Medilodge Of Tawas City
Medilodge of Tawas City in Tawas City, MI — inspection on August 12, 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
dehiscence).
Review of the resident's Nurse Practitioner E's notes dated 6/21/25, revealed the surgical sites were well approximated (intact) with no signs of infection.
Review of the nursing progress note dated 7/4/25, stated Sternal incision noted to have eschar (dead narcotic wound tissue) with cracks in it; shorter L (left) lower leg incision (vein [NAME] site) covered with eschar and is not draining.
Review of the nursing progress note dated 7/6/25 (2 days after staff first noted eschar tissue), stated Sternal incision more open and will require close monitoring. No measurements of either site were documented by nursing.Review of nursing progress notes dated 7/4/25 through 7/7/25, revealed no complete wound assessment (no documentation at all of length, width, odor, warmth at site, discharge noted from wounds done by nursing with prompt transfer (when sternal and left leg wounds were found to have narcotic tissue on 7/4/25, no documentation of calling the Physician or NP upon observation of narcotic wound tissue (on 7/4/25), and delayed transfer to acute care for eschar tissue observed with infection which lead to sepsis (transferred to hospital for evaluation on 7/7/25, found narcotic dead tissue on 7/4/25).During a phone interview done on 8/12/25 at approximately 2:10 p.m., Nurse B was asked by this surveyor if she had called and informed the physician or NP on 7/4/25 and on 7/6/25, of the eschar tissue on the resident's sternum and she stated I don't remember calling them; I knew she had a up-coming appointment, I know she had labs done from the first time we sent her out for nose bleed (on 7/4/25, no hospital documentation of having observed the sternum or leg wound was found), I did not call for the labs.
Nurse B said she did not call anyone and inform them of the resident's eschar, because the resident had a appointment, she thought she could wait.
The resident had sepsis upon entry to the hospital emergency room from the infection of her sternal surgical wound.
During an interview done on 8/12/25 at approximately 10:15 a.m., Nurse Practitioner/NP E stated They (staff) did not inform me of the eschar in the sternum surgical wound or the left leg, they should have.
During an interview done on 7/12/25 at 12:11:00 p.m., Nurse Manager, RN C stated They (nursing staff) were considered about the nose bleeds, no one told me about the sternum wound or leg; they dropped the ball on that, I would have notified the provider.
During an interview done on 7/12/25 at 12:47 p.m., Nurse Educator, RN D stated No one informed me of the resident's condition, I would of thought the nurse would of informed somebody. I educate them on assessment and documentation.
During an interview done on 8/12/25 at approximately 11:40 a.m., Wound Nurse, LPN stated I do not take pictures, assess, monitor or document anything on surgical wounds, they (management) told me not too; I did not look at it.
During an interview done on 8/12/25 at 12:55 p.m., the facility Administrator stated, The evidence does support we did not follow the care plan.
Review of the facility Wound Treatment Management policy dated 10/26/23, stated Policy: To promote wound healing of various types of wounds, it is the policy of this facility to provide evidence-based treatments in accordance with current standards of practice and physician orders.
Facility ID:
Frequently Asked Questions
More Reports
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.