A list of the most recent deficiencies for Medilodge of Okemos. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2023-07-27 | 2023-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-27 | 2023-08-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-27 | 2023-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-15 | 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 | 2023-07-27 | 2023-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-27 | 2023-08-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-27 | 2023-08-15 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-27 | 2023-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-27 | 2023-08-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-27 | 2023-08-15 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2023-07-26 | 2023-08-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-26 | 2023-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-26 | 2023-08-15 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-07-26 | 2023-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-15 | 2022-08-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-15 | 2022-08-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-15 | 2022-08-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-15 | 2022-08-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-15 | 2022-08-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-15 | 2022-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-03 | 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 | 2022-07-12 | 2022-08-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-12 | 2022-08-03 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-10 | 2022-03-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-10 | 2022-03-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-03-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-10 | 2022-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-03-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-10 | 2022-03-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-10 | 2022-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-03-24 | Y |
| Provide appropriate foot care. | Health | 2022-03-10 | 2022-03-24 | Y |
| 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 | 2022-03-10 | 2022-03-24 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-10 | 2022-03-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-10 | 2022-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-11 | 2021-09-15 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-08-11 | 2021-08-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-11 | 2021-08-13 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-08-11 | 2021-08-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-25 | 2020-11-17 | N |
| 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. | Health | 2020-09-25 | 2020-11-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-25 | 2020-11-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-09-25 | 2020-11-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-25 | 2020-11-17 | N |
| Respond appropriately to all alleged violations. | Health | 2020-09-25 | 2020-11-17 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-09-25 | 2020-11-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-09-25 | 2020-11-17 | 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 | 2020-09-25 | 2020-11-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-25 | 2020-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-25 | 2020-11-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-09-25 | 2020-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-25 | 2020-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-25 | 2020-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-25 | 2020-11-17 | 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 | 2020-09-25 | 2020-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-25 | 2020-11-17 | 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 | 2020-09-25 | 2020-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-25 | 2020-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-25 | 2020-11-17 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-09-25 | 2020-11-17 | 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 | 2020-09-25 | 2020-11-17 | 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 | 2020-09-25 | 2020-11-17 | N |
| 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. | Health | 2020-09-25 | 2020-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-25 | 2020-11-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-25 | 2020-11-17 | 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 | 2020-09-25 | 2020-11-17 | N |
| Provide or obtain dental services for each resident. | Health | 2020-09-25 | 2020-11-17 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-09-25 | 2020-11-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-09-25 | 2020-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-25 | 2020-11-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-09-25 | 2020-11-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-09-17 | 2020-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-17 | 2020-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-17 | 2020-11-17 | N |
