Medilodge of Grand Blanc: Infection Control Failures - MI
The resident in that room, identified in inspection records as R104, had been hospitalized the previous month with worsening wounds on their sacrum and lower back. A surgeon had performed a debridement on August 15. Infectious disease specialists had placed R104 on IV antibiotics. There had been concern for necrotizing fasciitis, a rapidly spreading infection that destroys soft tissue. R104 returned to Medilodge of Grand Blanc still on antibiotics, still with infected wounds, and still carrying a urinary catheter.
By September 4, the facility had R104 on two oral antibiotics simultaneously, ciprofloxacin and amoxicillin-clavulanate, both twice daily for 14 days, both targeting the wound infection.
The nurse who walked the inspector through the room, identified in the report as Nurse F, acknowledged the situation plainly. R104 had recently had both a PICC line and a feeding tube. The urinary catheter was still in place. The wounds were infected. Nurse F agreed that R104 was highly susceptible to transmission of pathogens.
Then she pointed to the PPE drawer unit positioned in front of R104's roommate's bed. The inspector looked inside.
The care plan for R104 had required gowns and gloves for direct care since March 14, 2025. The same date, the plan added enhanced barrier precautions for a specific list of high-contact activities: dressing, bathing, transferring, personal hygiene, linen changes, brief changes, toileting assistance, and device care covering central lines, urinary catheters, feeding tubes, wound care, and more. Family members and visitors were supposed to be told how to follow precautions before any prolonged physical contact.
Six months of documented requirements. One drawer with a couple of gowns.
The facility's own infection control policy states that isolation signs are used to alert staff, family members, and visitors to transmission-based precautions. The director of nursing confirmed during an interview that residents under precautions have signs outside their room doors indicating what type of precautions are needed. The inspection report does not indicate such a sign was present for R104's room.
The physician order requiring enhanced barriers during high-contact activity had been in place since August 21, renewed after R104 returned from the hospital. The order was specific: enhanced barriers, high-contact activity, wound care.
What inspectors found in that drawer did not meet the order.
Enhanced barrier precautions exist precisely for patients like R104 — people colonized or infected with organisms that standard precautions alone are not designed to contain, people whose combination of open wounds, indwelling devices, and antibiotic treatment makes them both more vulnerable and more likely to harbor pathogens that can move to other residents through the hands and clothing of staff. The facility's own policy describes the precautions as targeting multidrug-resistant organisms through gown and glove use during high-contact care.
The inspection, a complaint investigation, found the deficiency caused minimal harm or the potential for actual harm and affected a small number of residents.
That language is regulatory shorthand. What it describes is a resident who had already been hospitalized once for wounds severe enough to raise the possibility of necrotizing fasciitis, returned to the same facility, placed on two antibiotics, and left in a room where the protective equipment drawer was nearly empty while staff continued providing the kind of hands-on care that his own care plan had flagged as the highest-risk moments for spreading infection.
The drawer was there. The policy was there. The care plan was there. The orders were there, dated and signed, going back to March.
The gowns were not.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medilodge of Grand Blanc from 2025-09-11 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 Grand Blanc in Grand Blanc, MI was cited for violations during a health inspection on September 11, 2025.
A surgeon had performed a debridement on August 15.
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.