F658 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F658 more often than its own record predicts
Versus expected share1.49×
1.49 times the share F658 takes of citations nationally.
Share of Michigan citations2.65%
Of every deficiency written in Michigan in 2025, this is the portion that was F658.
Michigan2.65%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F658 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.
G · Actual harm, isolatedAugust 29, 2024
Based on interview, and record review, the facility failed to obtain and assess the blood pressure (B/P) and administer blood pressure medication based on that assessment for one sampled resident (R104) of one reviewed for monitoring, resulting in a significant low blood pressure and hospitalization . Findings include:
A review of R104's closed record revealed they were admitted to the facility on [DATE] with a diagnosis of Hidradenitis suppurativa (chronic skin condition featuring lumps in armpits and groin) and hypertension (high blood pressure). …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observation, interview, and record review, the facility failed to accurately identify agency nurses in the electronic medical record, failed to timely document completion of treatments and failed to consistently complete wound treatments per physician order for one (R2) of three residents reviewed. Findings include:Review of the medical record revealed R2 admitted to the facility on [DATE] with diagnoses that included: anxiety, cerebral infarction (stroke) and aphasia (disruption in the ability to use or understand language). On 8/27/26 at 12:32 PM, R2 was observed lying in bed on his back. R2 was able to answer basic yes or no questions and use hand/arm gestures to communicate. …
C · No harm, potential for minimal, widespreadJanuary 22, 2026
This citation pertains to Intake Number 2710871. Based on the interview and record review, the facility failed to maintain complete, accurate, and timely clinical documentation for one resident (Resident #301) of 3 residents reviewed for accuracy and timeliness of clinical documentation. Findings include:Resident #301 (R301): According to the Electronic Medical Record review, R301 was admitted to the facility on [DATE] and expired there on [DATE]. A Medical Examiner's (ME) Report dated [DATE] revealed R301 was [AGE] years old with a past medical history consisting of a recent hip fracture with repair at the hospital (mentioned initials of the hospital), Diabetes Mellitus, Dementia, Anxiety Disorder, Coronary Angioplasty with stents, and Malignant Neoplasm of the eye in addition to other… …
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