Medilodge of Rogers City: Infection Control Failures - MI
The August 28 complaint inspection centered on one resident, identified in records as R10, who had both an open wound and a feeding tube threaded through the abdominal wall. Residents with wounds and indwelling medical devices are among the highest-risk populations for acquiring multidrug-resistant organisms, bacteria that have evolved to survive standard antibiotics and can spread easily in healthcare settings through direct contact.
For residents like R10, the CDC issued guidance in April 2024 requiring nursing home staff to wear gowns and gloves during what it calls high-contact care activities: changing briefs, helping with toileting, handling feeding tubes, and performing wound care. The protocol is called Enhanced Barrier Precautions, and it applies regardless of whether a resident has already tested positive for a resistant organism. The point is to stop transmission before it starts.
At Medilodge, the system for communicating this requirement to staff was a sign on R10's door.
When inspectors interviewed RN D at 8:45 in the morning, she was asked about her use of Enhanced Barrier Precautions during R10's care. She said she had come to understand the requirement after seeing the sign. She pointed to it. The sign listed exactly what staff were supposed to do: clean hands before entering and when leaving, wear gloves and a gown for hygiene, brief changes, toileting assistance, feeding tube care, and wound care, and never wear the same gown and gloves for more than one resident.
The sign was there that morning. It had not always been.
Later in the day, at 11:10 a.m., inspectors spoke with the facility's Infection Preventionist, identified as RN E. She confirmed that Enhanced Barrier Precautions had been ordered for all high-contact care involving R10, including care of the PEG tube. Then she explained what had happened to the sign. It must have fallen off the doorway at some point, she said. It was not replaced.
RN E also confirmed, when asked directly, that the same gloves should never be used across multiple residents, and that hand hygiene is required after contact with one resident and before contact with another.
The inspection cited the facility under F0880, the federal tag covering infection prevention and control. The level of harm was recorded as minimal harm or potential for actual harm, affecting a few residents.
That classification reflects the lower end of the federal violation scale. It does not mean nothing happened. It means inspectors could not document that R10 had acquired an infection as a direct result of the lapse, not that precautions were being followed.
What the record does show is a nurse who learned about a patient's infection control requirements from a sign, and an infection preventionist who attributed the breakdown to a piece of paper falling off a wall. At some point between when it was posted and when inspectors arrived, the sign came down. No one on staff appears to have noticed, or if they did, no one put it back up.
R10, in the meantime, had a wound that required gloved, gowned care. They had a tube running into their stomach. They were, by the CDC's own classification, at especially high risk of acquiring an organism that antibiotics may not be able to treat.
Whether that risk materialized, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medilodge of Rogers City from 2025-08-28 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 1, 2026 · Our methodology
Medilodge of Rogers City in Rogers City, MI was cited for violations during a health inspection on August 28, 2025.
The protocol is called Enhanced Barrier Precautions, and it applies regardless of whether a resident has already tested positive for a resistant organism.
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.