Medilodge of Taylor

Inspectors wroteThis citation pertains to intake 3001431. Based on interview and record review the facility failed to ensure the physician was notified when medications were not administered as ordered for one resident (R902) out of three residents reviewed for medication administration, resulting in missed opportunities for physician intervention, alternative treatment considerations and the potential for further spread of the resident's infection.

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 12/8/25 at 9:40AM, observation of the kitchen hand sinks found that they have an automatic faucet that is activated by movement. Once activated, the sinks were only found to have a run time of 3-5 seconds unless continually reactivated. According to the 2022 FDA Food Code section 5-202.12 Handwashing Sink, Installation. (A) A HANDWASHING SINK shall be equipped to provide water at a temperature of at least 29.4 C (85 F) through a mixing valve or combination faucet. Pf (B) A steam mixing valve may not be used at a HANDWASHING SINK. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to fully implement a policy regarding use and storage of resident foods brought in from outside sources resulting in the potential for nutritional decline and decreased satisfaction for all residents. Findings Include:On 12/8/25 at 10:52 AM, observation of the nourishment rooms' large refrigeration unit, found minimal food storage. When asked where residents would store food brought in from outside sources that needed refrigeration, Registered Dietician D, stated the facility does not have a refrigerator for residents and only has residents keep shelf stable products in their rooms. A record review of facility policy entitled, Use and Storage of Food Brought in by Family or Visitors, revised 7/1/25, found that It is the right of the residents of this facility to have food brought in by family or other visitors. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure dignity was provided during care for one (R26) of two cognitively impaired residents and for five of eight cognitively intact residents that participated in an Anonymous Resident Council meeting reviewed for resident's rights, resulting in feelings of being ignored and discomfort.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide food at a palatable temperature for five of eight cognitively intact residents that participated in an Anonymous Resident Council meeting, and all residents who consume food resulting in the potential for decreased food consumption and potential nutritional decline.

Inspectors wroteBased on observation, interview, and record review, the facility failed to offer additional food preferences, alternative or optional food choices for two (R117 and R120) residents out of 13, and three of eight cognitively intact residents that participated in an Anonymous Resident Council meeting reviewed for food, potentially resulting in weight loss and dissatisfied dining/nutrition experiences.

Inspectors wroteThis citation pertains to Complaint 2681324Based on observation and interviews, the facility failed to maintain a safe, functional, sanitary, and comfortable environment resulting in an increased potential for contamination and a possible decrease in the satisfaction of living for residents in the 100, 200, and 300 halls. Findings Include:On 12/8/25, at 10:59 AM, observation of the Ice room on the 200 Hall found an increased accumulation of black debris in the cabinet under the sink. On 12/8/25 at 1:20 PM, observation of the 100 Hall day space found an accumulation of Kleenex and debris stuffed into the side of chair and couch cushions. On 12/8/25 at 2:15 PM, observation of the 300 Hall Clean Utility room found an open wire rack of clean linen with an accumulation of debris, dust, and trash on the floor under the rack. [...]

Inspectors wroteBased on observation and interview, the facility failed to minimize the risk of scalding and burns by allowing domestic hot water to exceed 120 F. This resulted in an increased risk of injury among residents residing in the facility. Findings Include:On 12/8/25 at 1:33 PM, observation of resident room [ROOM NUMBER] found the hot water in the shower reached a temperature of 126F when tested with a rapid read thermometer. The temperature of the hand sink was 118F at this time and noted to have a point of use mixing valve installed to temper the hot water. On 12/8/25 at 1:38 PM, observation of resident rooms [ROOM NUMBERS] found hot water from the sinks and showers under the maximum 120F for resident care areas. [...]

Inspectors wroteBased on observations, interview, and record review the facility failed to follow standards of practice for accurate reconciliation of Controlled Medications in three of eight medication carts resulting in the potential for drug diversion. Findings Include:Controlled Medications are substances that have an accepted medical use (medications which fall under US Drug Enforcement Agency (DEA) Schedules II-V), have a potential for abuse, ranging from low to high, and may also lead to physical or psychological dependence On 12/09/2025 at 11:04 AM inspection of 'Medication Cart - A ' on the 200-hall with Licensed Practical Nurse (LPN) A a review of the Controlled Substance Verification Log revealed it was incomplete. There were no licensed nurse's signatures to verify the Controlled Medications were reconciled for the last 24 hours; [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (R45) out of five residents reviewed for immunizations, was provided an influenza vaccination and education resulting in the potential for the development and spread of influenza among vulnerable residents in the facility.

Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (R45) out of five residents reviewed for immunizations, was provided a COVID-19 vaccination and education resulting in the potential for the development and spread of COVID-19 among vulnerable residents in the facility.

Inspectors wroteThis citation pertains to intake 2583399. Based on interview and record review, the facility failed to timely notify the guardian of a resident fall for one resident (R101) out of four residents reviewed for falls.

Inspectors wroteThis citation pertains to intake 2583399. Based on interview and record review, the facility failed to report an injury of unknown origin to the State Agency (SA) for one resident (R101) out of four residents reviewed for injuries of unknown origin.

Inspectors wroteThis citation pertains to intake 2583399. Based on interview and record review, the facility failed to investigate an injury of unknown origin for one resident (R101) out of four residents reviewed for injuries of unknown origin.

Inspectors wroteThis citation pertains to Intake 1351543Based on observation, Interview, and record review, the facility failed to ensure a call light was answered within a timely manner for one resident (R906) out of six residents reviewed for call lights, resulting in the R906 being left of the toilet for an extended period, discomfort, disrespect, and feelings of anxiety.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure enhanced barrier precautions (EBP) were applied during wound care for one resident (R912) out of one resident reviewed for infection control.

Inspectors wroteBased on observation, interview, and record review, the facility failed to properly date-label food in the kitchen and ensure the drain from the coffee machine was properly air gapped.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure one resident (R76) was updated in a timely manner regarding preference to move to another home, resulting in resident experiencing frustration.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide adequate nail care, facial hair grooming, and hair washing for two (R18 and R118) of seven residents reviewed for activities of daily living for dependent residents resulting in unmet hygiene needs, loss of dignity, and emotional distress.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure continuous tracheostomy humidification for one (R125) of three residents reviewed for respiratory therapy, resulting in the potential for thickened secretions, dehydration of airway secretions, and the potential for lung infection.

Inspectors wroteThis citation pertains to intake MI00146662. Based on interview and record review the facility failed to maintain complete and accurate medical records for one resident (R130) out of three residents reviewed for wound care. Findings Include: Record review of R130's electronic medical record (EMR) revealed admission into the facility on 2/8/24 with a pertinent diagnosis of acquired absence of left leg below knee. According to the Minimum Data Set (MDS) dated [DATE], R130 had intact cognition and required assistance with Activities of Daily Living (ADLs). Record review of Physician Orders documented, LBKA (left below the knee amputation) cleanse with wound cleanser pat dry and apply dry dressing every day for surgical incision. Start Date-02/15/2024 0700. Record review of Treatment Administration Record (TAR) revealed that a dressing was applied on 2/15/24. [...]

Inspectors wroteThis citation pertains to intake MI00141087. Based on interview and record review, the facility failed to shower one resident (R506) of three reviewed for scheduled showers, resulting in the lack of resident personal grooming and hygiene.

Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a complete order for the application and removal of a topical pain patch for one resident (Resident #99) of 28 residents reviewed during medication pass, resulting in the likelihood of causing the resident to be over medicated or under medicated.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide appropriate supra-pubic catheter care (s/p catheter; flexible tube surgically inserted through the abdomen wall into the bladder to drain urine) for one (R16) of two residents reviewed for urinary catheters resulting in the potential for skin irritation around the catheter insertion site, discomfort or dislodgement of the catheter, and urinary tract infections.