F656 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F656 less often than its own record predicts
Versus expected share0.66×
0.66 times the national share — cited less often here than elsewhere.
Share of Michigan citations2.25%
Of every deficiency written in Michigan in 2025, this is the portion that was F656.
Michigan2.25%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F656 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, isolatedDecember 11, 2019
Based on observation, interview, and record review, the facility failed to develop care plans for five residents with pressure wounds (Resident #51, Resident #33, Resident #217, Resident #27, and Resident #220), resulting in an immediate jeopardy when, beginning on 07/31/19, facility staff did not develop a comprehensive care plan for 5 residents to treat, monitor, and promote the healing of pressure wounds. This deficient practice lead to the worsening or potential worsening of wound conditions for all 5 residents and the hospitalization of 1 resident, and placed all residents at risk for developing pressure wounds and the lack of monitoring and treatment if acquired. …
Based on observation, interview and record review, the facility failed to develop a person-centered care plan for the prevention of pressure ulcers for 1 (Resident #47) of 18 residents reviewed for person centered care plans resulting in Resident #47 developing an open wound on his coccyx (tail bone area) and a pressure ulcer on his left heel.Findings include:Review of an admission Record revealed Resident #47 was a male who originally admitted to the facility on [DATE] and had pertinent diagnoses which included: CVA (cerebral vascular accident/ stroke), hemiplegia of the left side (inability to move the left side of the body), peg-tube (percutaneous endoscopic gastrostomy tube- a tube inserted into the stomach to provide artificial nutrition) and aphasia (a disorder that affect show a… …
D · No harm, potential for more than minimal, isolatedAugust 19, 2026
This citation pertains to Intake #3153735Based on observation, interview, and record review, the facility failed to implement care plan interventions for 2 residents (Resident #30 & #29) of 20 residents reviewed for care planning. Findings include: Review of a Face Sheet revealed Resident #30 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: a stroke (blood clot in brain that blocks blood flow and oxygen and causes brain damage), dysphagia (difficulty speaking) from the stroke, paralysis (inability to move) on the left side of his body from the stroke and dementia. …
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