Medilodge of Southfield: ADL Care Gaps Found - MI
The pattern stretched across nearly two weeks. Federal inspectors examining the facility's electronic medical records found repeated blank entries and refusal notations for bathing, incontinence care, and oral care for at least two residents, identified in the inspection report as R8 and R138. The gaps appeared on evening and day shifts beginning August 4 and continued through August 11, 2025.
The nursing assistant, identified only as CNA E, handled oral care for R8. When inspectors reached her by phone on August 14, she said the resident never let her brush their teeth, always refusing when she tried. When asked whether she told a nurse, she said no. She just wrote "refused" or "No" in the electronic record and left it at that.
The Director of Nursing, interviewed earlier the same day, said that's not what should happen. Anyone who encounters a refusal, she said, should immediately notify a nurse, then follow up with the resident later. "We usually ask three times," she said.
She also said the facility's electronic records system generates a morning report for each unit showing what percentage of ADL documentation has been completed, with an expectation of better than 85 percent. The system is designed to flag missing entries, including whether a shower was given or refused.
When she pulled up the task records for both R8 and R138 during the interview, she said she saw the same limited documentation for bathing, incontinence care, and oral care that inspectors had already flagged.
Then came a more specific problem. Inspectors pointed out that R8's oral care entries showed a pattern: the "No" responses and the refusals were all logged by the same CNA. The Director of Nursing said she had no idea why and would have to follow up with that employee.
That follow-up happened by phone about an hour and a half later. CNA E's explanation was straightforward and, from the facility's own stated expectations, clearly inadequate. She acknowledged the resident always refused her specifically, but she had never looped in a nurse, never triggered the follow-up process the director described, and never noted anything beyond the bare refusal in the chart.
What the records don't show is whether anyone else ever tried. Whether a different staff member offered care on those same shifts. Whether a nurse was ever told. Whether the resident went days without oral hygiene because one CNA hit a wall and stopped there.
The inspection covered multiple shifts over more than a week. The documentation gaps were not a single missed entry. They were a recurring absence across day and evening shifts, for more than one resident, in more than one category of basic care.
The Director of Nursing told inspectors that care documentation is expected to be entered in real time, as care is actually provided. What inspectors found in the records for R8 and R138 during those eleven days didn't reflect that standard.
The violation was cited at a level of minimal harm or potential for actual harm, and the inspection report notes that some residents were affected. The complaint inspection was completed August 15, 2025.
What the records don't capture is what those eleven days looked like for the residents themselves.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medilodge of Southfield from 2025-08-15 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 4, 2026 · Our methodology
Medilodge of Southfield in Southfield, MI was cited for violations during a health inspection on August 15, 2025.
The pattern stretched across nearly two weeks.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.