Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Plymouth during CMS and state inspections, most recent first.
Several resident bedrooms were found to be below the required minimum square footage per person, with multiple shared rooms and one single room not meeting regulatory standards. Despite this, interviews indicated no resident complaints and no impact on health or safety was noted.
The facility failed to provide a dignified dining experience for two residents, as staff were observed standing over them during meal assistance, contrary to guidelines requiring staff to be at the same level as residents. Both residents had severe cognitive impairments and required meal assistance, highlighting a deficiency in respecting resident rights.
The facility failed to report a resident-to-resident incident involving two residents with cognitive impairments, resulting in an injury, to the state agency in a timely manner. Despite the facility's policy requiring immediate reporting of such incidents, the incident was not reported as required. The DON and NHA confirmed the reporting failure.
A resident with multiple health conditions experienced dry, scaly skin on her feet due to the facility's failure to provide necessary foot care. The resident, dependent on staff for this care, reported that no salve was being applied as required. A nurse admitted to not examining the resident's feet recently and recognized the need for lotion, leading to a delayed order for treatment. The facility's policy on maintaining personal hygiene for residents was not followed.
A facility failed to change a resident's oxygen tubing in a timely manner, risking cross-contamination and respiratory infection. The resident, with multiple health conditions, reported that staff did not change her tubing as required. Observations confirmed the tubing was not changed according to physician orders, which mandated a change every three days. The DON acknowledged the oversight and noted the resident's tendency to drop her tubing, requiring more frequent changes.
A resident expressed dissatisfaction with their breakfast, requesting an additional boiled egg, which was not provided despite the kitchen having more eggs available. The Dietary Manager confirmed the availability of eggs, and the Registered Dietitian highlighted the importance of honoring food preferences. The Nursing Home Administrator acknowledged the failure to meet the resident's request.
A facility failed to obtain vital signs as per physician's orders for a resident who died, despite the Medication Administration Record indicating completion. The DON acknowledged the need for confirmation of orders and emphasized the importance of documentation for accurate resident condition assessment.
The facility did not provide adequate room space for residents, with eight shared rooms not meeting the 80 square feet per resident requirement and one single room not meeting the 100 square feet requirement. Despite these deficiencies, residents did not express complaints, and their health and safety were not impacted.
Resident Bedrooms Below Required Square Footage
Penalty
Summary
The facility failed to provide the required minimum square footage per resident in several bedrooms, as determined through observation, interview, and record review. Specifically, eight out of fifteen multiple-resident rooms did not meet the minimum requirement of 80 square feet per resident, and one out of five single-resident rooms did not meet the 100 square feet requirement. Measurements taken during an environmental tour, along with a review of the facility's bed count information, confirmed that these rooms were undersized. Interviews with residents revealed no complaints regarding room size, and there was no indication that residents' health and safety were affected by the room dimensions.
Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide dignified dining experiences for two residents, resulting in a deficiency related to resident rights. During observations, a Certified Nurse Aide (CNA) was seen standing over Resident #27 while offering thickened apple juice, which the resident declined after a certain point. Similarly, Resident #22 was observed with her lunch tray untouched, and later, the same CNA stood next to her bed while assisting with feeding. This approach did not align with the facility's policy of ensuring a dignified and respectful dining experience, as staff were expected to be at the same level as residents during meal assistance. Both residents involved had severe cognitive impairments and required assistance with meals. Resident #22 had a care plan indicating supervision and one-person assistance for eating, while Resident #27's care plan required assistance with meals as needed. The Registered Dietitian and Director of Nursing both emphasized the importance of staff being seated at the same level as residents during feeding to maintain respect and integrity. Despite these guidelines, the facility's staff did not adhere to the expected standards, leading to the cited deficiency.
Failure to Report Resident-to-Resident Incident Timely
Penalty
Summary
The facility failed to immediately report a resident-to-resident incident involving two residents, R3 and R40, which resulted in allegations of abuse not being reported to the State Agency in a timely manner. R3, who has a diagnosis of Schizophrenia and Bipolar Disorder, was involved in an incident where they spontaneously hit another resident, R40, in the face. R40, who has Dementia and Alzheimer's Disease, was found wandering and was redirected by staff before being hit. The incident led to R40 sustaining a nosebleed, which was treated by the staff. Despite the incident resulting in an injury, it was not reported to the state agency as required by the facility's policy. The Director of Nursing (DON) and the Nursing Home Administrator (NHA) acknowledged that the incident should have been reported within two hours due to the injury involved. The facility's policy mandates immediate reporting of such incidents to the Administrator, state agency, and other required agencies within specific timeframes, which was not adhered to in this case.
Failure to Provide Adequate Foot Care
Penalty
Summary
The facility failed to provide appropriate foot care for a resident, resulting in dry, scaly skin and dissatisfaction from the resident. The resident, who had diagnoses including endometrium cancer, chronic obstructive pulmonary disease, obesity, and congestive heart failure, was observed with very dry and peeling skin on the feet. The resident expressed that staff were supposed to apply salve to her legs and feet, but this was not being done. The resident was dependent on staff for this care due to her physical limitations. Upon review, it was found that there were no orders related to foot care in the resident's clinical record. A registered nurse admitted to not having examined the resident's feet recently and acknowledged the need for lotion to address the dry skin. The nurse practitioner was notified, and an order for lotion was placed. The facility's policy on Activities of Daily Living indicated that residents unable to carry out daily activities should receive necessary services to maintain personal hygiene, which was not adhered to in this case.
Failure to Timely Change Oxygen Tubing
Penalty
Summary
The facility failed to change the oxygen tubing for a resident in a timely manner, which could lead to cross-contamination and respiratory infection. The resident, who was admitted with diagnoses including endometrium cancer, chronic obstructive pulmonary disease, obesity, and congestive heart failure, reported that staff did not change her tubing as required. Observations on consecutive days showed that the oxygen tubing, dated 7/19/24, was not changed by 7/24/24, despite physician orders to change it every three days. The Director of Nursing confirmed that the tubing should have been changed on 7/22/24 and acknowledged that the resident often drops her tubing, necessitating more frequent changes. The facility's policy stated that oxygen tubing should be changed weekly and as needed if soiled, but physician orders take precedence over facility policies.
Failure to Honor Resident Food Preference
Penalty
Summary
The facility failed to honor a resident's food preference, resulting in meal dissatisfaction. On the morning of July 24, a resident was served breakfast that included a bowl of bran flake cereal, one boiled egg, one muffin, a glass of milk, and a glass of orange juice. The resident expressed to a Certified Nurse Aide (CNA) that the meal was insufficient and requested an additional boiled egg. The CNA later informed the resident that the kitchen did not have any more boiled eggs available. Upon further inquiry, the Dietary Manager confirmed that while all the boiled eggs prepared had been distributed, there were still plenty of eggs available in the kitchen, and more could have been boiled. The Registered Dietitian emphasized the importance of honoring resident food preferences, noting that the resident should have been served another egg. The resident's admission record indicated a regular diet with a preference for boiled eggs. The Nursing Home Administrator acknowledged the oversight, stating that the resident's request should have been fulfilled.
Failure to Obtain Vital Signs as Ordered
Penalty
Summary
The facility failed to adhere to professional standards of practice by not obtaining vital signs as per physician's orders for a resident who died in the facility. The resident, who had diagnoses including venous insufficiency, severe protein-calorie malnutrition, and hypertension, was supposed to have vital signs taken every evening shift on Fridays and every night shift. However, the clinical record review revealed that the vital signs were not consistently documented as per the physician's orders. The Director of Nursing (DON) acknowledged that the nursing staff should have contacted the physician to confirm the vital sign orders. Despite the Medication Administration Record indicating that nurses signed off on completing the vitals nightly, the actual documentation of vital signs was incomplete. The DON emphasized the importance of documenting vital signs to provide an accurate picture of the resident's condition. During the exit conference, the Nursing Home Administrator and DON did not provide additional documentation or information regarding this deficiency.
Inadequate Room Space for Residents
Penalty
Summary
The facility failed to provide adequate room space for residents, as observed during an environmental tour. Specifically, eight of fifteen resident bedrooms did not meet the required 80 square feet per resident, and one of five single bedrooms did not meet the required 100 square feet. The rooms in question were identified as rooms 109, 110, 111, 112, 113, 114, 115, and 116, each measuring 143 square feet for two residents, and room 102, measuring 81 square feet for a single resident. Despite these deficiencies, interviews with residents revealed no complaints regarding room size, and the health and safety of the residents were not affected by the room dimensions.
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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 Plymouth
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medilodge Of Haggerty Road | 1.6 mi | ★★★★★ | 0 | 0 |
| Optalis Health And Rehabilitation Of Canton | 2.3 mi | ★★★★★ | 41 | 1 |
| Four Seasons Nursing Center Of Westland | 3.1 mi | ★★★★★ | 13 | 0 |
| Marywood Nursing Care Center | 3.3 mi | ★★★★★ | 5 | 0 |
| Westland, A Villa Center | 3.9 mi | ★★★★★ | 5 | 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.