Medilodge of West Bloomfield: Skin Monitoring Failures - MI
The incident happened on August 2, 2025. A certified nursing assistant, identified in inspection records as CNA D, said the resident, referred to as R702, was trying to get out of her wheelchair and couldn't be redirected. R702 got her arm stuck beneath the armrest, tearing her skin and drawing blood. She then jammed her hand between the chair and the wheel, leaving a second mark on her arm. CNA D said she couldn't find the nurse at the time and notified LPN E when she became available.
No assessment of the skin tear or the bruise was ever documented.
When federal inspectors arrived on August 28 and asked the facility's care coordinator, a registered nurse identified as RN A, whether she had assessed R702's injuries, RN A said she would have only looked at the skin tear, not the bruise. Then she reviewed R702's chart and found that her last documented skin assessment wasn't from August. It wasn't from July. It was from June 2025.
The Director of Nursing, interviewed the same afternoon, said skin assessments were supposed to happen every week. Asked why R702 had gone without one for more than two months, the DON said she would look into it. Forty-three minutes later, she followed up to confirm she couldn't find any record of assessments since June. She added that LPN E should have filed an incident report after the August 2 injury, which would have triggered a manager review and a formal investigation.
No incident report was filed. No investigation was opened. No one assessed R702's arm.
CMS rated the violation at minimal harm or potential for actual harm, affecting few residents. R702's arms, one torn and one bruised from a wheelchair, went unexamined.
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.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 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.
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.