts worse	79.7% 3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	37.3%	24.2% 13.1 pts worse	23.9% 13.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 37.3% · Observed 34.6% · Expected 22.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-04 · Fire 2025-06-04

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-25 · Fire 2024-07-25

32 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-14 · Fire 2023-06-14

30 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-04

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-06-23

E · Potential for more than minimal harm 2025-06-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-23

E · Potential for more than minimal harm 2025-06-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-06-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-23

E · Potential for more than minimal harm 2024-07-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-01-24

E · Potential for more than minimal harm 2024-07-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-02-24

F · Potential for more than minimal harm 2023-06-14

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-19

F · Potential for more than minimal harm 2023-06-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-19

F · Potential for more than minimal harm 2023-06-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-19

E · Potential for more than minimal harm 2023-06-14

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-07-19

Inspection history

Recent health citations

J · Immediate jeopardy 2026-01-29

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2026-01-05

G · Actual harm 2026-01-29

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-01-05

F · Potential for more than minimal harm 2025-06-04

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 2025-06-23

F · Potential for more than minimal harm 2025-06-04

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-06-23

E · Potential for more than minimal harm 2025-06-04

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-06-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-06-04

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-06-04

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-06-23

J · Immediate jeopardy 2025-01-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-16

G · Actual harm 2025-01-10

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 2025-01-16

F · Potential for more than minimal harm 2025-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-16

E · Potential for more than minimal harm 2025-01-10

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-01-16

D · Potential for more than minimal harm 2025-01-10

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 2025-01-16

D · Potential for more than minimal harm 2025-01-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-01-16

D · Potential for more than minimal harm 2025-01-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-16

J · Immediate jeopardy 2025-01-06

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 2025-01-16

D · Potential for more than minimal harm 2025-01-06

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-01-16

F · Potential for more than minimal harm 2024-07-25

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 2024-08-21

E · Potential for more than minimal harm 2024-07-25

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-25

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-25

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-25

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 2024-08-21

E · Potential for more than minimal harm 2024-07-25

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-25

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-25

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 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-25

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-04-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-04-23

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 2024-05-22

D · Potential for more than minimal harm 2024-04-23

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-04-23

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-02-08

D · Potential for more than minimal harm 2024-04-23

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-04-23

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 2024-05-22

E · Potential for more than minimal harm 2023-12-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-01-27

E · Potential for more than minimal harm 2023-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-18

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-12-18

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-18

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 2024-01-27

D · Potential for more than minimal harm 2023-12-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-12-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-01-27

D · Potential for more than minimal harm 2023-12-18

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-01-27

J · Immediate jeopardy 2023-08-29

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 2023-07-25

F · Potential for more than minimal harm 2023-06-14

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 2023-07-19

E · Potential for more than minimal harm 2023-06-14

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 2023-07-19

E · Potential for more than minimal harm 2023-06-14

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 2023-07-19

E · Potential for more than minimal harm 2023-06-14