Medilodge of Livonia

Inspectors wroteThis citation pertains to Intake 3018720 Based on interview and record review, the facility failed to accurately document the completion of bladder scans following the removal of a catheter for one resident (R901) of one reviewed for urinary retention.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 03/18/2026 at 8:21 AM an interview with Food Service Director (FSD) A regarding the frequency of use of the meat slicer found it is used periodically. On 03/18/2026 at 8:43 AM observed dried debris at the bottom of two clean equipment utensil bins. On 03/18/2026 at 9:09 AM an interview with FSD A found the cooks are responsible for cleaning and sanitizing clean utensil bins daily. On 03/18/2026 at 9:32 AM observed dried food debris accumulated on the underside of the meat slicer blade. When pointing out food debris, FSD A stated I see what you are talking about. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain general cleanliness and repair of the premises as well as proper storage of clean and sanitary supplies. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents. Findings Include:On 03/18/2026 at 9:50 AM observed black debris accumulated on the inside shelf of the cabinet located under the sink in the nourishment room. Further observation of the sink drain found multiple straws within as a possible clogging factor. On 03/18/2026 at 10:08 AM observed an assortment of discarded items layering the bottom of the clean linen transfer bin under the inside support floor (used to help bring linen near the top of the bin). [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the cleanliness of tube feeding poles for two residents (R1 and R4) of two resident rooms reviewed for cleanliness.

Inspectors wroteBased on observation, interview, and record review, the facility failed to develop and implement care planned interventions for two residents (R70 and R86) of four residents reviewed for care plans.

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement interventions to promote wound healing for two residents (R7, R36) of five residents reviewed for management of pressure ulcer wounds.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a medical record which reflects the resident's current status for the use of oxygen for one resident (R86) of one reviewed for respiratory care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to administer two medication doses correctly out of 32 opportunities for one of one resident (R97) resulting in a medication error rate of 6.25 percent.

Inspectors wroteBased on observation, interview and record review, the facility failed to perform timely hand hygiene in one of one resident (R102) during medication passes.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure treatment and services were provided in a dignified manner for eight residents, (R#'s 20, 70, 10, 76, 17, 13, 5, and 405) of eight residents reviewed for dignity.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure bathing and hair care was completed and facial hair removed timely for six residents (R34, R57, R63, R84, R99) of six residents reviewed for activities of daily living (ADL) care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper hand hygiene during care for four residents (R82, R70, R76, and R5) of four residents reviewed for hand hygiene and infection control, resulting in the potential for the spread of infection.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the call light within resident reach for one (R22) of six residents reviewed for call light access.

Inspectors wroteBased on observation, interview and record review the facility failed to complete wound care per the physician order for one resident (R84) of one reviewed for wound care.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure application of palm protector devices for one resident (R76) of two residents reviewed for restorative services, resulting in unprotected palm of hand from contracted fingers.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain the resident's water cup within reach for one resident (R22) of five residents reviewed for access to water.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate less than five percent when two errors were made, from 27 opportunities resulting in a medication error rate of 7.41% for one resident, (R39) of four residents reviewed for medication administration.

Inspectors wroteThis citation pertains to Intake MI00147709. Based on observation and interview, the facility failed to ensure resident wound care treatments were documented and skin maintained intact for one resident (R901) of three whose skin management was reviewed.

Inspectors wroteThis citation pertains to Intake: MI00147554 Based on interview and record review, the facility failed to provide ongoing monitoring and treatment for a change in condition for one resident (R901) of four residents reviewed for change of condition resulting in the initiation of Cardiopulmonary Resuscitation (CPR).

Inspectors wroteThis citation pertains to Intake: MI00147554. Based on interview and record review, the facility failed to notify the resident representative of a change of condition for one resident (R901) of three residents reviewed for notification.

Inspectors wroteThis citation pertains to Intakes MI00146343, MI00146953, and MI00146881. Based on interview and record review, the facility failed to provide treatments, medications, and blood sugar monitoring as ordered for two (Resident #2 and Resident #1) of four reviewed.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure safety measures were followed per the plan of care and prevent a fall from bed during incontinence care for two sampled residents (R41 and R64) from a sample of three residents reviewed for accidents, resulting in fall with head injury and a transfer to the hospital.

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting all residents who receive oral food meal services out of the facility's census of 90 residents.

Inspectors wroteBased on observation and interview, the facility failed to provide a safe, functional, and sanitary, environment for the facilities census of 90 residents and its staff resulting in an increased chance of harm, odor penetration into resident areas, and dissatisfaction with the living environment .

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain the dignity of one (R30) of five residents reviewed for dignity by limiting their clothing to a hospital-style gown with the resident's incontinence brief consistently exposed, resulting in an undignified appearance for a resident who is unable to express clothing choices or preferences.

Inspectors wroteBased on interview and record review the facility failed to update a care plan following a fall for one resident (R398) of three residents reviewed for falls, resulting in a lack of assessed and implemented fall interventions to prevent further falls.

Inspectors wroteBased on observation, interview and record review, the facility failed to remove a splint in a timely manner in accordance with the physician order for one (R30) of one resident reviewed for splints, resulting in the potential for skin breakdown and increased pain.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow-up on hearing loss recommendations for one sampled resident (R41) of one reviewed for ancillary services resulting in unmet care needs, and the potential for the worsening of their hearing without treatment.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure consistent repositioning for one resident with an active sacral wound of two residents reviewed for pressure ulcer care, resulting in the potential for decreased wound healing, increased wound healing time and or worsening of a pressure ulcer.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident identifier and an opened were on the medication container in three of five medication carts resulting in the potential for loss and or use for a secondary resident.