Medilodge Of Grand Rapids
Medilodge of Grand Rapids in Grand Rapids, MI — inspection on January 29, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
14-day timeframe. On the audit looking at the last 14 days of admissions completed by the DON 7/50 residents were reviewed on this audit on [DATE], there were no discrepancies noted and no corrections made.-Additionally, the admission policy was reviewed [DATE] and deemed appropriate.-All Licensed Nurses 22/22 educated on [DATE]. 18/22 educated in person face to face, 4 educated verbally via phone on completing advanced directives paperwork on admission with designated responsible party and notifying physician to obtain orders and place into PCC.-Process: Nurse educated on [DATE] that they will meet with resident/Responsible party immediately upon admission to address code status wishes.
Appropriate paperwork will be completed addressing residents' wishes and immediately communicated to the physician to obtain orders to be placed in PCC.-The new facility process for immediate action regarding code status is that the admitting nurse will fax the document to a preprogramed number on the facility fax machine that transmits the document to the provider email and the document can be signed and returned via provider phone to facility fax.
Nurses will also contact provider via phone to ensure they are aware of the incoming document.
This process was initiated, educated and in place by the DOC for the PNC [DATE]-Audits started on [DATE] and will be completed by DON weekly x 12 weeks to ensure any new admissions code status documentation is obtained and completed by admitting nurse and facility procedure and policy is being followed.
Audits will continue until the QAPI committee deems facility has achieved substantial compliance.The facility was able to demonstrate monitoring of the corrective action and maintained compliance.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/29/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of Grand Rapids
2000 Leonard NE Grand Rapids, MI 49505
SUMMARY STATEMENT OF DEFICIENCIES
jeopardy to resident health or safety
be completed addressing residents' wishes and immediately communicated to the physician to obtain orders to be placed in PCC (facility's electronic medical record system).-The new facility process for immediate action regarding code status is that the admitting nurse will fax the document to a preprogramed number on the facility fax machine that transmits the document to the provider email and the document can be signed and returned via provider phone to facility fax.
Nurses will also contact provider via phone to ensure they are aware of the incoming document.
This process was initiated, educated and in place by the DOC (date of correction) for the PNC [DATE]-Audits started on [DATE] and will be completed by DON weekly x 12 weeks to ensure any new admissions code status documentation is obtained and completed by admitting nurse and facility procedure and policy is being followed.
Audits will continue until the QAPI (quality assurance and performance improvement) committee deems facility has achieved substantial compliance.
Facility ID: