Medilodge Of Livingston
Medilodge of Livingston in Howell, MI — inspection on August 27, 2025.
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
Provide care and assistance to perform activities of daily living for any resident who is unable.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake #2584966Based on observation, interview and record review the facility failed to ensure residents received scheduled showers for one (R801) out of one resident reviewed for ADL (activities of daily living) care.
Findings include:A complaint was filed with the State Agency (SA) that alleged there were not enough staff at the facility to ensure they received their showers.On 8/27/25 at approximately 9:30 AM, R801 was observed lying in bed.
The resident was alert and able to answer all questions asked.
When quired as to whether they received scheduled showers, R801 replied that they finally got a shower yesterday (8/26/25) but was not regularly receiving them and often only received a bed bath. R801 noted that they need a shower to ensure cleanliness.A review of R801's clinical record revealed the resident was initially admitted to the facility on [DATE] with diagnoses that included: type II diabetes and acute respiratory failure. A review of the resident's Minimum Data Set (MDS) dated [DATE] noted the resident had a Brief Interview for Mental Status (BIMS) score of 14/15 (intact cognition).A review of review of R801's TASK record for showers noted the resident was to receive showers on Tuesday and Fridays during the day shift.
A 30 day look back recorded the following: Tuesday- 7/29/25 (shower), Friday -8/1/25 (bed bath), Tuesday -8/5/25 (bed bath), Friday-8/7/25 (nothing provided), Tuesday-8/12/25 (nothing provided), Friday-8/15/25 (shower), Tuesday-8/19/25 (bed bath), Friday-8/22/25 (nothing provided) and Tuesday-8/26/25 (shower). *It should be noted that there were no notes that indicated R801 refused showers on the dates nothing was provided. In addition, there were no notes that indicated R801 preferred a bed bath on the dates noted above.On 8/27/25 at approximately 3:30 PM, an interview was conducted with Certified Nursing Assistant (CNA) F who was assigned to R801. CNA F was asked about the facility's protocol pertaining to showers.
CNA F reported that showers generally are given twice per week. CNA F was asked if they provided R801 with showers and/or bed baths and they noted that they give the residents showers as that is what they prefer.A request had been made for any grievances pertaining to R801. On 8/27/25 at approximately 3:40 PM, the Administrator reported that a grievance pertaining to showers was submitted yesterday (8/26/25) and had not been fully completed.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of Livingston
3003 W Grand River Howell, MI 48843
SUMMARY STATEMENT OF DEFICIENCIES
Respiratory Director (RTD) 'E'.
When queried about the progress notes documenting put on previous vent settings instead of documenting the vent settings, RTD 'E' said they were short of staff and probably did it to save time.
When queried about the process for assessing a resident on a mechanical ventilator on admission and whether vital signs should be taken at the time of the assessment, RTD 'E' said they should.
When queried about how residents on mechanical ventilators were assessed when given a breathing treatment, RTD 'E' said the RT took breath sounds and vital signs before the treatment was administered and then they would go back in after the treatment and recheck breath sounds and redo the vital signs. At that time, the breathing treatment evaluations from 8/10/25 and 8/11/25 were reviewed with RTD 'E'. RTD 'E' reported they used the previous set of vitals taken by nursing.
When queried about how the RT would know if the breathing treatment was effective if they used vital signs from eight to 14 hours earlier, RTD 'E' reported they should be taken at the time of the breathing treatment.
Facility ID: