F635 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F635 more often than its own record predicts
Versus expected share4.31×
4.31 times the share F635 takes of citations nationally.
Share of Michigan citations0.24%
Of every deficiency written in Michigan in 2025, this is the portion that was F635.
Michigan0.24%
National0.06%
Share of all citations that were F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F635 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, isolatedSeptember 6, 2022
Based on observation, interview, and record review, the facility failed ensure orders for Total [MEDICATION(S)] Nutrition (TPN - all nutrition is received intravenously) were obtained and implemented for one (R216) of one residents reviewed for admission. This resulted in an immediate jeopardy (IJ) to the health and safety of the resident when R216 had not received TPN since their admission into the facility five days prior, resulting in the likelihood of serious harm due to malnutrition and electrolyte imbalance. Findings include:
On 8/28/22 at 12:50 PM, R216 was observed seated at the side of the bed. R216 was pleasant and able to participate in conversation. …
This citation pertains to Intake Number: MI 179 and MI 955.
Based on interview and record review, the facility failed to clarify admission orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice resulted in recurrent [CONDITION(S)] ([CONDITION(S)]) Bacteremia, [CONDITION(S)], and a hospital admission requiring continued antibiotic therapy.
Findings include:
The State Agency received a complaint that alleged R802's [MEDICATION(S)] (an antibiotic medication) was discontinued prematurely.
Review of R802's clinical record revealed R802 was admitted into the facility on [DATE] from the hospital with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
D · No harm, potential for more than minimal, isolatedApril 21, 2026
Based on interview and record review the facility failed to transcribe a medication as ordered from the hospital for one resident (R115) of one resident reviewed for admissions. Findings include:On 4/19/26 at 10:32 AM, R115 was interviewed and asked about their stay at the facility. R115 reported that the facility was okay, but they needed to have their staples removed so they could be discharged (back to community).A review of the medical record revealed that R115 was admitted to the facility on [DATE] with the admission diagnosis of Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing, Muscle weakness and other lack of coordination. …
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