Medilodge Of Ludington
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.
Inspection Findings
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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.