Medilodge of Marshall: Ostomy Care Harm Cited - MI
The citation, issued under regulatory tag F0691 and classified as a Quality of Life and Care deficiency, found that Medilodge failed to provide appropriate care for a resident who required colostomy, urostomy, or ileostomy services. Inspectors rated the violation at Scope/Severity Level G, meaning the harm was isolated to a single resident but was real and documented, not merely a risk of future injury.
That distinction matters. A Level G finding is not a paperwork problem or a narrow technical failure. It means an inspector looked at what happened to a specific person and concluded they were hurt.
Ostomies are surgical openings created in the abdomen when a portion of the bowel or urinary tract can no longer function normally. A colostomy reroutes the large intestine; an ileostomy does the same for the small intestine; a urostomy diverts urine. In each case, waste exits the body through a stoma, a small opening in the abdominal wall, and collects in a pouch attached to the skin. The care required is exacting. Pouches must be emptied and changed on a regular schedule. The skin surrounding the stoma, called peristomal skin, is vulnerable to breakdown from contact with waste. Infections can develop quickly. A poorly managed ostomy is not a minor inconvenience. For the resident living with one, it is the center of their daily physical existence.
The inspection report does not describe what specifically went wrong for this resident, what injury they sustained, or how long the inadequate care continued before a complaint prompted the investigation. The report confirms only that harm occurred, that it was isolated to one resident, and that it was not considered severe enough to constitute immediate jeopardy to life.
Medilodge of Marshall submitted a plan of correction and reported the deficiency resolved as of June 24, 2026, less than four weeks after the inspection closed.
The ostomy care failure was one of eight deficiencies cited during this complaint investigation. The inspection report does not detail the other seven, but the volume of citations from a single complaint visit suggests inspectors found problems across multiple areas of the facility's operations once they arrived.
Complaint investigations are distinct from routine annual surveys. They are triggered by a specific allegation, typically filed by a resident, a family member, or a staff member, and they tend to be narrower in scope. When a complaint investigation produces eight citations, including one involving actual documented harm, it reflects a facility that had significant care failures concentrated enough to be visible even within the limits of a targeted inspection.
Medilodge of Marshall is part of the Medilodge Group, a Michigan-based chain that operates nursing homes across the state.
The resident at the center of this citation was not named in the inspection report, as federal privacy rules prohibit the public identification of nursing home residents in inspection documents. What the record does show is that someone came to this facility with a medical need that required consistent, attentive, skilled care every day, and that the facility failed to provide it in a way that caused them harm.
Ostomy care failures in nursing homes are not rare. The population of long-term care residents includes a significant number of people living with ostomies, many of them elderly, many with limited mobility, and many dependent entirely on staff to manage a process that, for a person living at home, they would manage themselves. When a facility gets it wrong, the consequences are physical and intimate. Skin breakdown around a stoma is painful. Leakage is humiliating. Infection can require hospitalization.
The inspection report does not say whether the resident at Medilodge of Marshall experienced any of those specific outcomes. It says they were harmed. The plan of correction says the problem has since been fixed.
For the resident who was harmed before anyone filed a complaint, before inspectors arrived, before a correction plan was written and submitted, the timeline runs in only one direction.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medilodge of Marshall from 2026-05-28 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: August 7, 2026 · Our methodology
Medilodge of Marshall in Marshall, MI was cited for violations during a health inspection on May 28, 2026.
A Level G finding is not a paperwork problem or a narrow technical failure.
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.