This citation pertains to intake #MI 085. Based on observation, interview, and record review, the facility failed to ensure assistive devices were available for use to promote independence for one resident, (R601) of three residents reviewed for accommodation of needs, resulting in a fall with a fracture and subsequent orthopedic surgery. Findings include: A complaint was received by the State Agency that alleged the facility took away a resident's bedside commode. While the resident was ambulating to the bathroom, they suffered an incontinent episode, urinating on the floor. Due to the floor being wet with urine, the resident slipped, fell , and fractured their wrist. On 10/19/20 at approximately 10:00 AM, R601 was observed in bed, asleep. …
F558 citations in Michigan
Accommodation of needs · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F558 more often than its own record predicts
1.10 times the share F558 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F558.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F558 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.
This citation pertains to Intake #3044470, 3097402, 3124032, and 3152920.Based on observation, interview, and record review, the facility failed to assess and accommodate the needs of one Resident (R108) with physical impairment and limited communication ability of seven residents reviewed for activities of daily living.Findings include:Review of the medical record reflected R108 admitted to the facility 12/12/2019 with pertinent diagnoses that included hemiplegia and hemiparesis (weakness or paralysis to one side of the body) following infarction (stroke) affecting right dominant side and aphasia (inability/difficulty to speak).Review of the Minimum Data Set (MDS) Section B (Hearing, Speech, Vision) dated 6/17/2026 reflected R108's hearing was adequate, speech pattern was no speech, was… …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 1.11% | 1.01× |
| 2024 | 1.33% | 1.15× |
| 2025 | 1.22% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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