Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Medilodge Of Milford during CMS and state inspections, most recent first.
Improper Hoyer lift setup during a resident transfer caused the lift to tip over and strike a resident on the head. Nursing notes and the facility investigation documented that the resident was being moved to a shower chair when the lift tipped, causing a head laceration that required hospital evaluation and 6 staples; the DON confirmed the lift was not set up properly, and the facility policy did not address the steps for properly setting up the Hoyer.
Failure to Implement Pressure Injury Prevention Measures: A resident with diabetes, CKD, HF, depression, bladder dysfunction, and limited bed mobility was repeatedly observed sitting in a wheelchair on a Hoyer sling without a cushion or other pressure-reducing support surface, despite a wound care provider recommendation for a wheelchair cushion. The resident reported a sore bottom and worsening sores, and later had new buttock/coccyx skin breakdown with redness, inflammation, and a pinpoint opening. The care plan identified skin integrity risk, but did not include the cushion intervention.
Failure to provide timely social services for a resident with CHF and dementia with mood disorder. The resident had severe cognitive impairment, signed consent for quetiapine/Seroquel, and later had an advance directives/CPR form stating they could not make a choice and had no representative, even though the record also contained a DPOA and no documentation showed the resident had been deemed incompetent. The SSW/DIR reported there were no notes documenting a meeting with the resident about the antipsychotic consent, and the resident later stated they wanted to be DNR and could name the DPOA.
A facility failed to implement fall precautions for a resident with a history of falls, resulting in a deficiency citation. The resident, with a history of hip fracture and other medical conditions, was found without prescribed fall mats, with trip hazards in the room, and the call light and fluids out of reach. Both the LPN and DON acknowledged the lack of fall precaution interventions, contrary to the facility's policy.
A resident receiving nutrition via a PEG tube did not have a physician's order for tube feeding until five days after readmission, despite being observed receiving feeding. Additionally, the resident's PEG tube site was not properly maintained, with a soiled dressing left unchanged for four days, contrary to documented daily care. The DON confirmed the dressing should have been changed daily and acknowledged the discrepancy in documentation.
The facility failed to properly assess and document wound care for two residents, leading to concerns about care competency. One resident left for hospital care due to inadequate wound management, while another had untreated abrasions and skin tears. The lack of a comprehensive wound care team and proper documentation contributed to these deficiencies.
A facility failed to timely assess and manage pressure ulcers for a resident admitted with multiple unstageable ulcers. Observations revealed that heel protector boots were not applied, and the resident's feet were against the bed's footboard. Despite treatment orders, the ulcers were not assessed until after a hospital readmission. The DON and an LPN could not explain the lack of timely assessment, and observations confirmed necrotic tissue on the resident's heels and toes.
A resident with an indwelling urinary catheter was not properly assessed upon admission, lacking physician's orders and accurate documentation. The catheter was observed dragging on the floor, and CNA tasks inaccurately documented the resident's continence status. The facility's catheter care policy was not followed, as the catheter was not secured, and regular care was not documented.
A resident with a PEG tube experienced inadequate care, leading to the tube being dislodged and requiring hospital transfer. The facility lacked timely physician orders for tube feeding and failed to monitor and care for the PEG tube site as per orders. Additionally, there was no investigation into the incident where the tube was accidentally pulled out during physical therapy.
A resident with Parkinson's disease and pressure ulcers experienced pain due to a lack of physician assessment and documentation of their wound status. The facility had not had a dedicated wound care provider for several months, relying on doctors to document assessments, which was not done for this resident. The medical director confirmed the absence of progress notes, leading to the deficiency identified by surveyors.
A resident's lab tests were not conducted in a timely manner, despite orders for a CMP and CBC on two separate occasions. The tests were only completed after multiple delays, and the facility's Director of Nursing confirmed the oversight. This failure to adhere to the facility's policy on timely lab services resulted in potential unmet medical care needs.
A resident with a urinary catheter was not provided with enhanced barrier precautions (EBP) as required by the facility's infection control policy. The catheter drainage bag was observed above the bladder, and there was no signage to alert staff to use EBP. The resident's medical records indicated a history of urinary retention and E. coli UTI, yet no EBP orders or care plans were in place. A nurse confirmed the oversight, highlighting a failure to implement necessary infection control measures.
Improper Hoyer Lift Setup During Resident Transfer Resulted in Head Injury
Penalty
Summary
The facility failed to properly use a Hoyer mechanical lift during a transfer of one resident, resulting in the lift tipping over and striking the resident on the head. Nursing documentation stated that a CNA reported the resident was being transferred to a shower chair when the Hoyer tipped and caused a 1-inch laceration to the head, prompting an order to send the resident to the hospital. Additional nursing notes documented transport to the hospital for evaluation of the head injury and return with 6 staples to the top of the head; CT imaging of the head and cervical spine was negative for fracture. The facility investigation file stated that the resident was being transferred via a Hoyer lift when the lift tipped over and bumped the resident in the head, and that the Hoyer base legs were not spread open fully. The resident described being transferred from the bed to the shower chair by two CNAs when the lift tipped over and hit the resident on the head, causing bleeding. The DON confirmed the Hoyer lift was not set up properly by the CNAs during the transfer. The facility’s Safe Lifting and Movement of Residents policy was reviewed, but it did not address the steps to properly set up a Hoyer mechanical lift.
Failure to Implement Pressure Injury Prevention Measures
Penalty
Summary
The facility failed to implement timely preventative interventions for pressure injury for one resident who was admitted with diagnoses including diabetes, heart failure, chronic kidney disease, depression, and bladder dysfunction. The resident’s MDS indicated substantial staff assistance was needed for mobility in bed, and an admission BIMS score was 15/15. A wound care provider note dated 6/17/25 documented a recommendation for a wheelchair cushion, but the resident was later observed sitting in a wheelchair on a Hoyer lift sling with no wheelchair cushion or other pressure-reducing support surface in place. During multiple observations, the resident reported that their bottom was sore and stated they had sores when they came to the facility that felt worse. The resident said they were receiving cream from a CNA but no wound treatment from nursing, and reported sitting up in the wheelchair until 8 or 9 PM at times except for brief changes. The wheelchair was repeatedly observed without a cushion, including while parked near the bed and in the bathroom, and the resident was again seen sitting on the Hoyer sling without any pressure-reducing support surface. On 9/25/25, the resident’s buttock and sacral area was observed with bilateral redness and inflammation, an approximate 0.5 cm oval excoriation on the left buttock, and a pinpoint opening on the coccyx surrounded by reddened inflamed skin. The wound care coordinator acknowledged the coccyx area and left buttock excoriation were new and stated the concern was first brought to their attention by the surveyor. The care plan identified the resident as at risk for impaired skin integrity, but the interventions dated 6/5/25 and after did not include the wheelchair cushion recommendation from the wound care provider. Facility staff interviewed stated that wheelchair cushions were part of prevention protocols and should be found on the care plan, and the DON agreed with the concerns identified.
Failure to Timely Provide Social Services for Medication Consent and Advance Directives
Penalty
Summary
The facility failed to ensure medically-related social services were implemented in a timely and efficient manner for one resident reviewed for social service and advance directives. The resident was admitted with diagnoses including congestive heart failure, fatty liver, and dementia with mood disorder, and had a BIMS score of 6/15, indicating severe cognitive impairment. The record showed the resident signed consent for psychoactive medication therapy for quetiapine/Seroquel, with the consent form and related paperwork given to social work, and the resident was later started on quetiapine 25 mg daily for depression. The record also showed an Advanced Directives Acknowledgement/CPR form stating the resident was unable to make a choice and did not have a representative at that time, and that the resident would remain full code until otherwise determined. That form was signed by a social service worker. However, the resident’s electronic record also contained a Durable Power of Attorney document naming an agent for medical treatment decisions, and there was no documentation that the resident had been deemed incompetent to make medical treatment decisions or unable to make advance directive choices. The surveyor noted the resident was observed alert and able to answer most questions, and the resident stated they wished to be DNR and could name the DPOA. During interviews, the Social Service Director stated they were not a licensed social worker and that the social service worker was not a social worker. The Social Service Director acknowledged there were no notes documenting any meeting with the resident regarding the quetiapine consent, and reported that the determination that the resident could not make advance directive decisions was based on the low BIMS score and confusion about residence and living situation. The facility policy required the social worker or social service designee to complete an initial assessment, document any need for medically-related social services in the medical record, and pursue identified needs, including advance care planning and individualized non-pharmacological approaches.
Failure to Implement Fall Precautions for At-Risk Resident
Penalty
Summary
The facility failed to implement fall precautions for a resident with a history of falls, leading to a deficiency citation. The resident, admitted for nursing care and rehabilitation following a right hip fracture, had a medical history of chronic kidney disease, urinary retention, heart disease, and a heart attack. The resident's care plan, initiated and revised in November, identified them as at risk for falls due to debility, hip fracture, encephalopathy, and possible delirium with hallucinations. Despite these identified risks, the facility did not ensure the implementation of fall precaution interventions. On observation, the resident was found in a wheelchair in their room without the prescribed fall mats next to the bed. The room contained trip hazards, such as unattached carpet squares, and the resident's call light was out of reach, clipped to the bed linens. Additionally, fluids were placed out of reach, obstructed by a tray table. Both the assigned LPN and the DON acknowledged that the fall precaution interventions were not in place, contrary to the facility's Fall Prevention Program policy, which mandates care and services to minimize fall risks.
Deficiency in Tube Feeding and PEG Site Care
Penalty
Summary
The facility failed to provide nursing care and services according to professional standards of practice for a resident receiving nutrition via a PEG tube. The resident was observed on two consecutive days receiving tube feeding without a physician's order specifying the prescribed formula, rate, and feeding instructions. The order for tube feeding was not entered until five days after the resident's readmission, despite the administration of tube feeding being observed. This indicates a lack of proper documentation and adherence to physician's orders. Additionally, the facility failed to properly monitor and maintain the resident's PEG tube site. Although the Treatment Administration Record indicated daily treatment of the PEG tube site, an observation revealed a soiled dressing that had not been changed for four days. The Director of Nursing confirmed that the dressing should have been changed daily according to physician's orders, and acknowledged that the nurse should not have signed off on the treatment if it was not performed. This discrepancy highlights a failure in accurately documenting and executing the required care for the resident.
Deficiencies in Wound Care Management
Penalty
Summary
The facility failed to accurately assess and document wound care for two residents, leading to significant concerns about the competency of care provided. Resident 101 was admitted with a surgical wound and multiple drains, which were not documented in the initial nursing evaluation or subsequent practitioner notes. The treatment orders for wound care were not completed, and the resident expressed concerns about the staff's ability to manage their wounds, ultimately deciding to leave the facility for hospital care. The lack of a comprehensive wound care team and proper documentation contributed to the resident's dissatisfaction and decision to seek care elsewhere. Resident 305 experienced a fall resulting in abrasions and skin tears, but the facility failed to transcribe and implement physician orders for wound care. Observations revealed that dressings were not changed or dated, and the resident reported that no staff had attended to their wounds. The Director of Nursing acknowledged the failure to transcribe orders and indicated that the necessary documentation was not completed, leaving the resident's wounds inadequately managed. The facility's lack of a policy for non-pressure wound care further exacerbated the deficiencies in wound management. The absence of a structured approach to wound care documentation and treatment led to missed treatments and inadequate care for residents with skin impairments. These deficiencies resulted in verbalized complaints, fear of staff competency, and a resident leaving the facility for hospital care.
Failure to Timely Assess and Manage Pressure Ulcers
Penalty
Summary
The facility failed to timely assess and implement preventative measures for pressure ulcers for a resident, identified as R203, who was admitted with multiple unstageable pressure ulcers. Upon observation, it was noted that heel protector boots, which were supposed to be applied to the resident's feet, were not in use, and the resident's feet were pressed against the footboard of the bed. Despite having a low air loss mattress, the resident reported having sores on his feet. The clinical record review revealed that R203 was admitted with pressure ulcers on the left and right heels and great toes, which were not properly documented or assessed by the facility's medical providers, including Physician 'E' and NP 'G'. Further investigation showed that the resident's pressure ulcers were not assessed by LPN 'A' until after the resident was readmitted from the hospital, despite existing treatment orders for the ulcers. The DON and LPN 'A' were unable to provide a satisfactory explanation for the lack of timely assessment and documentation. Observations made with the Wound Care Coordinator confirmed the presence of necrotic tissue on the resident's heels and toes, indicating a failure in the facility's process for assessing and managing pressure ulcers. No additional evaluations by medical providers were provided before the end of the survey.
Deficiency in Catheter Care and Documentation
Penalty
Summary
The facility failed to ensure a thorough and accurate assessment for a resident with an indwelling urinary catheter upon admission. The resident, who was admitted for respite care and receiving hospice services, was observed with a urinary catheter that was not properly anchored, with the tubing dragging on the floor. The Director of Nursing (DON) confirmed that there were no physician's orders for the catheter, and the resident's clinical record did not reflect the presence of the catheter upon admission. Additionally, the Nursing Admission Evaluation inaccurately documented the resident as continent of urine and did not mention the indwelling catheter. Further review revealed that the Certified Nursing Assistant (CNA) tasks for catheter care were not documented until several days after admission, and there was no care plan initiated for catheter care until the deficiency was identified. The CNAs also inaccurately documented the resident's urinary continence status, indicating the use of a bedpan or toilet despite the presence of a catheter. The facility's policy on catheter care was not followed, as the catheter was not secured to prevent pulling and damage, and there was no documentation of regular catheter care or monitoring.
Failure to Provide Appropriate PEG Tube Care
Penalty
Summary
The facility failed to provide appropriate care for a resident with a PEG tube, leading to the tube being dislodged and requiring hospital transfer. The resident, who had a history of prostate cancer, chronic kidney disease, STEMI, and gastrointestinal hemorrhage, was readmitted to the facility with a primary diagnosis of dehydration and prerenal azotemia. Despite the discharge instructions from the hospital, which included specific orders for free water flushes, the facility did not have a physician's order for the tube feeding until five days after the resident's readmission. Observations revealed that the PEG tube site was not properly monitored or cared for, as evidenced by a soiled dressing that had not been changed for four days, contrary to the physician's orders. The Director of Nursing acknowledged that the dressing should have been changed daily and that the nurse should not have signed off on the task if it was not completed. Additionally, there was no investigation or incident report following the traumatic dislodgement of the PEG tube during a physical therapy session, where the tube was accidentally pulled out while the resident was being assisted with ambulation. The facility's policy on feeding tubes, which mandates utilization according to physician orders, was not adhered to. The lack of timely physician orders and inadequate monitoring and care of the PEG tube site contributed to the deficiency. Furthermore, the absence of an investigation into the incident where the tube was dislodged indicates a failure in the facility's incident management and reporting processes.
Lack of Physician Assessment for Resident's Pressure Ulcer
Penalty
Summary
The facility failed to ensure that a physician or physician extender evaluated and assessed a new or worsened pressure ulcer for a resident, identified as R85. This deficiency was identified through observation, interview, and record review. R85, who was admitted with diagnoses including Parkinson's disease, pressure ulcers of the sacral region, and muscle weakness, reported pain and discomfort due to the pressure ulcer. Despite an updated wound care order, there was no progress note from a provider since February 2024, indicating a lack of physician assessment and documentation of the wound's status. Interviews with the wound care nurse and the medical director revealed that the facility had not had a dedicated wound care provider for several months until recently. The wound care nurse indicated that doctors were expected to document their assessments after weekly rounds, but this was not done for R85. The medical director confirmed that she did not document progress notes on wounds and relied on the wound care team, which consisted only of the wound care nurse until a new provider was recently acquired. This lack of documentation and follow-up by a physician or physician extender resulted in the deficiency noted by the surveyors.
Failure to Ensure Timely Laboratory Services
Penalty
Summary
The facility failed to ensure timely laboratory services for a resident, resulting in potential unmet medical care needs. On 7/8/24, a Nurse Practitioner ordered a comprehensive metabolic panel (CMP) and complete blood count (CBC) for the resident to monitor fluid volume status. However, the resident reported on 7/19/24 that the blood work had not been completed. A doctor in the building at the time ordered the blood work to be redone immediately. Despite this, the resident again reported on 7/23/24 that the blood work had still not been drawn, prompting a nurse to ensure it was completed that day. A review of the resident's records showed orders for the CBC and CMP on 7/8/24 and 7/19/24, both marked as completed, yet no results were available for these dates. The only lab results available were from 7/22/24. The Director of Nursing confirmed that the labs were not drawn or sent on the initially ordered dates. The facility's policy on laboratory and diagnostic guidelines, revised in 10/2023, emphasizes the importance of timely completion and reporting of lab tests, which was not adhered to in this case.
Infection Control Deficiency for Resident with Urinary Catheter
Penalty
Summary
The facility failed to adhere to infection control guidance for a resident with a urinary catheter. On multiple occasions, the resident's catheter drainage bag was observed positioned above the bladder, posing a risk for urine backflow and potential infection. Additionally, there was no signage on the resident's door to indicate that staff should apply enhanced barrier precautions (EBP) when providing care. The resident confirmed that staff did not wear protective gowns during care, and a Physical Therapy Assistant also reported not using EBP due to the absence of a sign. The resident's medical records revealed a history of urinary retention requiring a Foley catheter and an E. coli urinary tract infection. Despite this, there were no physician orders or care plans for EBP. A Registered Nurse acknowledged the need for EBP due to the indwelling catheter and noted the absence of necessary signage and orders. The facility's policy mandates EBP for residents with indwelling medical devices, but this was not implemented for the resident in question.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Milford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| West Hickory Haven | 2.9 mi | ★★★★★ | 8 | 0 |
| Westlake Health Campus | 5.8 mi | ★★★★★ | 12 | 0 |
| The Neighborhoods Of White Lake | 6.6 mi | ★★★★★ | 0 | 0 |
| Maple Manor Rehab Center Of Novi Inc | 8.5 mi | ★★★★★ | 2 | 0 |
| Wellbridge Of Novi | 8.9 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.