Based on observation, interview and record review, the facility failed to provide restorative nursing services, rising to level of immediate jeopardy for 2 residents (Resident #55 and #90) and failed to provide restorative nursing for 6 of 9 residents reviewed for range of motion and mobility (Resident #23, #33, #57, #69, #80, #84), resulting in a facility acquired contracture (Resident #55) and likelihood of pain, and decreased mobility (#23, #33, #57, #69, #80, #84, #90). Findings include: Resident #33 (R33) Resident #33's Minimum Data Set (MDS) assessment dated [DATE], revealed she was admitted to the facility on [DATE], had a Brief Interview for Mental Status (BIMS), a short performance-based cognitive screener for nursing home (NH) residents, score of 13 (Cognitively Intact 13-15). …
F688 citations in Michigan
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F688 more often than its own record predicts
1.10 times the share F688 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F688 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 provide treatment, services, and equipment to maintain and/or prevent avoidable reduction in Range of Motion (ROM) for one Resident (R76) of one resident reviewed for mobility. This deficient practice resulted in harm with incorrect application of a back brace and worsening of R76's L1 (spinal) compression fracture. Findings include: All times noted are Eastern Standard Time (EST) unless otherwise noted. During an interview on 2/25/25 at 3:34 p.m., when asked about any care concerns while residing in the facility, R76 stated, I was sent to a specialty (neurosurgery) appointment on Wednesday, 2/21/25 and they told me that my back has gotten worse because I have not been wearing the back brace correctly. …
Based on observation, interview, and record review, the facility failed to secure a physician order for the use and application of splint/protective devices for one Resident (#45) of two residents reviewed for limited mobility.Findings include:Resident #45 (R45)Review of R45's Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on 8/16/06 with diagnoses including non-Alzheimer's dementia, aphasia and seizure disorder or epilepsy.Review of R45's care plan last revised 2/3/26 read in part, The Elder [resident] has an ADL (activities of Daily Living) self-care performance deficit r/t (related to) Limited ROM (range of motion).Please apply blue positions splint in the right hand after AM cares. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 1.38% | 1.49× |
| 2024 | 1.43% | 1.62× |
| 2025 | 0.88% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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