Based on observation, interview, and record review the facility failed to ensure safety with self-administration of medication was established for two Residents (#21 & #42) of two residents reviewed for self-administration of medication.Findings include:Resident #42 (R42)On 7/20/26 at 11:28 AM, R42 was observed lying resting in his bed with his eye covered with a cloth. R42 had a medication cup with four white tablets lying on his bedside table.On 7/20/26 at 11:30 AM, an interview was conducted with Unit Manger/Licensed Practical Nurse (LPN) A who was asked if R42 had a safe self-administration of medication assessment. LPN A replied, No, I don't see one.On 7/20/26 at 11:32 AM, an interview was conducted with Registered Nurse (RN) E who was R42's nurse. …
F554 citations in Michigan
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F554 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F554 findings written in Michigan, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on observation, interview and record review the facility failed to supervise 1 sampled Resident (#20) during a medication administration for 1 of 10 reviewed for medication administration in a sample of 22 resulting in the potential of resident not receiving a therapeutic dose of a nebulizer treatment. Findings Include: On 04/23/18 at 09:53 AM, during an interview with Resident #20 it was noted there was a clear liquid noted in the medication cup attached to Resident #20's nebulizer machine at the bedside. Upon completion of the interview Resident #20 was observed to have initiated the nebulizer treatment on her own and stated, the nurse told me to go ahead and start it when I got back from my meeting. Resident #20 was observed administering the nebulizer treatment on her own. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 1.30× |
| 2024 | 0.41% | 0.74× |
| 2025 | 0.56% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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