F604 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F604 more often than its own record predicts
Versus expected share1.19×
1.19 times the share F604 takes of citations nationally.
Share of Michigan citations0.45%
Of every deficiency written in Michigan in 2025, this is the portion that was F604.
Michigan0.45%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F604 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.
J · Immediate jeopardy, isolatedJuly 13, 2022
This citation pertains to intake: MI 333.
Based on interview and record review, the facility failed to prevent the use of a physical restraint, utilized for the sole purpose of staff convenience, on 1 of 5 sampled residents (Resident #201) reviewed for physical restraints, resulting in an Immediate Jeopardy (IJ) when on 6/16/22 at approximately 8:15 PM, Resident #201, a cognitively impaired resident with known behaviors and a documented history of falls, was found sitting in their wheelchair with a gait belt applied around her waist and the back of the wheelchair such that Resident #201 could not get up. …
This Citation Pertains to Intake 2997912.Based on observation, interview and record review the facility failed to ensure one resident (resident #2) was free from physical restraints, resulting in anger frustration. Findings include:Review of Resident #2's (R2) clinical record, including the Minimum Data Set, dated [DATE] revealed R2 was an [AGE] year old male admitted to the facility on [DATE] with diagnoses of dementia, heart failure and adult failure to thrive. R2 scored 99 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS) and received hospice care. Review of R2's behavior care plan that was in place on 4/18/26, dated 01/02/26 identified R2 was resistant to care and could be combative with caregivers. …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on observation, interview, and record review, the facility failed to ensure one resident (R131) remained free from a physical restraint (lap tray), failed to complete an assessment and evaluation, obtain informed consent and a physician's order, develop a restraint-specific care plan, and conduct a quarterly evaluations for restraint use of five residents reviewed for restraints. Findings Include: R131 A review of R131 Electronic Medical Record (EMR) revealed R131 was admitted to the facility on [DATE] with diagnoses of dementia, polyneuropathy, and repeated falls. …
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