Medilodge Of Montrose Inc
Medilodge of Montrose Inc in Montrose, MI — inspection on May 27, 2026.
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
the ROM and splint application was not being completed with Resident 105, the MDS Nurse reported
the splint. On 5/27/26 at 12:42 PM, CNA M reported she was the Restorative CNA but had been pulled
depends on the week, the CNA reported if here for 3 days in the week, she could be pulled and has been pulled to floor care two out of the three days.
The CNA stated, I work today and tomorrow, so tomorrow I don't know where I will be, I could wake up tomorrow and it will say CNA if short staffed, and reported 1 to 2 days a week she would work as a CNA and the rest as a Restorative Aide, sometimes Restorative Aide all week, but that does not happen very often.
When asked if able to complete Restorative Therapy for Residents, the CNA reported maybe for the ones in the hall she was working in, but there were Residents on the other side also, and you can't always get to the Restorative Plan if busy.
The CNA reported that there was a Resident who was supposed to ride a bike in therapy and needed someone to be with him so that would be able to happen.
The CNA stated, if have time then can do the ROM. On 5/27/26 at 12:58 PM, an interview was conducted with the Therapy Director O regarding R105's Restorative Therapy plan.
The Therapy Director (TD) reported that the therapy department gives recommendations for Restorative Therapy once therapy was completed.
The ROM and the Splint application for R105 was reviewed regarding the lack of follow-through with the exercises and splint application.
When asked what the benefits for R105 are to participate in the ROM, the TD stated, That is to maintain ROM and positioning and to keep ROM to all extremities.
When asked the consequences if the plan was not followed as ordered, the TD stated, He could have a loss of range of motion, lose degrees of motion. On 5/27/26 at 1:49 PM, an interview was conducted with the Administrator (NHA) and Corporate Nurse K regarding the lack of Restorative Therapy plan follow through with ordered ROM exercises and splint application. It was reviewed that in the last 30 days look back that the ROM exercises ordered for 5 to 7 times a week were completed 7 days and splint application for 2 hours off and 2 hours on for 5 to 7 days was completed 7 days with application for 15 to 90 minutes a day as documented. A review of facility policy titled, Activities of Daily Living (ADLs) revealed, Policy: The facility takes measures to minimize the loss of residents' functional abilities, including activities of daily living. 2.
The facility provides maintenance and restorative program to assist residents in achieving and maintaining the highest practicable outcome based on their comprehensive assessment.
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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.