Based on observation, interview and record review, the facility failed to notify one (Resident #61) of one reviewed for room change. Findings include: Review of the clinical record, including the Minimum Data Set (MDS) dated [DATE] revealed Resident #61 (R61) was a [AGE] year-old male admitted to the facility with diagnoses that included congestive heart failure and anxiety. R61 scored 12 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS). On 06/02/2026 at 2:09 PM R61 was observed sitting in a wheelchair in his room, upon approach R61 was upset and reported that last week [name redacted] Certified Nursing Assistant (CNA) E came to his room and was told it was time to go. R61 said he asked CNA E go where? and CNA E told R61 he was moving to the third floor. …
F559 citations in Michigan
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F559 more often than its own record predicts
1.20 times the share F559 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F559 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.
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 1.68× |
| 2024 | 0.13% | 1.26× |
| 2025 | 0.13% | 1.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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