Medilodge Of Taylor
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm
resident's family or representative will be notified of the incident/accident and any orders obtained or if the resident is to be transported to the hospital. The nurse/designee will enter the incident/accident information into the appropriate form/system within 24 hours of occurrence and will document all pertinent information.
If an incident/accident was witnessed by other people, the supervisor or designee will obtain the witness' account.
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
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of Taylor
23600 Northline Rd Taylor, MI 48180
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 F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
notified of the incident/accident and any orders obtained or if the resident is to be transported to the hospital. The nurse/designee will enter the incident/accident information into the appropriate form/system within 24 hours of occurrence and will document all pertinent information. If an incident/accident was witnessed by other people, the supervisor or designee will obtain the witness' account.Review of the facility policy titled reporting Alleged Violations date reviewed/revised 1/10/24 revealed in part: The purpose of this policy is to assure that alleged violations are reported immediately to the facility administrator and other officials as required by State and Federal Guidelines. The facility must ensure:1. Alleged violations involving abuse, neglect, exploitation, or mistreatment are reported in accordance with State and Federal Guidelines.
This includes injury of unknown source and misappropriation of resident property.2. If the alleged violation involves abuse or results in serious bodily injury it must be reported immediately but no later than 2 hours
after the allegation in made.3. If the alleged violation does not involve abuse or does not involve serious bodily injury it must be reported no later than 24 hours after the allegation is made.4. The alleged violations must be reported to the administrator of the facility and to other officials (including to the state survey agency and adult protective services where state law provides jurisdiction in long term care facilities) in accordance with state law through established procedures.Injuries of unknown source: Includes circumstances when both of the following conditions are met:1. The source of the injury: a. was not observed by any person orb. could not be explained by the resident; andPolicy Reporting Alleged Violations
- 2. The injury is suspicious because of: a. the extent of the injury orb. the location of the injury (e.g., an area
not generally vulnerable to trauma) orc. the number of injuries observed at one particular point in time ord.
the incidence of injuries over time.Response and Reporting of Alleged Violations:Anyone in the facility can report an alleged violation. When an alleged violation is suspected, the Licensed Nurse should:1. Respond to the needs of the resident and protect them from further incident.2. Notify the Director of Nursing Services and Administrator.3. Complete an incident report and initiate an investigation immediately.4. Notify the attending physician, resident's family/legal representative and Medical Director.5. Obtain statements from direct care staff.6. Monitor and document the resident's condition, including the response to medical treatment or nursing interventions.7. Document actions taken in the medical record.The Administrator should follow up with government agencies, during business hours, to confirm the report was received, and to report the results of the investigation when final, as required by state agencies.
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
08/20/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Medilodge of Taylor
23600 Northline Rd Taylor, MI 48180
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 F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
to the hospital. The nurse/designee will enter the incident/accident information into the appropriate form/system within 24 hours of occurrence and will document all pertinent information. If an incident/accident was witnessed by other people, the supervisor or designee will obtain the witness' account. Review of the facility policy titled reporting Alleged Violations date reviewed/revised 1/10/24 revealed in part: The purpose of this policy is to assure that alleged violations are reported immediately to
the facility administrator and other officials as required by State and Federal Guidelines.The facility must ensure:1. Alleged violations involving abuse, neglect, exploitation, or mistreatment are reported in accordance with State and Federal Guidelines. This includes injury of unknown source and misappropriation of resident property.2. If the alleged violation involves abuse or results in serious bodily injury it must be reported immediately but no later than 2 hours after the allegation in made.3. If the alleged violation does not involve abuse or does not involve serious bodily injury it must be reported no later than 24 hours after the allegation is made.4. The alleged violations must be reported to the administrator of the facility and to other officials (including to the state survey agency and adult protective services where state law provides jurisdiction in long term care facilities) in accordance with state law through established procedures.Injuries of unknown source: Includes circumstances when both of the following conditions are met:1. The source of the injury: a. was not observed by any person orb. could not be explained by the resident; andPolicy Reporting Alleged Violations 2. The injury is suspicious because of: a. the extent of the injury orb. the location of the injury (e.g., an area not generally vulnerable to trauma) orc. the number of injuries observed at one particular point in time ord. the incidence of injuries over time.Response and Reporting of Alleged Violations:Anyone in the facility can report an alleged violation. When an alleged violation is suspected, the Licensed Nurse should:1. Respond to the needs of the resident and protect them from further incident.2. Notify the Director of Nursing Services and Administrator.3. Complete an incident report and initiate an investigation immediately.4. Notify the attending physician, resident's family/legal representative and Medical Director.5. Obtain statements from direct care staff.6. Monitor and document the resident's condition, including the response to medical treatment or nursing interventions.7. Document actions taken in the medical record.The Administrator should follow up with government agencies, during business hours, to confirm the report was received, and to report the results of the investigation when final, as required by state agencies.
Event ID:
Facility ID:
If continuation sheet
Medilodge of Taylor in Taylor, 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 Taylor, 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 Taylor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.