Lansing, MI

Medilodge of Lansing

5-star overall rating with 3-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

731 Starkweather Drive, Lansing, MI

(517) 323-9133

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 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

1976-04-01

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

0.89

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.37

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.02

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

3.32

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

4.68

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

18%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,089

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

Performance score

41.33

Composite VBP score used to determine payment impact.

Payment multiplier

0.9942

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.80

Baseline 61.54% · Performance 52.24% · Measure score 2.80 · Achievement 2.80 · Improvement 2.03

Adjusted total nurse staffing

5.47

Baseline 4.02 hours · Performance 4.63 hours · Measure score 5.47 · Achievement 5.47 · Improvement 2.97

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.41%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 7.21%
Discharge to community	54%	50.57% 3.4 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 46.88% · Lower 95% interval 38.64%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 75
Staff flu vaccination coverage	59.63%	42% 17.6 pts better	Numerator 65 · Denominator 109
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · 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	1.3	1.7 0.4 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.5 1.4 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.0 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.5%	95.0% 0.5 pts better	93.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 98.2% · Q3 92.4% · Q4 95.3% · 4Q avg 95.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.0%	95.0% 2 pts better	95.5% 1.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.1% 1.1 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 0.0% · Q4 1.6% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	4.1% 1.3 pts better	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 3.5% · Q4 3.4% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	2.8%	5.5% 2.7 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 5.2% · Q4 3.6% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.2%	19.6% 4.6 pts worse	19.6% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 26.9% · Q3 22.0% · Q4 24.6% · 4Q avg 24.2%
Percentage of long-stay residents who received an antipsychotic medication	23.8%	16.5% 7.3 pts worse	16.7% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 28.6% · Q3 20.0% · Q4 15.6% · 4Q avg 23.8% · 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	10.2%	13.9% 3.7 pts better	16.3% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 8.3% · Q3 6.0% · Q4 4.2% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.2%	11.7% 4.5 pts better	14.9% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 4.2% · Q3 3.6% · Q4 5.6% · 4Q avg 7.2% · 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	1.7%	1.7% About the same	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 3.1% · Q4 1.6% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	20.4% 4.7 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 34.6% · Q3 22.3% · Q4 20.3% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	6.9%	5.6% 1.3 pts worse	5.1% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.3% · Q3 10.7% · Q4 4.3% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	65.5%	82.8% 17.3 pts worse	81.7% 16.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 67.8% · Q3 64.6% · Q4 68.0% · 4Q avg 65.5%
Percentage of short-stay residents who had an outpatient emergency department visit	4.3%	11.5% 7.2 pts better	12.0% 7.7 pts better	Short Stay · 20240701-20250630 · Adjusted 4.3% · Observed 4.8% · Expected 12.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.3% 0.1 pts worse	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 4.5% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	71.7%	79.5% 7.8 pts worse	79.7% 8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 71.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.2%	24.2% 10 pts better	23.9% 9.7 pts better	Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 14.3% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

10 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-10-03 · Fire 2024-10-03

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-07-20 · Fire 2023-07-20

16 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-04

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 2025-12-23

E · Potential for more than minimal harm 2025-12-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-23

F · Potential for more than minimal harm 2024-10-03

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-10-03

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 2024-10-23

E · Potential for more than minimal harm 2024-10-03

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-10-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-10-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-23

F · Potential for more than minimal harm 2023-07-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-08-15

E · Potential for more than minimal harm 2023-07-20

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 2023-08-15

E · Potential for more than minimal harm 2023-07-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-15

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-04

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 2025-12-23

F · Potential for more than minimal harm 2025-12-04

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 2025-12-23

D · Potential for more than minimal harm 2025-12-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-04

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-12-04

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-12-23

C · Minimal harm 2025-12-04

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-19

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 2025-11-20

D · Potential for more than minimal harm 2025-11-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-11-20

E · Potential for more than minimal harm 2025-11-12

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 2025-11-13

D · Potential for more than minimal harm 2025-08-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-08

F · Potential for more than minimal harm 2024-10-03

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 2024-10-23

E · Potential for more than minimal harm 2024-10-03

F907 · Environmental Deficiencies

Health

Provide enough space and equipment to meet each resident's needs

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-10-03

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 2024-10-23

D · Potential for more than minimal harm 2024-10-03

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 2024-06-11

D · Potential for more than minimal harm 2024-10-03

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 2024-10-23

D · Potential for more than minimal harm 2024-10-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-04-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-25

F · Potential for more than minimal harm 2023-07-20

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 2023-08-15

E · Potential for more than minimal harm 2023-07-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-15

E · Potential for more than minimal harm 2023-07-20

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 2023-08-15