This citation pertains to Intake #3034107 Based on observation, interview, and record review, the facility failed to maintain an affective grievance program for three residents R6, R7, R9 of three reviewed and an unidentified resident from resident council. Findings include: R6Review of the medical record revealed R6 admitted to the facility on [DATE] with diagnoses that included: dementia, anxiety and depression. Review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 6/14/26 revealed R6 scored 12 out of 15 (indicating moderately impaired cognition) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool).R7Review of the medical record revealed R7 admitted to the facility on [DATE] with diagnoses that included: dementia. …
F585 citations in Michigan
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F585 more often than its own record predicts
1.32 times the share F585 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F585 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 ensure the facility's grievance policies addressed all required information regarding grievance procedures with the potential to affect all residents of the facility census of 49 resulting in the potential to be unclear on how to submit a grievance, unable to submit a grievance, and/or have concerns go unaddressed. Review of the facility's grievance policies, Quality Assistance Procedure, dated 1/1/2022, and Complaint and Grievance Process, dated 1/1/2022, did not include information regarding filing grievances anonymously, identify the grievance official that was responsible for overseeing the grievance process, the grievance official's contact information, or the expected time frame for the facility to complete the… …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.75% | 1.23× |
| 2024 | 0.66% | 1.05× |
| 2025 | 0.85% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction