Based on observation, interviews and record review, the facility failed to complete an accurate restraint assessment for one resident (Resident #57), of 1 Resident Reviewed for restraints, from a total sample of 28 Residents, resulting in Resident #57 being physically restrained and declining in physical function. Findings include: Review of Resident #57's Face Sheet dated 2/6/18, revealed Resident #57 was a [AGE] year old male admitted to the facility on [DATE] and had the following diagnose: [MEDICAL CONDITION], delusional disorders, muscle weakness, difficulty walking and lack of coordination. Resident #57 was not his own responsible party. On 02/05/18 at 11:06 a.m., Resident #57 was observed up in a geriatric style chair (reclined chair with foot rest) in hall. …
F636 citations in Michigan
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F636 less often than its own record predicts
0.42 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F636 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 complete a comprehensive assessment timely for three Residents (#12, #58, #68) of seventeen residents reviewed for comprehensive assessments.Findings Included: R12: Review of the medical record reflected R12 admitted to the facility on [DATE], with diagnoses that included Alzheimer's and chronic obstructive pulmonary disease (COPD). The Annual Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 3/4/26, reflected R12 scored four out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 04/15/2026 at 4:39 PM, R12 was observed seated in his wheelchair, in the dining room. As of 4/16/26, the status of R12's Annual MDS, with an ARD of 3/4/26, was Finalized. …
Based on interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS) assessment in a timely manner for one resident (R134) of one resident reviewed for MDS assessments, resulting in the potential for inaccurate and inadequate care plans. Findings include: A review of R134's electronic medical record revealed an admission to the facility on [DATE] with the diagnosis of acute pancreatitis. R134's Brief Interview for Mental Status (BIMS) revealed a score of 15/15 (cognitively intact). …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.30× |
| 2024 | 0.13% | 0.44× |
| 2025 | 0.11% | 0.42× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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