Based on observation, interview and record review the facility failed to ensure that grievances were promptly investigated and resolved for Residents that participate in Resident Council meetings. Findings include:Review of the Resident Council Meeting minutes dated 2/17/26, 3/10/26, 4/21/26, 6/16/26 and 7/21/26 reflected residents voiced concerns regarding staffing levels/call light response time. Grievance/concern forms dated 3/30/26 was in response to the 2/17 Resident Council meeting and reflected education would was done to correct the problem. The same response with the same date was given for the 3/10/26 meeting. There was no evidence provided that a grievance/concern form was filed for the 4/21/26 meeting. …
F565 citations in Michigan
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F565 more often than its own record predicts
1.28 times the share F565 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F565 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 interview and record review, the facility failed to implement a mechanism to convey Resident Council concerns and concern resolutions to the group, resulting in staff not informing the Resident Council of group concerns potentially affecting all facility residents. Findings include: In an interview conducted 8/18/21 at 3:37 PM, Activities director (AD) M reported she is the Resident Council facilitator. AD M reported that due to COVID 19 restriction the Resident Council has been performed by completing one-on-one resident interviews using a questionnaire. AD M reported the form covers all the issues typically addressed at a Resident Council meeting. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.21% | 0.69× |
| 2024 | 0.45% | 1.46× |
| 2025 | 0.34% | 1.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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