Medilodge Of East Lansing
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
supply for 8/11/25. According to the American Lung Association, Pneumonia Treatment and Recovery .Take any medications as prescribed by your doctor. If your pneumonia is caused by bacteria, you will be given an antibiotic. It is important to take all the antibiotics, even though you will probably start to feel better in a couple of days. If you stop before the prescription is gone, you risk having the infection return, and you increase the chances of the germs becoming resistant to treatment in the future . (https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/treatment-and-recovery)
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of East Lansing
1843 N Hagadorn Road East Lansing, MI 48823
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0695
F 0695
Provide safe and appropriate respiratory care for a resident when needed.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to intake 2597662.Based on observation, interview and record review, the facility failed to provide respiratory care according to physician's orders for one (Resident R1) of three reviewed.Findings include:Review of
the medical record reflected Resident R1 admitted to the facility on [DATE REDACTED] and readmitted [DATE REDACTED], with diagnoses that included chronic respiratory failure with hypoxia, asthma, tracheostomy status (surgical hole made through the front of the neck, into the windpipe/trachea, for placement of a tracheostomy tube for breathing) and spastic quadriplegic cerebral palsy. The Annual Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 5/31/25, reflected Resident R1 did not speak, was rarely/never understood and rarely/never understands.On 8/26/25 at 10:51 AM, Resident R1 was observed seated in a wheelchair, in their room. A tracheostomy was observed, secured with tracheostomy ties. A cough assist machine was observed on a table in Resident R1's room. In an interview on 8/26/25 at 11:01 AM, Respiratory Therapist (RT) D reported Resident R1 received their cough assist three to four times daily, and there was an order to sign off on. Resident R1's July 2025 Respiratory Administration Record (RAR) reflected an order for cough assist therapy for assistance with airway clearance, three times daily, for airway patency, related to chronic respiratory failure with hypoxia.
The scheduled times reflected 7:00 AM, 4:00 PM and 8:00 PM. According to the RAR, Resident R1 missed 20 opportunities to receive their cough assist due to reasons including lack of tolerance, refusal or being asleep. Resident R1's hospital Discharge summary, dated [DATE REDACTED], reflected discharge diagnoses that included tracheostomy dependence, pneumonia, septic shock and gram-positive bacteria. According to the discharge summary, Resident R1 was to receive cough assist three times daily. A readmission Physician Progress Note, dated 8/12/25, reflected Resident R1 was recommended to continue the cough assist three times daily.Review of Resident R1's August 2025 RAR reflected an order for ten cycles of their cough assist, three times daily, for lung inflation, related to chronic respiratory failure with hypoxia. The scheduled times reflected 7:00 AM, 3:00 PM and 10:00 PM. The first administration of the cough assist upon return from the hospital was documented for 10:00 PM on 8/12/25. The RAR reflected Resident R1's cough assist as not being administered for their 7:00 AM scheduled time on 8/20/25, the scheduled 3:00 PM time on 8/24/25 or the scheduled 10:00 PM time on 8/16/25, 8/17/25 and 8/24/25 due to reasons including refusal, being asleep or being out of the facility.In a phone interview on 8/27/25 at 9:56 AM, RT E reported Resident R1 did not tolerate the cough assist, and they could not recall the last time they attempted to administer Resident R1's cough assist.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Medilodge of East Lansing in East Lansing, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in East Lansing, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Medilodge of East Lansing or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.