Medilodge Of West Bloomfield
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
reported she worked with Resident R702 a day or two after and the bruise really started coming through. LPN 'E' stated, It (the bruise) was a nice size and went through the whole bruising stages. When queried about whether she documented an assessment of Resident R702's bruise and skin tear to include size and description of
the areas, LPN 'E' said she did not. On 8/28/25 at 12:19 PM, an interview was conducted with the Wound Care Coordinator, Registered Nurse (RN) 'A'. When queried about how residents' skin was monitored for new impairments and what the process was when a resident sustained a new skin issue, RN 'A' reported
the nurses did a weekly head to toe skin assessment that was documented in the electronic medical record. If there was a new skin impairment that was an open area, RN 'A' was notified, and she would assess the wound, and the resident would be evaluated by the wound provider. Any wound that RN 'A' is aware of was assessed weekly. When queried about whether she assessed Resident R702's skin tear and bruise, RN 'A' reported she would have only assessed the skin tear. RN 'A' further reported she remembered the incident with Resident R702 on 8/2/25 and remembered looking at her arm and there was nothing there. RN 'A' reviewed Resident R702's clinical record and said the last time she had a documented assessment of Resident R702's skin was in July 2025. On 8/28/25 at 12:30 PM, an interview was conducted with the Director of Nursing (DON).
When queried about why Resident R702 did not have any skin assessments since June 2025, the DON reported she would look into it. On 8/28/25 at 1:13 PM, the DON followed up and reported she was unable to find any skin assessments for Resident R702 since June 2025. The DON reported they should be completed weekly. When queried about the lack of assessment of Resident R702's skin tear and bruise that was documented on 8/2/25, the DON reported an incident report should have been completed by LPN 'E' and that would have triggered a manager to follow up and an investigation to be initiated. On 8/28/25 at 1:20 PM, an interview was conducted with CNA 'D'. When queried about what happened to Resident R702 on 8/2/25, CNA 'D' reported Resident R702 was acting out and tried to get out of the wheelchair. CNA 'D' further explained she had difficulty redirecting
the resident and could not find the nurse. In the meantime, Resident R702 got her arm stuck underneath the arm rest of the wheelchair which caused a skin tear that began to bleed. CNA 'D' further said Resident R702 tried to unlock
the wheelchair and stuck her hand down between the chair and the wheel and jammed it which left a mark.
CNA 'D' notified LPN 'E' when she was available. A review of an investigation into the reported incident on 8/2/25 revealed no documented assessment of the skin tear and bruise to Resident R702's arms.
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Medilodge of West Bloomfield in West Bloomfield, 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 West Bloomfield, 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 West Bloomfield or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.