This deficiency pertains to Intake MI00150515 Based on interview and record review, the facility failed to provide timely notification to the physician for one Resident (#106) of three residents reviewed for a change in condition. This deficient practice resulted in a delay in medical treatment for a significant change in condition with diabetic ketoacidosis. Findings include: Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R106 was a [AGE] year old female admitted to the facility on [DATE], with diagnoses that included multiple pelvic fracture post fall 2/4/25, hypertension(high blood pressure), insulin dependant diabetes mellitus (elevated blood sugar), and mild dementia. R106 was readmitted to the hospital 2/17/25 for diabetic ketoacidosis. …
F580 citations in Michigan
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F580 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F580 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 3119541Based on interview and record review, the facility failed to ensure the responsible party for 1 resident (R5) was notified of a room change, out of 1 resident reviewed for room changes.Findings include:Review of an admission Record reflected R5 admitted to the facility on [DATE] with diagnoses that included gallbladder cancer, dementia, and was receiving hospice care.Review of a Minimum Data Set (MDS) assessment dated [DATE] reflected R5 had short- and long-term memory problems. During an interview on 8/17/2026 at 10:41 AM, R5's Power of Attorney (POA) L reported that they arrived at the facility on 5/29/2026 and found the room previously occupied by R5 empty and being cleaned by staff who told them R5 had been moved to another room. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.87% | 0.61× |
| 2024 | 0.73% | 0.48× |
| 2025 | 1.17% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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