F677 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F677 more often than its own record predicts
Versus expected share1.39×
1.39 times the share F677 takes of citations nationally.
Share of Michigan citations3.16%
Of every deficiency written in Michigan in 2025, this is the portion that was F677.
Michigan3.16%
National2.27%
Share of all citations that were F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F677 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.
L · Immediate jeopardy, widespreadFebruary 3, 2022
Based on observation, interview, and record review, the facility failed to provide timely and consistent ADL (activities of daily living) care to 9 residents (Resident #42, Resident #148, Resident #145, Resident #20, Resident #143, Resident #146, Resident #151, Resident #17, and Resident #93, R#28), resulting in an immediate jeopardy, when beginning on 01/23/22, the facility failed to provide staffing to meet the ADL needs of the residents and allowed residents to (a) lay in their urine and feces for extended periods of time, (b) not receive meals timely or eating assistance if required, (c) go un-bathed, unkempt, and to be malodorous, (d) remain in bed for over 24 hours, and (e) unnecessarily utilize a bed pan for toileting. …
This deficient practice pertains to intake MI#00130116:
Based on observation, interview, and record review, the facility failed to ensure that assistance was provided for eating and drinking for two Residents (#11 and #14) out of five residents reviewed for meal assistance. This deficient practice resulted in R11 not being assisted with meals, inadequate intake, and a significant weight loss of -7.8% in 15 days. Findings include:
Resident #11 (R11)
A review of R11's medical record revealed he admitted to the facility on [DATE] with diagnoses including dementia, major depression, dysphagia (swallowing impairment), and tremors. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
This citation pertains to Intake 3096764Based on observation, interview, and record review, the facility failed to provide assistance with bathing/showering for one (R4) of three reviewed.Findings include:Review of the medical record revealed R4 was admitted to the facility on [DATE] with a diagnosis of quadriplegia. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/2/26 revealed R4 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool) and required substantial/maximal assistance with personal hygiene and bathing/showering. …
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