Marshall, MI

Medilodge of Marshall

1-star overall rating with 1-star inspections with $16,801 in total fines with 22 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

879 East Michigan Ave, Marshall, MI

(269) 781-4251

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 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

1990-02-20

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

0.87

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

2.57

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

4.14

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.86

CMS adjusted RN staffing hours

Adjusted total hours

4.08

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

53%

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

7,366

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

Performance score

29.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9857

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.95

Baseline 19.71% · Performance 19.60% · Measure score 3.95 · Achievement 3.95 · Improvement 0

Healthcare-associated infections

Baseline 6.12% · Performance 8.73% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.08

Baseline 44.30% · Performance 47.00% · Measure score 4.08 · Achievement 4.08 · Improvement 0

Adjusted total nurse staffing

3.95

Baseline 3.97 hours · Performance 4.2 hours · Measure score 3.95 · Achievement 3.95 · Improvement 0.77

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.06%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 158 · Observed rate 12.03% · Lower 95% interval 8.34%
Discharge to community	50.9%	50.57% 0.3 pts better	No Different than the National Rate · Eligible stays 148 · Observed rate 47.97% · Lower 95% interval 45.02%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	97.8%	95.27% 2.5 pts better	Numerator 89 · Denominator 91
Falls with major injury	1.1%	0.77% 0.3 pts worse	Numerator 1 · Denominator 91
Discharge self-care score	41.54%	53.69% 12.1 pts worse	Numerator 27 · Denominator 65
Discharge mobility score	40%	50.94% 10.9 pts worse	Numerator 26 · Denominator 65
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 91 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.73%	7.12% 1.6 pts worse	No Different than the National Rate · Eligible stays 76 · Observed rate 11.84% · Lower 95% interval 5.99%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 108
Staff flu vaccination coverage	19.42%	42% 22.6 pts worse	Numerator 27 · Denominator 139
Discharge function score	43.08%	56.45% 13.4 pts worse	Numerator 28 · Denominator 65
Transfer of health information to provider	91.3%	95.95% 4.7 pts worse	Numerator 21 · Denominator 23
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 44 · Denominator 44
Resident COVID-19 vaccinations up to date	2.22%	25.2% 23 pts worse	Numerator 1 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	1.7 0.6 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.7 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	1.5 0.3 pts worse	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.1 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	95.0% 2.1 pts better	93.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 98.5% · Q3 100.0% · Q4 95.9% · 4Q avg 97.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.1%	95.0% 1.9 pts worse	95.5% 2.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.1%
Percentage of long-stay residents experiencing one or more falls with major injury	6.9%	3.1% 3.8 pts worse	3.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.1% · Q3 6.8% · Q4 6.8% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.9%	4.1% 2.8 pts worse	11.4% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 3.6% · Q3 6.6% · Q4 8.1% · 4Q avg 6.9%
Percentage of long-stay residents who lose too much weight	1.9%	5.5% 3.6 pts better	5.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9%
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 20.4% · Q2 29.6% · Q3 25.9% · Q4 20.4% · 4Q avg 24.2%
Percentage of long-stay residents who received an antipsychotic medication	10.8%	16.5% 5.7 pts better	16.7% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 17.5% · Q3 4.5% · Q4 6.8% · 4Q avg 10.8% · 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	14.9%	13.9% 1 pts worse	16.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 14.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.7%	11.7% 4 pts better	14.9% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 11.8% · Q3 7.1% · Q4 1.9% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	0.9% 0.3 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.3% · Q3 1.0% · Q4 1.1% · 4Q avg 1.2% · 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 0.0% · Q2 1.6% · 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	24.5%	20.4% 4.1 pts worse	19.8% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 25.1% · Q3 29.4% · Q4 25.8% · 4Q avg 24.5%
Percentage of long-stay residents with pressure ulcers	4.0%	5.6% 1.6 pts better	5.1% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.6% · Q3 3.3% · Q4 5.1% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	82.8% 9.6 pts better	81.7% 10.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 88.1% · Q3 98.7% · Q4 96.5% · 4Q avg 92.4%
Percentage of short-stay residents who had an outpatient emergency department visit	18.4%	11.5% 6.9 pts worse	12.0% 6.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 19.2% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.3% 0.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 1.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.6%	79.5% 9.1 pts better	79.7% 8.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.0%	24.2% 2.8 pts worse	23.9% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 28.2% · Expected 24.9% · Used in QM five-star

Survey summary

Recent inspection cycles

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

22 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-02-28 · Fire 2024-02-28

19 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-12-29 · Fire 2022-12-29

13 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

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

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-21

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-21

F · Potential for more than minimal harm 2024-02-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-18

E · Potential for more than minimal harm 2024-02-28

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-03-18

E · Potential for more than minimal harm 2024-02-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-18

D · Potential for more than minimal harm 2024-02-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-03-18

F · Potential for more than minimal harm 2022-12-29

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-01-24

E · Potential for more than minimal harm 2022-12-29

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 2023-01-24

Inspection history

Recent health citations

G · Actual harm 2026-01-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-16

D · Potential for more than minimal harm 2026-01-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-01-16

D · Potential for more than minimal harm 2026-01-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-16

D · Potential for more than minimal harm 2026-01-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-08-21

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 2025-08-27

E · Potential for more than minimal harm 2025-07-17

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 2025-07-30

E · Potential for more than minimal harm 2025-07-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-17

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 2025-07-30

D · Potential for more than minimal harm 2025-06-24

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 2025-07-04

D · Potential for more than minimal harm 2025-06-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-06-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-04

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

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 2025-04-21

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

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-04-21

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-21

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

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 2025-04-21

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

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-04-21

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-21

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 2025-04-21

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

F743 · Quality of Life and Care Deficiencies

Health

Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-11

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 2025-02-07

D · Potential for more than minimal harm 2025-03-11

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 2025-03-13

D · Potential for more than minimal harm 2025-01-09

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-01-13

D · Potential for more than minimal harm 2025-01-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-13

J · Immediate jeopardy 2024-11-15

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 2024-11-19

D · Potential for more than minimal harm 2024-11-15

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 2024-11-19

D · Potential for more than minimal harm 2024-11-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-11-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-19

E · Potential for more than minimal harm 2024-10-18

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2024-10-19

E · Potential for more than minimal harm 2024-10-18

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 2024-10-19

D · Potential for more than minimal harm 2024-07-11

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 2024-07-12

D · Potential for more than minimal harm 2024-03-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-29

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 2024-04-08

F · Potential for more than minimal harm 2024-02-28

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 2024-03-18

E · Potential for more than minimal harm 2024-02-28

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-03-18

E · Potential for more than minimal harm 2024-02-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-03-18

D · Potential for more than minimal harm 2024-02-28

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 2024-03-18

D · Potential for more than minimal harm 2024-02-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-18

D · Potential for more than minimal harm 2024-02-28

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-03-18

D · Potential for more than minimal harm 2024-02-28

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 2024-03-18

D · Potential for more than minimal harm 2024-02-28

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-03-18

D · Potential for more than minimal harm 2023-12-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-06-22

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 2023-07-10

D · Potential for more than minimal harm 2023-06-22

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2023-07-10

F · Potential for more than minimal harm 2022-12-29

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 2023-01-24

E · Potential for more than minimal harm 2022-12-29

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 2023-01-24