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Deficiency Records for Medilodge of Leelanau

View the most recent health deficiencies and inspection results for Medilodge of Leelanau. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Medilodge of Leelanau. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-25 2026-05-01 Y
Ensure medication error rates are not 5 percent or greater. Health 2026-03-25 2026-05-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2026-01-21 2026-01-20 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-12-11 2025-02-11 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-12-11 2025-01-14 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-12-11 2025-01-14 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-11 2025-01-14 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-12-11 2025-01-14 N
Provide and implement an infection prevention and control program. Health 2024-12-11 2025-01-14 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-12-11 2025-01-14 N
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. Health 2024-12-11 2025-01-14 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-12-11 2025-01-14 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-12-11 2025-01-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-11 2025-01-14 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-12-11 2025-01-14 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-12-11 2025-01-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-12-11 2025-01-14 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-12-11 2025-01-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-12-11 2025-01-14 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-12-11 2025-01-14 N
Provide properly protected cooking facilities. Fire Safety 2024-12-11 2025-01-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-12-11 2025-01-14 N
Conduct testing and exercise requirements. Fire Safety 2024-12-11 2025-01-14 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-09-13 2024-10-16 Y
Respond appropriately to all alleged violations. Health 2024-09-13 2024-10-16 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-23 2024-02-26 Y
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. Health 2024-01-23 2024-02-26 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2024-01-23 2024-02-26 N
Post nurse staffing information every day. Health 2024-01-23 2024-02-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-23 2024-02-26 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-01-23 2024-02-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-23 2024-02-26 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-01-23 2024-02-26 Y
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. Health 2024-01-23 2024-02-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-01 2023-07-06 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-06-01 2023-07-06 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-01 2023-07-06 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-15 2023-01-19 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-12-15 2023-01-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-15 2023-01-19 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-12-15 2023-01-19 N
Ensure medication error rates are not 5 percent or greater. Health 2022-12-15 2023-01-19 N
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. Health 2022-12-15 2023-01-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-15 2023-01-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-15 2023-01-19 N
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. Health 2022-12-15 2023-01-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-15 2023-01-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-15 2023-01-19 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-12-15 2023-01-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-15 2023-01-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-12-15 2023-01-19 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-12-15 2023-01-19 N

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