Medilodge Of West Bloomfield
Medilodge of West Bloomfield in West Bloomfield, MI — inspection on February 25, 2026.
Found 9 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.
Inspection Findings
According to the facility's policy titled, Promoting/Maintaining Resident Dignity dated 10/26/2023: .All staff members are involved in providing care to residents to promote and maintain resident dignity and respect resident rights.During interactions with residents, staff must report, document and act upon information regarding resident preferences.Speak respectfully to residents; avoid discussions about residents that may be overheard.
Review of the past resident council minutes since September 2025 included the following dignity concerns reported by residents: The meeting on 9/23/25 documented, cleaning staff were rude.
The meeting on 10/28/25 documented, Nurses and Aides are not being professional.
The meeting on 11/25/25 documented, Nurses and Aides are not being professional.Name tags are an issue.
The meeting on 12/30/25 documented, Nurse and aide's attitudes aren't professional.Name tags are an issue.
The meeting on 1/27/26 documented, Nurse and aide's attitudes aren't professional.Name tags are an issue.
Foley never being emptied.
Complains CENA (CNA) demanded her to put on a brief and lectured her about her incontinence.
On 2/24/26 at 1:30 PM, a resident council interview was conducted with eight residents that requested to remain anonymous.
When asked if they felt staff treated them with dignity and respect, multiple residents reported ongoing concerns with lack of dignity.
Resident responses included: No! Some of these aides and nurses don't have a heart for the people.
You can tell they don't actually care.
On 2/25/2026 at 10:45 AM, an interview was conducted with the Director of Nursing (DON) to review concerns from the resident council interview which included residents' expressions of feeling like staff are not treating them with dignity and respect.
The DON reported they had not been aware of dignity concerns and would have to address that.
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
Services educated social services staff and licensed nurses regarding the documentation procedures
the resident's Advance Directive/code status throughout the electronic medical record.
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
During this time, the Administrator confirmed the same findings and further reported they were not sure how that had not already been identified prior to now.
When asked about the missing end caps, soiled/ripped shower curtain and dirty shower tile, the Administrator reported they would have housekeeping come now.
According to the facility's policy titled, Safe and Homelike Environment dated 1/1/2022: .Housekeeping and maintenance services will be provided as necessary to maintain a sanitary, orderly and comfortable environment.Report any unresolved environmental concerns to the Administrator.
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
Based on interview and record review, the facility failed to ensure
include: On 2/23/2026 a complaint submitted to the State Agency was reviewed which alleged the facility delayed in submitting the notification to the Michigan Department of Health and Human services that R144 had discharged from the facility and as a result, they could not access community level Medicaid services. On 2/24/26 the medical record for R144 was reviewed and revealed the following: R144 was initially admitted to the facility on [DATE] and discharged back to the community on 8/1/25. A review of R144's payor source at the time of their discharge was Medicaid-MI On 2/25/26 at approximately 10:55 a.m., during a conversation with the facility's Regional Business Office Manager I (RBOM I), RBOM I was queried regarding the process for switching a resident's Medicaid health insurance over from Nursing home level Medicaid to Community level Medicaid. RBOM I reported that the task is completed by the facility business office and it is usually done in electronic form but that due to the facility sale to another provider around that time, it would have had to be completed in paper or a call to the Department of Human Services (DHS). RBOM I was asked when the facility submitted the request to DHS to switch R144's Nursing home level Medicaid to community level Medicaid and RBOM I indicated that R144 discharged on 8/1 but a request for switching to community Medicaid was not made until 8/28/25. RBOM indicated it is usually done the day of discharge or the next day and at latest by end of the week. RBOM I was asked why there was an extensive delay in submitting the notification and they reported the previous business office manager was leaving at that time, and that was the reason for the delay in processing the notification to DHS. On 2/25/26 a facility document titled Social Services was reviewed and revealed the following: Policy: The facility, regardless of size, will provide medically-related social services to each resident, to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being The social worker, or social service designee, will pursue the provision of any identified need for medically-related social services of the resident.
Attempts to meet the needs of the resident will be handled by the appropriate discipline(s).
Services to meet the resident's needs may include: a.
Assisting residents with financial and legal matters
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
accuracy.
Patient repositioned for comfort and safety.MD (Medical Doctor) notified new lab orders
centimeters per hour) for one liter. Q6 (every six hours) vitals x24 hours. will continue to monitor vital
Upon a further review of the record, it revealed that the orders for Intravenous (IV) Fluid 0.9 normal saline at 700 milliliters (CC) per hour for one liter was transcribed in the medical record for an incorrect start date which created a delay in medical treatment for R162. It was transcribed as .
Sodium Chloride Solution 0.9 % Use 70 ml/hr intravenously everyday shift for 1 liter for 1 Day -Start Date-[DATE] 0700 On [DATE] at 10:21 AM, 11:45 AM and 1:15 PM an attempt to call the nurse who transcribed the order was contacted via phone with no answer.
On [DATE] at Approximately 2:00 PM an interview with the Regional Nurse Consultant(RNC) R was conducted.
The RNC R was asked about the expectations for documenting and transcribing orders during a change in condition of a resident.
They reported that it is expected that staff assess and monitor the residents, notify the provider and carry out any orders given. the RNC R also explained they should call the party responsible and if needed send the residents out to a higher level of care.
RNC R was then asked why the order for IV hydration was set to start for the following day if it was ordered to be started on the same day.
The RNC R reported that they were unable to speak on why it was not transcribed correctly.
They were asked to see if they could get in contact with the nurse who created the order.
The RNC R reported they would try as the nurse who transcribed the order no longer worked for the facility.
There was no additional information provided by the exit of the survey
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
reported if there was a barrier to why SSD ?C? was not able to do that, that was not expressed.
The
10/30/23: .The social worker, or social service designee, will complete an initial and quarterly
resident.
Any need for medically-related social services will be documented in the medical record.Services to meet the resident's needs may include.Identifying and promoting individualized, non-pharmacological approaches to care that meet the mental and psychosocial needs of each resident.Meeting the needs of residents who are grieving from losses and coping with stressful events.The resident's plan of care will reflect any ongoing medically-related social service needs, and how these needs are being addressed.will monitor the resident's progress in improving physical, mental, and psychosocial functioning.
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
failed to ensure accurate and timely medication administration was provided to a resident who
administration.
Findings include:A complaint was filed with the State Agency (SA) that alleged on 9/15/25, Nurse N falsified they provided R43 with their needed seizure medication (Valproic Acid) resulting in the resident sustaining two seizures during the night.
The complainant further alleged that Nurse N often provides medication late or not at all.On 2/23/26 at approximately 11:43 AM, R43 was observed lying in bed.
The resident was receiving tube feeding and oxygen. R43 could not answer any question asked.A review of R43's clinical record revealed the resident was initially admitted to the facility on [DATE] with diagnoses that included: other seizures, neuromuscular dysfunction of bladder and contractures of muscle, multiple sites.
The resident's Minimum Data Set (MDS) noted the resident had a Brief Interview for Mental Status (BIMS) score of 99 (severely cognitively impaired).Continued review of R43's medical record revealed the following:R43 had an order for the medication Valproic Acid Oral Solution 250 MG/5ML (milligrams/milliliters).Give 15 ml via PEG-Tube two times a day related to Other Seizures. scheduled at 7:30 AM and 9:00 PMA review of R43's Medication Administration Record (MAR) noted that on 9/15/25 the was administered by Nurse N and 9:00 PM by Nurse P.
The facility was asked to provide the actual time(s) R43 received their medication on 9/15/25.
The facility provided the Medication Admin Audit Report for 9/15/25. A review of the Audit revealed that the medication Valproic Acid had a Schedule Date/Time of 9/15/2025 7:30 AM, but the actual Administration Time and Doc'd (documented) time was 12:44 (PM) by Nurse N. An attempt to locate the Administration of the Valproic Acid at 9:00 PM as noted in the order could not be located on the Medication Admin Audit Report.9/16/25 (4:56 AM) Nurses' Note: at 4:23 pt (patient) was observed having an active seizure, ending at 4:22 stated second seizure at 0423 that lasted until 0425 pt was turned on left side with suction available.physician contacted.On 2/25/26 at approximately 12:00 PM, an interview and record review were conducted with the Director of Nursing (DON).
The DON was asked about the facility's policy/protocol for medication administration.
The DON reported that medications should be administered as ordered allowing only one hour prior to the order or one hour after for administration.
The DON noted that the facility did not have a liberal administration protocol.
The DON confirmed that the order for Valproic Acid that was scheduled to be Administered at 7:30 AM and not administered until 12:44 PM, was significantly delayed.
The DON was asked to further review the Audit to determine if the 9:00 PM Valproic was administered to the R43. On 2/25/26 at approximately 1:04 PM, the DON reported that after reviewing the Audit it was determined that the resident never received the 9:00 PM order for Valproic acid.The facility policy titled, Medication Errors (1/24/2024) was reviewed and read as follows:.Policy: It is the policy of this facility to provide protection for the health, welfare, and rights of each resident by ensuring residents receive care and services safely in an environment free of significant medication errors.The facility shall ensure medications will be administered as follows: According to physician's orders.in accordance with accepted standards and principles which apply to professionals providing services.The facility will consider factors indicating errors in medication administration, including.time of administration;.medication omission.
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
had COVID for the month.
documented:
.Surveillance: A system of surveillance is utilized for prevention, identifying, reporting, investigating, and controlling infections and communicable diseases for residents, staff, volunteers, visitors.The Infection Preventionist serves as the leader in surveillance activities, maintains documentation of incidents, findings.
235487 02/25/2026
Medilodge of West Bloomfield 6950 Farmington Rd West Bloomfield, MI 48322
antibiotics are monitored for the right indication, dose, and duration.
Findings include:On 2/25/26 at
facility's antibiotic stewardship program.Clinical record review revealed on 10/14/25, R14 was observed vomiting yellow green emesis was sent to the hospital and returned the same day with antibiotic orders for a Urinary Tract Infection (UTI), RN B replied they were diagnosed while they were at the hospital and sent back with the orders.The facility Infection Report Form completed by Infection Control RN B documented R14 onset date 10/13/25, suspected infection Urinary Tract infection classified as Healthcare Associated (HAI).
Keflex (an antibiotic medication) 500 milligram (mg) given every six hours was to start on 10/14/25 and stop on 10/18/25. A second antibiotic, Macrobid 100 mg given twice a day was to start on 10/17/25 and stop on 10/22/25.The attached McGeer Criteria for Infection Surveillance Checklist documented R14's name, medical record, unit and date of infection documented 10/14/25.
The criteria were not completed but RN B provided a spreadsheet indicating R14 did not meet McGeer's criteria.When questioned if R14 did not meet criteria, then why did they continue to receive antibiotics, RN B said they continued all orders because the hospital said they had a UTI and Doctor M wanted it continued.
When asked where this conversation was documented, RN B replied there was no documentation.
When questioned if R14 was reassessed after antibiotics were ordered RN B replied that do not personally reassess the residents and was not sure if the facility physicians assessed their relevance either.
Review of the facility policy titled Antibiotic Stewardship Program dated documented.Monitor response to antibiotics.to determine if the antibiotic is still indicated or adjustments should be made.Antibiotic orders obtained from consulting, specialty, or emergency provider shall be reviewed for appropriateness.