Medilodge of West Bloomfield: Skin Care Failures - MI
The incident happened on August 2, 2025, at Medilodge of West Bloomfield. The resident, identified in inspection records as Resident 702, was attempting to get out of her wheelchair when the certified nursing assistant working with her, CNA "D," could not redirect her and could not find the nurse. R702's arm caught under the armrest and caused a skin tear that began to bleed. Her hand, jammed down between the chair and the wheel, left a mark.
CNA "D" eventually found LPN "E" and reported what happened. That was, apparently, where the response ended.
LPN "E" later told inspectors she saw the injury. "It was a nice size," she said, describing the bruise, "and went through the whole bruising stages." She worked with R702 a day or two after the incident and watched the bruise develop. She did not document an assessment of the skin tear or the bruise. No size. No description. Nothing.
The Wound Care Coordinator, Registered Nurse "A," told inspectors that the standard process was clear: nurses conducted weekly head-to-toe skin assessments documented in the electronic medical record, and if a resident had a new open skin impairment, RN "A" was notified, assessed the wound, and the resident was evaluated by a wound provider. Any wound she was aware of was assessed weekly.
She was not aware of this one.
When asked whether she had assessed R702's skin tear and bruise, RN "A" said she would have only assessed the skin tear. Then she said she remembered the August 2 incident, remembered looking at R702's arm, and remembered seeing nothing there. She reviewed R702's clinical record during the inspection interview and found that the last documented skin assessment she had completed for R702 was in July 2025.
The Director of Nursing, when asked why R702 had no skin assessments since June 2025, said she would look into it. She came back forty-three minutes later with an answer: she could not find any skin assessments for R702 since June 2025. She confirmed they were supposed to be completed weekly.
On the specific failure around the August 2 incident, the Director of Nursing said LPN "E" should have completed an incident report, and that report would have triggered a manager to follow up and an investigation to begin. No incident report was completed. No investigation was initiated. Inspectors reviewed the documentation and confirmed: no recorded assessment of the skin tear, no recorded assessment of the bruise, nothing.
The gap between what the staff described as standard practice and what actually happened for R702 runs at least two months, and arguably longer. Weekly skin assessments, by the facility's own account, had not been documented since June. The August injury added a skin tear and a bruise to a resident who was already going unmonitored.
CNA "D" described a moment of genuine difficulty: a resident acting out, trying to unlock the wheelchair, impossible to redirect, and no nurse available when she needed one. She did the right thing by finding LPN "E" when she could. What happened after that is the story inspectors documented.
The violation was cited at a level of minimal harm or potential for actual harm, affecting a few residents. Federal inspectors completed the complaint inspection on August 28, 2025.
R702's arm bruised through its full stages. Someone watched it happen. Nobody wrote it down.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medilodge of West Bloomfield 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 2, 2026 · Our methodology
Medilodge of West Bloomfield in West Bloomfield, MI was cited for violations during a health inspection on August 28, 2025.
The incident happened on August 2, 2025, at Medilodge of West Bloomfield.
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.