Medilodge Of Montrose Inc
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
residents breasts. Resident #114 replied, Breast, you mean titties? Resident #113 then said, Like this and make grabbing motions towards interviewer's breasts. This interviewer backed away from Resident #114 and the Resident said, I'm not going to grab them. Resident #114 laughed and then stated while still chuckling, I didn't grab yours, and I don't remember grabbing anybody's. At 10:05 AM on 11/21/25, an
interview was completed with CNA BB. When asked, CNA BB revealed they were covering for Resident #114's assigned sitter but were familiar with the Resident. CNA BB was asked if they have heard Resident #114 make any inappropriate sexual comments and/or other sexual behaviors and stated, I don't really want to repeat it. It is not appropriate things to say. After assuring CNA BB what they said would not be interpreted as their words, they verbalized Resident #114 says things like, She's got a really nice ass, Look at those titties, and I'd like that when women go by. An interview was completed with the facility Administrator on 11/21/25 at 10:15 AM. The Administrator was informed of interview completed with Resident #114 and the Resident making grabbing motions towards interviewer's breasts and stated, Well all men know what they are. When asked what willful means and if Resident #114's actions were willful when
they put their hand down Resident #105's shirt and touched their breasts, the Administrator stated, I am not going to answer that. I will have to get back to you. On 11/21/25 at 11:47 AM, a follow-up interview was completed with the Administrator. The Administrator was asked what willful means in regard to sexual abuse in cognitively impaired residents and stated, I can't answer that. When asked if Resident #114 displayed repeated inappropriate sexual behaviors, with both staff and Resident #105, the Administrator did not provide a response. When asked what would be considered repeated behaviors, the Administrator did not provide a direct response and stated, It depends on the situation. The Administrator was asked again what intent means and did not provide an ex
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of Montrose Inc
9317 West Vienna Road Montrose, MI 48457
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm
any referrals to local contact agencies or other appropriate entities made for the purpose of the resident's interest in returning to the community. 8. The facility will document any referrals to local contact agencies or other appropriate entities made for the purpose of the resident's interest in returning to the community.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of Montrose Inc
9317 West Vienna Road Montrose, MI 48457
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0690
F 0690
anyone know. The Resident #102 was noted to state that she did say something.
Level of Harm - Minimal harm or potential for actual harm
Record review of Resident #102's care plans from 11/6/2024 through 11/20/2025, revealed initial date 11/6/2024 Resident #102 was identified as at risk for episodes of bladder/bowel incontinence related to decreased functional mobility and physical limitations post hospitalization further potentiated by depression and medication adverse effects. Intervention: Check every 2 hours for check and change. Record review of Resident #102's care plans noted on 8/19/2025 updated intervention of: Check every 2 hours for Check and change.
Residents Affected - Few
Record review of Resident #102's point of care 'Documentation Survey Report v2' August 2025, revealed
on the evening of 8/2/2025 there was no documented bladder/bowel documentation for the evening (14:00-22:00), Nights (22:00-0600), and 8/3/2025 day (0600-1400) shifts. Further review of the 'Documentation Survey Report' revealed that there was no documented incontinence restorative, turn and reposition, oral care, skin care was all noted to be blank for those time frames.
Record review of facility 'In-Service Attendance Record: Signature Sheet' dated 8/3/2025, In-service title: Wounds/ADLs/Pagers/Incontinence Care/Abuse/Dignity. All 3 pages of the signatures were reviewed and neither Certified Nursing Assistant (CNA) N and/or O were attended but still provided care on 8/12/2025 to Resident #102.
Record review of Resident #102's 'Bladder Elimination' task for a 30 day look back from 10/22/2025 through 11/20/2025 revealed that the check & change pattern of documentation had one check & change documented daily for 8 days out of 30 days, and twice daily for 16 days out of 30 days, and three times daily for 5 days out of 30 days.
Record review of the facility 'Incontinence' policy dated 10/26/2023 noted based on the resident's comprehensive assessment, all residents that are incontinent will receive appropriate treatment and services.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Medilodge of Montrose Inc in Montrose, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Montrose, 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 Montrose Inc or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.