Based on observation, interview and record review, the facility failed to provide an environment which supported and enhanced each resident's Quality of Life, resulting in an Immediate Jeopardy that began on 1/23/2022 due to the cumulative, dehumanizing, and widespread effect of noncompliance identified at but not limited to abuse, staffing, qualified staff, ADL care, social services, unnecessary [CONDITION(S)] meds, accidents and hazards and governing body. This noncompliance was found to be pervasive throughout the facility and created an environment that reflected a complete disregard of one or more residents' individuality and Quality of Life, which has caused or is likely to cause serious harm related to one or more residents' physical and psychosocial health, self-worth, self-esteem,… …
F675 citations in Michigan
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F675 more often than its own record predicts
1.10 times the share F675 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F675.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F675 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 observation, interview, and record review, the facility failed to ensure the necessary equipment was readily available to provide care for two dependent Residents (#62 and #46) out of 18 residents reviewed for quality of life. This deficient practice resulted in emotional distress, feelings of frustration, social isolation, and physical discomfort.Findings include:Resident #62 (R62)Review of R62's Electronic Medical Record (EMR) revealed initial admission to the facility on 3/8/23 with diagnoses including hemiparesis (partial weakness, reduced strength, and/or impaired motor function on one side of the body) following cerebral infarction (stroke), multiple sclerosis (MS), muscle weakness, and need for assistance with personal care. …
Based on observation, interview, and record review, the facility failed to assist a wheelchair dependent resident (R35), reliant on the use of the elevator to smoke, of one resident reviewed for smoking resulting in missed opportunities for smoking.Findings include: On 3/3/2026 at approximately 1:00 PM, R35 was observed in their wheelchair at the 2nd floor elevator. R35 said they were waiting to go outside and smoke. On 3/3/2026 at approximately 1:20 PM, R35 was observed at the 1st floor elevator. When asked if they went outside to smoke, R35 stated, no, I missed it. On 3/3/2026 at approximately 1:45 PM, R35 said that they miss their smoke breaks often because there is only one elevator out of two elevators in the building that work. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.66× |
| 2024 | 0.02% | 0.58× |
| 2025 | 0.05% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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