Plymouth, MI

Medilodge of Plymouth

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

395 W Ann Arbor Trail, Plymouth, MI

(734) 453-3983

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

39

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Medilodge

Operator or chain grouping

Approved since

1991-06-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.21

Registered nurse staffing

LPN hours / resident day

0.68

Licensed practical nurse staffing

Aide hours / resident day

2.16

Nurse aide staffing

Weekend hours

3.28

Weekend nurse staffing

RN turnover

22%

Annual RN turnover

Total nurse turnover

64%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.1%
95.0%
11.9 pts worse
93.4%
10.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
95.0%
1.9 pts better
95.5%
1.4 pts better
Long Stay · 2024Q3-2025Q2
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
Percentage of long-stay residents who have depressive symptoms 0.0%
4.1%
4.1 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.5%
5.5%
1 pts better
5.4%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 32.7%
19.6%
13.1 pts worse
19.6%
13.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.8%
16.5%
3.7 pts better
16.7%
3.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 3.3%
13.9%
10.6 pts better
16.3%
13 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.2%
11.7%
5.5 pts better
14.9%
8.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.2%
20.4%
12.2 pts better
19.8%
11.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.7%
5.6%
2.9 pts better
5.1%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 50.2%
82.8%
32.6 pts worse
81.7%
31.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.3%
11.5%
2.2 pts better
12.0%
2.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 36.4%
79.5%
43.1 pts worse
79.7%
43.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.2%
24.2%
9 pts worse
23.9%
9.3 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-17 · Fire 2025-07-17

1 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

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

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

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2023-04-20 · Fire 2023-04-20

9 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

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

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-08-13

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

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-08-13

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

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-08-18

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

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-08-18

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

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-18

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

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 2024-08-18

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-18

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

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-08-18

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

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-18

F · Potential for more than minimal harm 2023-04-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-12

E · Potential for more than minimal harm 2023-04-20

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-05-12

Inspection history

Recent health citations

B · Minimal harm 2025-07-17

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Not marked corrected

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

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 2024-08-18

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

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 2024-08-18

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

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-08-18

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 2024-08-18

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

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-08-18

B · Minimal harm 2024-07-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-18

B · Minimal harm 2024-07-25

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Not marked corrected

F · Potential for more than minimal harm 2023-04-20

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-04-20

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-04-20

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 2023-05-12

F · Potential for more than minimal harm 2023-04-20

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 2023-05-12

F · Potential for more than minimal harm 2023-04-20

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-05-12

F · Potential for more than minimal harm 2023-04-20

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-05-12

D · Potential for more than minimal harm 2023-04-20

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 2023-05-12

D · Potential for more than minimal harm 2023-04-20

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-12

B · Minimal harm 2023-04-20

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-05-12

Penalties and ownership

What sits behind the stars

Ownership

Fifteeninone Opco Group LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2013-06-24
B&Y Healthcare S Corp

5% Or Greater Indirect Ownership Interest · Organization

0% 71 facilities 2013-06-24
B&Y Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 75 facilities 2013-06-24
Cody Healthcare S Corp

5% Or Greater Indirect Ownership Interest · Organization

0% 72 facilities 2013-06-24
Craig Flashner 2007 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 75 facilities 2013-06-24
Flashner, Craig

Operational/Managerial Control · Individual

0% 75 facilities 2013-06-24
Generations Healthcare Management LLC

Operational/Managerial Control · Organization

0% 15 facilities 2013-06-24
Kirk, Kristine

W-2 Managing Employee · Individual

0% 74 facilities 2018-01-01
Norcross, Robert

Contracted Managing Employee · Individual

0% 74 facilities 2013-06-24
Perlstein, Yitzchok

Operational/Managerial Control · Individual

0% 75 facilities 2013-06-24
Prestige Administrative Services, LLC

Operational/Managerial Control · Organization

0% 72 facilities 2016-01-01
Rogers, Stacey

Contracted Managing Employee · Individual

0% 74 facilities 2014-10-20

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