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 Richmond during CMS and state inspections, most recent first.
A resident with CHF, morbid obesity, and abnormal posture, and with a care plan requiring extensive two-person assist for toileting and bed mobility, was provided incontinence care by a single CNA who stated they did not need help. During a brief change, the CNA rolled the resident onto one side, and the resident fell from the bed, sustaining head impact and a significant leg laceration. An LPN documented bleeding from behind the ear and the left lower extremity and confirmed awareness that two-person assistance was required. The DON acknowledged the care plan specified extensive two-person assist, and the resident’s leg wound later became infected, requiring IV antibiotics, debridement, a wound vac, ongoing wound care, and oral pain medication.
The facility did not provide adequate nursing staff to meet all residents' needs and failed to have a licensed nurse in charge on every shift, as required by regulations.
A resident with multiple chronic conditions did not have ordered laboratory tests completed after an unsuccessful blood draw, and there was no documentation of a follow-up attempt or physician notification. Interviews with the physician, LPN, RN, and DON confirmed that facility policy required a new requisition and physician notification, but these steps were not documented or carried out.
Surveyors found that food and drink served to residents was not palatable, attractive, or at a safe and appetizing temperature, failing to meet required standards for quality and safety.
The facility failed to maintain a clean, homelike environment for three residents, as observed on multiple occasions. The privacy cubical curtains in their rooms had several stains, and the residents expressed a preference for clean curtains. The Housekeeping Supervisor confirmed the curtains were dirty, violating the facility's policy on providing a safe and clean environment.
A resident with Multiple Sclerosis and Neuromuscular Dysfunction of the Bladder reported not consistently receiving twice-weekly showers. Documentation confirmed missed showers, and the DON acknowledged the lack of proper documentation and adherence to the facility's hygiene policy.
A resident missed eight doses of an IV antibiotic due to the facility's failure to follow protocol for handling unavailable medications. The resident, admitted with acute osteomyelitis and a chronic ulcer, reported being without treatment for at least a day. Interviews revealed that the facility did not notify the physician or properly follow up on the missed doses.
The facility failed to ensure proper respiratory care for three residents with COPD, who were observed with outdated oxygen tubing and empty portable oxygen tanks. Staff interviews revealed confusion about responsibilities for changing oxygen equipment, and one resident with a tracheostomy had undated tubing.
Failure to Provide Required Two-Person Assist During Incontinence Care Resulting in Fall and Leg Wound
Penalty
Summary
The deficiency involves the facility’s failure to ensure required two-person assistance during incontinence care and bed mobility for a resident, resulting in a fall from the bed and subsequent injury. The resident, who had diagnoses including congestive heart failure, morbid obesity, and abnormal posture, had an MDS indicating intact cognition and an active care plan specifying extensive two-person assist for toileting (check/changes and bedpan) and bed mobility. Despite this, the resident reported that a CNA, identified by the resident as CNA A, attempted to perform an incontinence brief change alone, stating they were strong enough and did not need help. During this care, the CNA rolled the resident onto their left side, and the resident fell off the opposite side of the bed. The resident described experiencing significant pain, hitting their head, and sustaining a large leg laceration that required hospital treatment and suturing. Facility documentation and staff interviews corroborated that only one staff member was providing care at the time of the fall, contrary to the resident’s care plan. A progress note by an LPN on the date of the incident documented that the resident was found slightly on their right side, bleeding from behind the left ear and from the left lower extremity. The LPN confirmed their understanding that the resident required two-person assistance for brief changes, and the DON acknowledged that the care plan specified extensive two-person assist for check/changes and bed mobility, in addition to addressing behavioral concerns. The resident’s medical record showed that the leg laceration became infected and required IV antibiotics, surgical debridement, a wound vac, continued wound care, and oral pain medication. The Administrator stated that the expectation was for staff to follow the plan of care regarding assistance levels during care.
Insufficient Nursing Staff and Lack of Licensed Nurse in Charge
Penalty
Summary
The facility failed to provide enough nursing staff each day to meet the needs of every resident and did not ensure that a licensed nurse was in charge on each shift. This deficiency was identified through surveyor observation and review of facility staffing practices. The report specifically notes the lack of adequate staffing and the absence of a licensed nurse in charge during certain shifts, which did not meet regulatory requirements.
Failure to Complete Ordered Laboratory Work and Notify Physician
Penalty
Summary
A deficiency occurred when the facility failed to ensure that ordered laboratory work was completed for a resident with multiple diagnoses, including high blood pressure, atrial fibrillation, respiratory failure, and diabetes. The resident's care plan required diagnostic testing as ordered, and there was a standing order for routine laboratory tests, including a CBC with differential and a comprehensive metabolic panel. On the date of the scheduled lab work, documentation indicated that the laboratory staff were unable to obtain a sufficient blood sample, noting the inability to get a vein and insufficient quantity. However, there was no evidence in the medical record that a follow-up attempt was made to redraw the laboratory tests, nor was there documentation that the physician was notified of the unsuccessful attempt. Interviews with the resident's physician and facility staff confirmed that the expectation was for the lab to be redrawn or for the physician to be notified if the lab work could not be completed. Both unit managers and the DON stated that a new requisition should be entered into the electronic medical record system and that the laboratory service provider was expected to follow up. Despite these expectations and facility policy requiring physician notification of refused or incomplete lab orders, there was no documentation of further action or communication regarding the missed laboratory work.
Failure to Provide Palatable and Safe Food and Drink
Penalty
Summary
The facility failed to ensure that food and drink provided to residents was palatable, attractive, and served at a safe and appetizing temperature. This deficiency was identified through surveyor observation and documentation, indicating that the food and beverages did not meet the required standards for quality and safety at the time of service.
Failure to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to maintain a clean, homelike environment for three residents, R9, R31, and R60. On 06/11/24, observations revealed that the privacy cubical curtains in the rooms of these residents had several round brown stains and dark black splatter stains. When asked about the condition of the curtains, R9, who has impaired cognition, nodded and stated 'clean,' while R31 and R60, both with intact cognition, expressed a preference for clean curtains. The medical diagnoses of these residents include Hemiplegia and Hemiparesis following Cerebral Infarction, Chronic Obstructive Pulmonary Disease, Hyperlipidemia, Anxiety, Major Depressive Disorder, Diabetes Type II, and Mood Disorder. The most recent Minimum Data Set Assessments (MDS) for these residents indicated varying levels of cognitive function, with R9 having a BIMS score of 0, R31 a score of 13, and R60 a score of 14. On 06/13/24, during an observation and interview with the Housekeeping Supervisor, it was confirmed that the curtains were dirty, and it was the expectation that the curtains in resident rooms should be clean. The facility's policy titled 'Safe and Homelike Environment,' which was revised on 01/01/22, states that the facility will provide a safe, clean, comfortable, and home-like environment. The failure to maintain clean curtains in the residents' rooms is a direct violation of this policy and the residents' right to a safe and clean environment.
Failure to Provide Twice-Weekly Showers for Resident
Penalty
Summary
The facility failed to provide twice-weekly showers for a resident (R33) who was unable to perform activities of daily living independently. R33, who has diagnoses including Multiple Sclerosis and Neuromuscular Dysfunction of the Bladder, reported not consistently receiving the scheduled showers. The resident's spouse corroborated this, stating that R33 did not always get a shower twice a week. Observations and interviews confirmed that R33 had missed showers, with documentation showing only one shower in the week of 05/19/24 and none in the week of 05/26/24. No refusals of showers were documented for these weeks. The facility's Director of Nursing (DON) reviewed R33's records and confirmed the lack of documentation for showers or refusals between 05/23/24 and 06/02/24. The facility's policy on Activities of Daily Living mandates that residents unable to carry out these activities receive necessary services to maintain hygiene, but no specific policy on the frequency of bathing services was provided. The DON acknowledged that the expectation is for residents to be offered showers or baths twice weekly, with any completion or refusal documented.
Failure to Administer IV Antibiotic as Ordered
Penalty
Summary
The facility failed to administer an intravenous (IV) antibiotic as ordered for a resident, resulting in the resident missing eight doses of the medication. The resident, who was admitted with acute osteomyelitis of the right ankle and foot and a non-pressure chronic ulcer of the right heel and midfoot, reported that they were without the IV antibiotic treatment for at least a day. The medical record review confirmed that the resident missed eight doses of the IV antibiotic on two consecutive days, with no documentation indicating that the physician was notified of the medication being on order during this period. Additionally, the resident's laboratory results for a specific date were missing, and the facility's infection control preventionist acknowledged ongoing issues with the lab and the lack of follow-up on the missed medication doses. Interviews with the Infection Control Preventionist (ICP) and the Director of Nursing (DON) revealed that the facility's protocol for handling unavailable medications was not followed. The DON stated that nurses should have checked the backup system, contacted the pharmacy, and notified the physician if the medication was not available. The facility's policy on antibiotic stewardship emphasized monitoring antibiotic use and conducting random audits to ensure completeness and appropriateness, but these measures were not effectively implemented in this case. The failure to administer the IV antibiotic as ordered and the lack of proper follow-up contributed to the deficiency identified in the report.
Failure to Ensure Proper Respiratory Care
Penalty
Summary
The facility failed to ensure proper respiratory care for three residents, R8, R59, and R39, who were observed with outdated oxygen tubing and empty portable oxygen tanks. R8's oxygen tubing was dated 5/14/24 and 5/28/24, and the portable oxygen tank on their wheelchair was consistently empty. Despite having a physician's order for continuous oxygen at 2 liters per minute, R8 was often seen without oxygen. R59 was also observed with outdated oxygen tubing dated 5/28/24 and an empty portable oxygen tank, despite a similar physician's order for continuous oxygen at 2 liters per minute. R39 was found with an empty oxygen tank on their wheelchair, even though their physician's order required continuous oxygen at 3 liters per minute. All three residents had diagnoses of Chronic Obstructive Pulmonary Disease (COPD) and required assistance with bed mobility and transfers. Interviews with staff revealed confusion and inconsistency regarding the responsibility for changing oxygen tubing and ensuring full oxygen tanks. Certified Nurse Assistant (CNA) D stated that CNAs were responsible for changing oxygen tanks, while the supply room staff handled the tubing. The Unit Manager (UM) E and Infection Control Preventionist (ICP) C both indicated that a company was responsible for changing the oxygen tubing weekly, but there was uncertainty about the exact time frame and process. The Director of Nursing (DON) confirmed that residents on oxygen should always have full tanks available and that oxygen tubing should be changed weekly. Additionally, R78 was observed with undated oxygen and trach tubing, and there were no orders specifying the frequency for changing the tubing. The Unit Manager E confirmed that the tubing should be changed weekly and labeled with a date. R78 had a diagnosis of Anoxic Brain Damage and required a tracheostomy for breathing. The facility's policy on oxygen administration stated that oxygen tubing and masks/cannulas should be changed weekly, and nebulizer tubing and delivery devices should be changed every 72 hours or as needed if they become soiled or contaminated.
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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 Richmond
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Orchards At Armada | 6.9 mi | ★★★★★ | 2 | 0 |
| The Village Of East Harbor | 9.4 mi | ★★★★★ | 1 | 0 |
| Michigan Veterans Home Of Chesterfield Township | 11.2 mi | ★★★★★ | 1 | 0 |
| Wellbridge Of Romeo | 12.6 mi | ★★★★★ | 3 | 0 |
| Orchard Grove Health Campus | 13.7 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.