Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Port Huron during CMS and state inspections, most recent first.
A resident with contractures and muscle weakness was not provided with the prescribed graded hand roll or included in a restorative ROM program as recommended by OT. The required restorative program was not initiated due to a breakdown in communication between therapy and nursing staff, and there was no documentation of the program in the care plan or orders.
The facility failed to maintain a clean and well-kept environment for three residents, leading to peeling paint and damaged walls in their rooms. The residents, all with mild cognitive impairment, expressed dissatisfaction with the room conditions. The Maintenance Director acknowledged the issue, citing challenges in repairing occupied rooms.
A resident with Pruritus and Anxiety Disorder, requiring assistance with bed mobility and transfers, did not receive showers as scheduled, with documentation showing missed showers on multiple dates over a 60-day period. The DON acknowledged insufficient documentation of refusals.
A facility failed to label and date a wound dressing for a resident with skin conditions. The resident was observed with an undated and soiled dressing on multiple occasions, and there were no physician orders for the dressing use. The DON confirmed that dressings should be dated and documented, which was not done in this case.
The facility failed to secure an oxygen tank for a resident with Myocardial Infarction and Obstructive Sleep Apnea, and also failed to secure an electronic cigarette and provide supervision for another resident with Bipolar Disorder and a History of Traumatic Brain Injury. Both instances violated the facility's safety policies.
The facility failed to assess and obtain consent for the use of bed rails for a resident with Lobar Pneumonia and Dementia. The resident was observed with full bed rails installed without the necessary assessments and consent, as confirmed by facility staff and a review of medical records.
The facility failed to maintain proper infection control practices, including handling medications without hand hygiene or gloves, improper storage of nebulizer masks, and staff entering contact isolation rooms without PPE. These deficiencies were observed in two residents with significant medical conditions and confirmed by the Infection Control Preventionist.
Failure to Implement Restorative ROM and Splint Program
Penalty
Summary
A resident with a history of contracture, generalized muscle weakness, and acquired absence of the left hip joint was observed multiple times without the prescribed graded hand roll (hand splint) and without participation in a range of motion (ROM) program. The resident reported that the hand splint was not being applied, and there was no evidence of staff working with their hand. Review of the resident's records confirmed that occupational therapy had established a splint and brace program, including specific instructions for staff to assist with donning and doffing the hand roll and to perform ROM exercises before and after use. The program was to be implemented as a restorative nursing intervention to maintain or improve the resident's ROM and prevent further decline. Despite these documented therapy recommendations, there was no documentation in the orders, care guide, tasks, or care plans indicating that the restorative program had been initiated. Interviews with the DON and the restorative nurse revealed that the therapy-to-restorative recommendation sheet was not communicated to the restorative team, resulting in the resident not receiving the recommended restorative program. Facility policy required that restorative nursing programs be incorporated into the plan of care, but this process was not followed, leading to the deficiency.
Environmental Deficiencies in Resident Rooms
Penalty
Summary
The facility failed to ensure a clean and well-maintained environment for three residents, leading to environmental concerns. Resident 51 was observed with peeling paint and cracks on the wall adjacent to their bed. When asked about the condition, Resident 51 expressed dissatisfaction. Resident 51 has a history of Dementia, Schizophrenia, and Unspecified Intellectual Disabilities, with a BIMS score indicating mild cognitive impairment. Similarly, Resident 7's room had deep scrapes and peeling paint behind the head of the bed. Resident 7, diagnosed with Vascular Dementia, Mood Disorder, and Hemiplegia, also expressed a desire for the wall to be fixed. Resident 26's room had several deep scrapes and peeling paint behind the head of the bed. Resident 26, diagnosed with Alzheimer's Disease, also expressed dissatisfaction with the room's condition. All three residents have mild cognitive impairment as indicated by their BIMS scores. During a tour with the Maintenance Director, it was revealed that the affected wing is one of the oldest parts of the building. The Maintenance Director stated that efforts to fix rooms are made when they are empty, but it is challenging to repair walls when residents are present. The facility's policy mandates providing a safe, clean, comfortable, and homelike environment, which includes ensuring that the physical layout does not pose safety risks. The observations and resident feedback indicate that the facility did not meet these expectations, leading to the identified deficiencies.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to provide showers per preference and schedule for a resident (R70) who was observed sitting in their wheelchair and reported not always receiving showers as scheduled, with staff rushing through them when they did. The medical record review revealed that R70, who has diagnoses of Pruritus and Anxiety Disorder and an impaired cognition score of 7/15, required assistance with bed mobility and transfers. Documentation showed that R70 did not receive showers on multiple specified dates in March and April 2024, receiving only seven showers within a 60-day period. The Director of Nursing acknowledged finding only one refusal in the progress notes and stated that nurses should document each refusal in the progress notes.
Failure to Label and Date Wound Dressing
Penalty
Summary
The facility failed to label and date a wound dressing for a resident with skin conditions. On multiple occasions, the resident was observed with an undated and soiled dressing on their lower left leg. The resident reported that the dressing had not been changed since it was first observed, and they could not recall when it was last changed or applied. The medical record review revealed that the resident had diagnoses of cerebral infarction and venous insufficiency, and required assistance with bed mobility and transfers. Additionally, there were no physician orders for the dressing use in the resident's medical record. An interview with the Director of Nursing (DON) confirmed that the facility's expectation is for all dressings to be dated and documented with a progress note. The facility's policy on wound treatment management states that in the absence of treatment orders, the licensed nurse should notify the physician to obtain treatment orders. This protocol was not followed, leading to the deficiency in the resident's wound care management.
Failure to Secure Oxygen Tank and Electronic Cigarette
Penalty
Summary
The facility failed to secure an oxygen tank for a resident diagnosed with Myocardial Infarction and Obstructive Sleep Apnea. On multiple occasions, the oxygen tank was observed standing free on the floor inside a black bag, not in a secured carrier. The resident, due to cognitive impairment, was unable to provide information regarding the oxygen tank. The Unit Manager confirmed that the tank should not be in the room without a secure carrier, citing potential hazards such as falling, explosion, or fire. The facility's policy mandates that oxygen cylinders be properly secured to prevent accidents, which was not adhered to in this case. Additionally, the facility failed to secure an electronic cigarette and provide supervision for another resident with diagnoses of Bipolar Disorder, History of Traumatic Brain Injury, and Acquired Absence of Left Leg above the Knee. The resident was observed exhaling smoke from an electronic cigarette while lying in bed and quickly hiding the device under the blanket. The nurse confirmed that residents should not have any smoking paraphernalia in their rooms. The facility's policy clearly states that smoking, including electronic cigarettes, is not permitted inside or outside the facility on any property, which was not enforced in this instance.
Failure to Assess and Obtain Consent for Bed Rails
Penalty
Summary
The facility failed to assess and obtain consent for the use of bed rails for a resident (R315). On 4/30/2024, R315 was observed with full bed rails installed, despite stating they do not use them for turning and repositioning. A review of R315's medical records revealed diagnoses of Lobar Pneumonia and Dementia, with an impaired cognition score of 9/15 on the Brief Interview for Mental Status assessment. The records also indicated that R315 required assistance with bed mobility and transfers. However, there was no documentation of an assessment or consent for the use of bed rails in R315's medical records. Interviews with the facility staff, including a Registered Nurse (RN) and the Director of Nursing (DON), confirmed that the required assessments and consent were not completed for R315. RN D stated that R315 was not supposed to have bed rails and had not been assessed for them, indicating that R315 was in a bed previously used by another resident. The facility's policy on side rails mandates obtaining informed consent, determining if the bed rail is a restraint, and documenting the medical reason for its use, none of which were followed in this case.
Infection Control Deficiencies
Penalty
Summary
The facility failed to maintain proper infection control practices in several instances. During medication administration, two LPNs were observed handling pills with their hands without performing hand hygiene or wearing gloves. This was confirmed by the Infection Control Preventionist (ICP), who stated that nurses should complete hand hygiene and wear gloves when handling medications. Additionally, nebulizer masks for two residents were found improperly stored; the masks were undated and not placed in bags, contrary to the facility's infection control policies. Both residents had significant medical conditions, including lobar pneumonia, dementia, dysphagia, and sepsis, and required assistance with bed mobility and transfers. Furthermore, staff members were observed entering a contact isolation room without wearing the required PPE on multiple occasions. Despite signage indicating the need for gowns and gloves, staff failed to comply with these precautions. The ICP confirmed that PPE should be worn when entering contact isolation rooms. These lapses in infection control practices were observed through direct observation, interviews, and record reviews, indicating a systemic issue in adhering to established protocols.
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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 Fort Gratiot
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency On The Lake - Fort Gratiot | 0.1 mi | ★★★★★ | 0 | 0 |
| Marwood Manor Nursing Home | 8.1 mi | ★★★★★ | 0 | 0 |
| Medilodge Of Yale | 16.7 mi | ★★★★★ | 0 | 0 |
| Medilodge Of St. Clair | 19.9 mi | ★★★★★ | 16 | 0 |
| Medilodge Of Richmond | 23.7 mi | ★★★★★ | 1 | 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.