Statistics for Michigan (Last 12 Months)

435
Total Providers
1072
Total Inspections in the last 12 months
Information
This includes all types of inspections: standard annual surveys, life safety code surveys, re-surveys, complaint investigations, and follow-up inspections.
98.9%
Providers with Citations in the last 12 months
Information
Among all providers that received one or more inspections in the last 12 months, this represents the percentage that received at least one citation of any severity level.
6.6%
Providers with Serious Citations in the last 12 months

Financial Impact (Last 12 Months)

$267,910
Maximum Single Fine
$59,940
Median Fine
75
Max Payment Suspension Days
23
Median Suspension Days
Live from CMS & state releases

Latest citations in Michigan

F0689 G · Actual Harm
Failure to Provide Required Two-Person Assist During Bed Mobility Resulting in Fall

A resident with severe cognitive impairment and multiple medical conditions, including vascular dementia and thoracic spine fractures, had a care plan and Kardex requiring two-person assist for bed mobility and toileting at bed level. A CNA, who acknowledged knowing the resident was a two-person assist but did not seek help because staff were busy and was unfamiliar with the facility’s fall-prevention protocol, provided incontinence care and changed bed linens alone. During this one-person care, the resident rolled out of bed, sustained a head laceration, was found on the floor in a pool of blood, and required hospital evaluation and suturing before returning to the facility, where the resident was later observed crying and pointing to the sutured forehead.

Dearborn Heights, Michigan · Apr 30, 2026 See more details »
F0689 E
Failure to Prevent Elopement and Inadequate Elopement/Wandering Safeguards

A resident with severe cognitive impairment, a history of elopement, and daily wandering exited the building in the early morning while wearing an electronic elopement-prevention device. When the front door and device alarms sounded, the DON shut off the main alarm without an immediate overhead headcount or clear communication about which door had alarmed, and staff, affected by frequent door alarms from smokers, were confused about whether it was an elopement. While staff searched inside and around the building, the resident walked a significant distance along a main road without a coat in freezing weather before being located by nursing staff. Three additional residents with severe cognitive impairment and wandering behaviors were found to be wearing electronic devices, but for some there were no physician orders, no documented device checks, missing inclusion on the elopement risk list, and care plans that did not include the devices as interventions, demonstrating inconsistent elopement risk identification and planning.

Munising, Michigan · Apr 30, 2026 See more details »
F0609 D
Failure to Report Resident Elopement in Freezing Conditions

A resident with a known history of attempting to leave the facility exited through the front door in the early morning, triggering both the door alarm and an elopement prevention device. The DON shut off the main alarm, looked outside but did not immediately exit the front door or make an overhead announcement, leading to confusion among staff about which door had alarmed and whether anyone was missing. CNAs searched the grounds, and an LPN used a car to search nearby streets, eventually locating the resident walking with a walker near a gas station, cold and without a coat, in freezing temperatures along a main highway. An RN then assisted in persuading the resident to return, with the total time away exceeding 25 minutes. The incident, which posed a risk to the resident’s health and safety, was not reported to the State Agency as required by the facility’s abuse, neglect, and exploitation reporting policy.

Munising, Michigan · Apr 30, 2026 See more details »
F0610 D
Failure to Thoroughly and Timely Investigate Resident Elopement

A resident at risk for elopement exited the facility through a front door in the early morning, triggering both the door alarm and an elopement device alarm. The DON shut off the main alarm and looked outside but did not immediately exit the front door, while CNAs and an LPN searched the building and surrounding areas. The resident, wearing everyday clothes and no coat in freezing weather, was eventually located by an LPN walking with a walker near a gas station on a busy road, and a second nurse assisted in persuading the resident to return. The facility’s investigation failed to preserve or document key information from available video footage, did not record specific times, route, distance traveled, or weather conditions, and included incomplete and delayed risk management documentation with limited witness statements, contrary to facility policy requiring prompt incident reporting and medical record entries after an elopement event.

Munising, Michigan · Apr 30, 2026 See more details »
F0550 D
Failure to Ensure Accessible Call Lights and Consistent Provision of Adaptive Eating Devices

A resident with severe cognitive impairment, mobility limitations, and a history of falls was observed in bed with the call light wrapped around the television and out of reach, despite a care plan requiring the call light to be kept within reach. Another cognitively intact resident with neuromuscular impairment, care planned for weighted utensils and a plate guard, received a meal tray containing only a weighted fork and no weighted knife or spoon, causing visible difficulty and frustration while attempting to cut and eat a chicken breast. Resident Council minutes from two consecutive months documented repeated complaints from residents that call lights were not accessible and were not answered in a timely manner.

Dearborn Heights, Michigan · Apr 30, 2026 See more details »
F0658 D
Failure to Perform Nurse Assessment Before Moving Resident After Fall

A resident with stroke-related hemiparesis, abnormal gait, dementia, CKD, and hypertension, care planned as at risk for falls, experienced an unwitnessed fall while attempting to use the bathroom, having taken an IV pole instead of a walker and tripping over IV tubing. A CNA found the resident on the bathroom floor, sitting upright and holding assist bars, and, seeing no obvious injury, helped the resident back to bed before notifying an LPN. The LPN’s documentation and post-fall evaluation reflected assessment only after the resident was already in bed, with no injuries identified. Facility leadership and written fall management guidelines state that after a fall, the nurse must be notified immediately and must evaluate the resident for possible head, neck, spine, and extremity injuries prior to moving them, which did not occur in this case.

Grand Rapids, Michigan · Apr 30, 2026 See more details »

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Most Cited Tags in Michigan (Last 12 Months)


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Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release June 24, 2026) and official state health department websites — never guesswork.


Some of the Latest Corrective Actions taken by Facilities in Michigan

  • Reviewed elopement and missing person policies and procedures (J - F0689 - MI)
  • Modified the elopement assessment tool scoring to enhance identification of safety risks (J - F0689 - MI)
  • Initiated wander guards for residents identified as elopement risks based on the updated elopement assessment tool (J - F0689 - MI)
  • Checked all wander guards and alarms for functionality (J - F0689 - MI)
  • Provided comprehensive education on elopement prevention including ongoing assessments, definitions, exit-seeking behaviors, and role expectations to all licensed nursing staff and certified nursing assistants (J - F0689 - MI)
  • Reviewed education material and completion quarterly at the QAPI meeting (J - F0689 - MI)
  • Created a workstation at the main entrance and scheduled staff to monitor traffic in and out of the building (J - F0689 - MI)
  • Installed a Red Box Audible Alarm at the main entrance (J - F0689 - MI)
  • Maintained the alarm by the entrance attendant and activated the alarm any time the door was opened (J - F0689 - MI)

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