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Complaint Investigation

Medilodge Of Capital Area

November 17, 2025 · Lansing, MI · 2100 E Provincial House Drive
Citations 3
CMS Rating 3/5
Beds 120
Provider ID 235653
Healthcare Facility
Medilodge Of Capital Area
Lansing, MI  ·  View full profile →
Inspection Summary

Medilodge of Capital Area in Lansing, MI — inspection on November 17, 2025.

Found 3 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.

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Inspection Findings

FF0607
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 09/23/2025 at 04:15 p.m.

Nursing Home Administrator (NHA) A was asked to review R6 incident report dated 09/10/2025 at 03:45 p.m. NHA A was asked if this incident had been reported to the appropriate state agency. NHA A explained that it had not been reported because she had not been notified on what was written on the incident report. NHA A explained that she had not known that R6 had any complaints of pain following this incident. NHA A was asked if she reviewed all incident reports and signed that incidents had been reviewed. NHA explained that she would have to check to see if R6's incident reports had been reviewed and signed by herself. NHA A agreed, after reviewing the incident report, that an investigation should have been initiated and the incident should have been reported to the appropriate state agency.

During an interview on 09/23/2025 at 04:30 p.m.

Nursing Home Administrator (NHA) explained that she had signed R6's incident reports.

Review of the provided facility report that demonstrated when Nursing Home Administrator A had signed R6's incident reports revealed: the incident report for the date of 08/22/2025 was signed by NHA on 09/04/2025, and the incident report for the date of 09/10/2025 was signed by the NHA on 09/17/2025.

During an attempted interview on 09/24/25 at 09:59 a.m. R10 was observed sitting in the 100 hall activity room sleeping. R10 appeared well groomed and was not disturbed to interview during this time.

Review of policy titled Abuse, Neglect and Exploitation, implementation date 07/28/2020 and last revised date of 01/10/2024, revealed Abuse means the willful infliction of injury.which can include staff to resident abuse and certain resident to resident altercations.

The same policy also revealed Physical abuse - includes, but is not limited to hitting, slapping, punching, biting, and kicking.

The same policy revealed section entitled Investigation of Alleged Abuse. A. an immediate investigation is warranted when suspicion of abuse, neglect, or exploitation, or reports of abuse, neglect or exploitation occur.

The same policy also revealed Reporting 1.

Reporting of alleged violation to the Administrator, state agency, adult protective services, and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes as required by state and federal regulations.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Medilodge of Capital Area

2100 E Provincial House Drive Lansing, MI 48910

SUMMARY STATEMENT OF DEFICIENCIES

During observation and interview on 09/23/2025 at 03:34 p.m. R6 was observed lying in bed. R6 denied that she had any physical altercations with any other residents at the facility.

During observation and interview on 09/23/25 at 03:44 p.m. R9 was observed sitting in the dinning room, at the end of the 100 hall. R9 could not recall any physical altercations with any other residents. R9 explained that she had a good relationship with all the residents at the facility.

During an interview on 09/23/2025 at 04:15 p.m.

Nursing Home Administrator (NHA) A was asked to review R6 incident report dated 09/10/2025 at 03:45 p.m. NHA A was asked if this incident had been reported to the appropriate state agency. NHA A explained that it had not been reported because she had not been notified on what was written on the incident report. NHA A explained that she had not known that R6 had any complaints of pain following this incident. NHA A was asked if she reviewed all incident reports and signed that incidents had been reviewed. NHA explained that she would have to check to see if R6's incident reports had been reviewed and signed by herself. NHA A agreed, after reviewing the incident report, that an investigation should have been initiated and the incident should have been reported to the appropriate state agency.

During an interview on 09/23/2025 at 04:30 p.m.

Nursing Home Administrator (NHA) explained that she had signed R6's incident reports.

Review of the provided facility report that demonstrated when Nursing Home Administrator A had signed R6's incident reports revealed: the incident report for the date of 08/22/2025 was signed by NHA on 09/04/2025, and the incident report for the date of 09/10/2025 was signed by the NHA on 09/17/2025.

During an attempted interview on 09/24/25 at 09:59 a.m. R10 was observed sitting in the 100 hall activity room sleeping. R10 appeared well groomed and was not disturbed to interview during this time.

Review of policy titled Abuse, Neglect and Exploitation, implementation date 07/28/2020 and last revised date of 01/10/2024, revealed Abuse means the willful infliction of injury.which can include staff to resident abuse and certain resident to resident altercations.

The same policy also revealed Physical abuse – includes, but is not limited to hitting, slapping, punching, biting, and kicking.

The same policy revealed section entitled Investigation of Alleged Abuse. A. an immediate investigation is warranted when suspicion of abuse, neglect, or exploitation, or reports of abuse, neglect or exploitation occur.

The same policy also revealed Reporting 1.

Reporting of alleged violation to the Administrator, state agency, adult protective services, and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes as required by state and federal regulations.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Medilodge of Capital Area

2100 E Provincial House Drive Lansing, MI 48910

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 09/23/2025 at 04:15 p.m.

Nursing Home Administrator (NHA) A was asked to review R6 incident report dated 09/10/2025 at 03:45 p.m. NHA A was asked if this incident had been reported to the appropriate state agency. NHA A explained that it had not been reported because she had not been notified on what was written on the incident report. NHA A explained that she had not known that R6 had any complaints of pain following this incident. NHA A was asked if she reviewed all incident reports and signed that incidents had been reviewed. NHA explained that she would have to check to see if R6's incident reports had been reviewed and signed by herself. NHA A agreed, after reviewing the incident report, that an investigation should have been initiated and the incident should have been reported to the appropriate state agency.

During an interview on 09/23/2025 at 04:30 p.m.

Nursing Home Administrator (NHA) explained that she had signed R6's incident reports.

Review of the provided facility report that demonstrated when Nursing Home Administrator A had signed R6's incident reports revealed: the incident report for the date of 08/22/2025 was signed by NHA on 09/04/2025, and the incident report for the date of 09/10/2025 was signed by the NHA on 09/17/2025.

During an attempted interview on 09/24/25 at 09:59 a.m. R10 was observed sitting in the 100 hall activity room sleeping. R10 appeared well groomed and was not disturbed to interview during this time.

Review of policy titled Abuse, Neglect and Exploitation, implementation date 07/28/2020 and last revised date of 01/10/2024, revealed Abuse means the willful infliction of injury.which can include staff to resident abuse and certain resident to resident altercations.

The same policy also revealed Physical abuse - includes, but is not limited to hitting, slapping, punching, biting, and kicking.

The same policy revealed section entitled Investigation of Alleged Abuse. A. an immediate investigation is warranted when suspicion of abuse, neglect, or exploitation, or reports of abuse, neglect or exploitation occur.

The same policy also revealed Reporting 1.

Reporting of alleged violation to the Administrator, state agency, adult protective services, and to all other required agencies (e.g. law enforcement when applicable) within specified timeframes as required by state and federal regulations.

Facility ID:

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 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 Capital Area or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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