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Complaint Investigation

Medilodge Of Ludington

August 29, 2025 · Ludington, MI · 1000 East Tinkham Avenue
Citations 1
CMS Rating 2/5
Beds 93
Provider ID 235358
Healthcare Facility
Medilodge Of Ludington
Ludington, MI  ·  View full profile →
Inspection Summary

Medilodge of Ludington in Ludington, MI — inspection on August 29, 2025.

Found 1 citation. 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

FF0684
Quality of Life and Care Deficiencies
Actual Harm

Review of an SBAR communication Form for R1, dated 07/06/25 and written by LPN C reflected: (a) resident requesting to go to emergency room, feels she may have a blood clot behind her knee, (b) other relevant findings .resident assessed. No additional information was documented regarding an assessment of the right leg and the status of circulation, i.e., color and temperature of the skin, capillary refill time, whether pulses could be felt in the right leg, (c) that a STAT ultrasound of R1's right leg had been ordered by the physician on 07/05/25 and had not yet been completed, and (d) RN assessment-what do you think is going on with the resident, LPN C documented UTI (urinary tract infection).

Review of emergency room progress notes for R1 dated 07/06/25 at 3:30 PM revealed . acute right lower limb ischemia (lack of blood flow) .right leg pain with pallor (pale), coolness, unable to palpate distal pulses and unable to obtain pulses with a doppler .will emergently obtain a CT of the pelvis to rule out an occluded artery.

Contacted (a level 1 trauma hospital in Grand Rapids) and we reviewed the films, R1 had a complete occlusion (blockage) of the right iliac artery the main blood supply to the lower leg and located at the top of the leg in the groin area).

Unfortunately, Aero Med is not flying at this time because of bad weather. We will initiate a priority 1 transfer for immediate vascular surgery. Resident #2 (R2)Review of an admission Record revealed R2 was a [AGE] year-old-female, last admitted to the facility on [DATE], with pertinent diagnoses of multiple sclerosis and constipation.

Review of a bowel elimination task monitoring for R2, completed each shift by direct care staff, reflected R2 had a medium size bowel movement the afternoon of 08/15/25. R2 did not have another bowel movement until the early morning of 08/18/25, which was documented as small in size.

This was the last documented bowel movement before R2 was urgently sent to the hospital on [DATE]. (18 shifts between bowel movements).

Review of an electronic medication administration record (Emar) for R2, dated August 2025, reflected the following PRN (as needed) orders for bowel protocol: (a) Milk of Magnesia give 30 milliliters (ml's) by mouth every 72 hours as needed for no bowel movement for 3 days, (b) Dulcolax Suppository as needed for constipation if no result from Milk of Magnesium after 9 shifts, (c) Fleets Mineral Oil enema if no result from Dulcolax after 10 shifts and if no results call the doctor.

Documentation revealed none of the above listed medications were administered to R2 nor was the doctor notified.

Review of a Transfer Form for R2 dated 08/24/25 at 1:00 PM revealed R2 was sent to the hospital for abdominal distention and rigidity with brown emesis (vomit) and nausea.

Review of a Hospital Progress Note dated 08/27/25 reflected that R2 had extreme constipation with large stool burden and distal impaction.During an interview on 08/29/25 at 9:30 AM, the Director of Nursing stated the facility became aware of the bowel management concern with R2 yesterday (08/28/25) and were looking into the matter.

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


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