Average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Midland Medical Lodge during CMS and state inspections, most recent first.
Surveyors found that the facility did not have an infection prevention and control program in place, resulting in a lack of systematic measures to address infection risks among residents and staff.
A resident with multiple medical conditions and a documented skin tear did not receive wound care in accordance with physician orders. An LVN applied a hydrogel dressing instead of the prescribed xeroform, initially misunderstanding the difference between the two products. The DON confirmed that the correct dressing was not used, and the facility's policy required adherence to physician orders for wound care.
A deficiency was cited due to the facility not ensuring an area was free from accident hazards and not providing adequate supervision to prevent accidents. The report highlights insufficient safety measures and lack of proper oversight, but does not specify particular incidents or residents involved.
A resident with a history of surgical wound infection and multiple bacterial infections did not receive any doses of a prescribed antimicrobial medication, Rifampin, over a 12-day period because the medication was not available and staff were unaware of the issue until multiple doses were missed. The breakdown in communication between nursing staff and the pharmacy, as well as the lack of timely notification to the physician, led to the resident not receiving the ordered medication as required.
A nurse left a medication cart unlocked and unattended on two occasions while providing care to a resident with diabetes who required insulin. The nurse acknowledged the expectation to lock the cart when not in direct supervision, and the DON confirmed this protocol. Facility policy also required the cart to be locked if left during medication administration.
The facility failed to ensure accurate MDS assessments for three residents, leading to potential risks in care delivery. A resident's tracheostomy status was not reflected in her MDS, another resident's insulin use was omitted, and a third resident's dialysis dependence was not documented. These inaccuracies could impact the residents' care and services.
A facility failed to implement a comprehensive care plan for a resident with severe cognitive impairment, resulting in conflicting code status information. The resident's care plan included both DNR and Full Code interventions, despite documentation supporting a DNR status. This inconsistency was noted by the MDS coordinator, who acknowledged the confusion and lack of alignment with the resident's documented wishes.
A resident with severe cognitive impairment and multiple diagnoses was improperly transferred using a mechanical lift by CNAs who failed to lock the wheelchair, contrary to facility policy. The CNAs also locked the lift against posted instructions, admitting to a lack of proper training. Despite passing a proficiency check, the CNAs' actions posed a potential risk to the resident's safety.
A resident with a feeding tube was not maintained in the required semi-Fowler's position, leading to a risk of aspiration pneumonia. Despite a sign indicating the need for bed elevation, the resident was left lying flat after suctioning by an LVN unfamiliar with the resident. The facility's policy requires bed elevation to prevent complications, as confirmed by the DON.
The facility failed to adhere to professional standards for food safety and hygiene. Observations revealed improperly labeled food items and a dietary aide without proper hair and beard restraints, contrary to facility policies.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, as the facility did not have an established or operational program to prevent and control infections among residents and staff. The absence of such a program was observed and documented by surveyors, indicating a lack of systematic measures to address infection risks within the facility. No specific residents or staff members were mentioned in relation to the deficiency, and no additional details about individual medical histories or conditions were provided in the report.
Failure to Follow Physician Orders for Wound Care
Penalty
Summary
A resident with multiple complex medical conditions, including severe protein-calorie malnutrition, chronic respiratory failure, and several infections, was admitted and readmitted to the facility. The resident's care plan documented a skin tear on the left outer forearm, and physician orders specified that the wound should be cleaned with wound cleanser, patted dry, covered with xeroform, and then a dry dressing, with changes scheduled for specific days and as needed. During an observed wound care procedure, an LVN did not follow the physician's order and instead applied a hydrogel dressing rather than the prescribed xeroform dressing. The LVN initially stated that hydrogel and xeroform were the same, later acknowledging after speaking with the supplier that xeroform should have been applied under the hydrogel. The DON confirmed that the correct dressing was not used and that the procedure should have followed the physician's orders. The facility's wound care policy also required the use of appropriate, physician-ordered products.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified regarding the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, and supervision was insufficient to prevent potential accidents. Specific actions or omissions by staff or management that led to this deficiency are not detailed in the report, nor are any particular incidents or resident conditions described.
Failure to Provide Ordered Antimicrobial Medication Due to Breakdown in Medication Acquisition and Communication
Penalty
Summary
The facility failed to ensure the availability and administration of a prescribed antimicrobial medication, Rifampin, for a resident with a history of surgical wound infection and multiple bacterial infections. Despite an active physician order for Rifampin to be administered twice daily, the medication was not available or given to the resident from 8/8/2025 to 8/20/2025. The medication administration record showed that no doses were received during this period because the medication was listed as 'on order.' Nursing staff were not aware of the medication's unavailability until several days after the resident had already missed multiple doses. The pharmacy ultimately informed the facility that the medication would not be dispensed due to a possible drug interaction, but this was only communicated after the resident had missed 12 doses. Interviews revealed that the licensed vocational nurse (LVN) was first notified of the missing medication late in the process and was unable to obtain it due to the pharmacy being closed. The Director of Nursing (DON) described a process for reporting and following up on unavailable medications, but this process was not effectively implemented in this case. The resident, who had moderate cognitive impairment and was not aware of the missed medication, was at risk due to the lack of timely communication and follow-up regarding the medication's availability. The facility was unable to provide a policy on medication availability when requested by the surveyor.
Medication Cart Left Unlocked and Unattended During Medication Pass
Penalty
Summary
A deficiency was identified when a nurse failed to secure the medication cart on two separate occasions while administering care to a resident with diabetes. During an observation, the nurse took supplies from the medication cart to perform a blood sugar check in the resident's room, leaving the cart unlocked and unattended in the hallway. After returning to the cart to obtain an insulin pen, the nurse again left the cart unlocked while re-entering the resident's room. The nurse acknowledged that the cart should have been locked when unattended and admitted to not following this protocol. The Director of Nursing confirmed that staff are expected to lock the medication cart whenever it is left unattended, as the cart contained several medications. Review of the facility's policy also indicated that the medication cart must be locked if left at any time during medication pass. The failure to secure the medication cart was observed and confirmed through interviews and record review, specifically involving a resident with diabetes who was receiving insulin as ordered.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure accurate Minimum Data Set (MDS) assessments for three residents, which could potentially impact the care and services they receive. Resident #33's MDS assessment did not accurately reflect her tracheostomy status, despite her care plan and medical orders indicating extensive tracheostomy care requirements. This oversight in the MDS assessment could lead to inadequate care planning and monitoring for her tracheostomy needs. Resident #37's MDS assessment failed to document her use of insulin, which is critical given her diagnosis of type 2 diabetes mellitus. Her care plan and medical orders detailed a sliding scale insulin regimen, yet this was not captured in the MDS assessment. This omission could result in a lack of appropriate diabetes management and monitoring, potentially affecting her health outcomes. Resident #41's MDS assessment did not address her dependence on dialysis, despite her care plan and medical orders specifying regular dialysis treatments. The MDS coordinator acknowledged the oversight, attributing it to an error in the assessment process. This failure to document dialysis in the MDS assessment could lead to insufficient care coordination and monitoring of her dialysis needs.
Conflicting Code Status in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan for a resident, which included measurable objectives and time frames to meet the resident's needs. Specifically, the care plan for a resident with severe cognitive impairment and multiple diagnoses, including dementia, stroke, and type 2 diabetes mellitus, contained conflicting information regarding the resident's code status. The care plan included both a Do Not Resuscitate (DNR) order and a Full Code status, which was confusing and not aligned with the resident's documented wishes. The resident's admission record and electronic health record indicated a DNR status, supported by a signed Out of Hospital Do Not Resuscitate form. However, the care plan contained interventions for both DNR and Full Code, leading to potential confusion among staff responsible for the resident's care. An interview with the MDS coordinator revealed a lack of understanding as to why both statuses were present in the care plan, highlighting a failure to ensure the care plan accurately reflected the resident's end-of-life decisions.
Inadequate Supervision and Improper Use of Mechanical Lift
Penalty
Summary
The facility failed to ensure adequate supervision and proper use of assistance devices during the transfer of a resident, leading to a deficiency in accident prevention. The incident involved a resident with severe cognitive impairment and multiple diagnoses, including quadriplegia and Parkinsonism, who was dependent on staff for all activities of daily living. During a transfer using a mechanical lift, CNAs B and C did not lock the resident's wheelchair, contrary to the facility's policy and procedure, which requires the wheelchair to be locked to prevent movement and potential accidents. The CNAs also locked the lift during the transfer, which was against the instructions posted on the lift. CNA C admitted to feeling safer locking the lift but had not received proper training from therapy on the correct procedure. The Director of Nursing (DON) and the Administrator both confirmed that the expectation was for the wheelchair to be locked during transfers. Despite having passed a proficiency check-off, the CNAs did not adhere to the established procedures, resulting in a potential risk for the resident's safety.
Failure to Maintain Proper Bed Elevation for Resident with Feeding Tube
Penalty
Summary
The facility failed to ensure that a resident who was fed by enteral means received the appropriate treatment and services to prevent complications such as aspiration pneumonia. The resident, a female with a history of stroke and gastrostomy status, was observed with her bed not elevated to the required 30-45 degrees, which is necessary to prevent aspiration. Despite having a sign above her bed indicating the need for elevation, the resident was left lying flat at 10 degrees after being suctioned by an LVN, who admitted to being nervous and unfamiliar with the resident as he was covering the hall. The deficiency was further highlighted during an interview with the DON, who confirmed the facility's policy of keeping residents with a PEG tube in a semi-Fowler's position to prevent aspiration pneumonia. The policy was visibly posted for all staff and family members to see. The LVN acknowledged the mistake and the importance of keeping the head of the bed elevated to prevent the feeding formula from entering the lungs, which could lead to infection.
Food Safety and Hygiene Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Observations revealed multiple instances of food items being removed from their original packaging and stored in zipper storage bags without proper labeling or dating. Specifically, a bag of frozen pizza sausages, pork chops, chopped carrots, and cooked bacon were found without labels indicating their contents. Additionally, a dietary aide was observed in the kitchen without a beard net and with hair not fully restrained under a cap, contrary to the facility's policy and professional standards for food safety. Interviews with dietary staff confirmed that all personnel entering the kitchen are required to wear hair and beard restraints to prevent hair from contaminating food. The dietary manager acknowledged that the lack of labeling on storage bags could lead to staff not knowing the contents of the bags. The facility's policies on food safety and personnel hygiene, which require proper labeling and the use of hair restraints, were not followed. These deficiencies were identified through observations and interviews conducted during the survey.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 42 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Midland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mabee Health Care Center | 3.5 mi | ★★★★★ | 10 | 0 |
| Focused Care At Midland | 3.6 mi | ★★★★★ | 3 | 0 |
| Focused Care At Hogan Park | 3.7 mi | ★★★★★ | 4 | 0 |
| Ashton Medical Lodge | 5.1 mi | ★★★★★ | 4 | 0 |
| Parks Health Center | 13.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Midland Medical Lodge.
100% money-back within 48 hours.
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.