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Complaint Investigation

Medilodge Of Gtc

October 24, 2025 · Traverse City, MI · 2950 Lafranier Road
Citations 3
CMS Rating 2/5
Beds 125
Provider ID 235243
Healthcare Facility
Medilodge Of Gtc
Traverse City, MI  ·  View full profile →
Inspection Summary

Medilodge of GTC in Traverse City, MI — inspection on October 24, 2025.

Found 3 citations. 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.

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Inspection Findings

FF0627
Resident Rights Deficiencies
Actual Harm

days.

Today is day 13.

New Follow Up Note on 10/6/25 at 9:32 PM by NP C: 10/4 - Surgical site midline abdomen still has staples, with skin healing around staples and patient reports wanting to scratch.

New Follow Up Note on 10/6/25 at 9:32 PM by NP C: 10/6- Discharge planned for later this afternoon.Patient still needs post-op follow up and staple removal from abdominal incision.On 10/22/25 at 1:17 PM, an interview was conducted with the Nursing Home Administrator (NHA) who stated it is expected the facility coordinates and schedules all follow-up appointments.

Review of the facility policy titled, Transfer and Discharge (including AMA [against medical advice]), revised 10/30/23, read, in part: .the facility permits each resident to remain in the facility, and not transfer or discharge the resident from the facility except in limited situations when the health and safety of the individual or other residents are endangered.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Medilodge of Gtc

2950 Lafranier Road Traverse City, MI 49686

SUMMARY STATEMENT OF DEFICIENCIES

for orders a.

Milk of magnesia 30ml PRN (as needed) for no BM x 3 days b.

Bisacodyl 1 suppository PR (per rectum) PRN if Milk of magnesia is ineffective c.

Fleets enema 1 application PRN if Bisacodyl is ineffective 5) Administer medication and monitor for effectiveness 6) Notify physician if bowel protocol is ineffective.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Medilodge of Gtc

2950 Lafranier Road Traverse City, MI 49686

SUMMARY STATEMENT OF DEFICIENCIES

had an extensive rash on her chest and arms which required treatment. R3 stated the rash, itched terribly and remained, though not as bad.Resident #4 (R4)Review of R4's EMR revealed a Progress Note, dated 10/14/25 at 8:00 AM, which read, in part: .Resident exposed to confirmed scabies case; presenting with pruritic rash consistent with scabies infestation.Resident #5 (R5)Review of R5's EMR revealed a Progress Note, dated 10/14/25 at 8:00 AM, which read, in part: .Resident exposed to confirmed scabies case; presenting with pruritic rash consistent with scabies infestation.Resident #6 (R6)Review of R6's EMR revealed the following entries:Progress Note, 10/16/25 at 8:00 AM: .Chief complaint: rash is spreading. Pt [patient] seen for the above hydrocortisone was ineffective, the rash has spread to his opposite arm and down his abdomen. He complains of severe itch, especially at night.

Suspect scabies, recent in outbreak in facility.New Follow Up Note, 10/23/25 at 1:06 PM: .he states he is only uncomfortable due to his full body rash. 10/14: Pt presented with raised red rash on BLE (bilateral lower extremities) and chest over the weekend.Pt reports feeling itchy and uncomfortable.Resident #7 (R7)Review of R7's EMR revealed a Progress Note, dated 10/14/25 at 8:00 AM, which read, in part: .exposed to confirmed scabies case; presenting with pruritic rash consistent with scabies infestation.On 10/24/25 at 9:24 AM, a follow-up interview was conducted with the DON who understood the concern regarding the lack of implementation of infection control measures after R2's scabies diagnosis in September 2025 and the current scabies infestation.

Review of the facility policy titled, Infection Prevention and Control Program, revised 10/24/22, read, in part: This facility has established and maintains an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections as per accepted national standards and guidelines. A system of surveillance is utilized for prevention, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents.A review of the CDC guidelines titled, Public Health Strategies for Scabies Outbreaks in Institutional Settings, dated 12/18/23, read, in part: Prevention: Early detection, treatment, and implementation of appropriate isolation and infection control practices are essential in preventing scabies outbreaks.

Institutions should maintain a high index of suspicion that undiagnosed skin rashes and conditions may be scabies, even if characteristic signs or symptoms of scabies are absent.

Establish surveillance.Have an active program for early detection of infested patients/residents and staff.

Establish appropriate procedures for infection control and treatment.Maintain records with patient/resident name, age, sex, room number, roommate(s) name(s), skin scraping status and result(s), and name(s) of all staff who provided hands-on care to the patient/resident before implementation of infection control measures: symptoms can take up to 2 months to appear in exposed persons and staff. (https://www.cdc.gov/scabies/php/public-health-strategy/index.html)

Facility ID:

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 Traverse City, 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 GTC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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