Based on observation, interview, and record review, the facility failed to ensure a resident (R88) at high-nutritional risk (tube feeding/multiple wounds) was appropriately assessed and failed to implement interventions resulting in unidentified severe weight loss (10.6% in one month) for one out of three residents reviewed for high nutritional risk. The Immediate Jeopardy (IJ) started on 3/17/25 when R88, a resident at high nutritional risk due to a tube feeding and multiple wounds, was admitted into the facility, and the facility neglected to ensure R88 was appropriately assessed by a qualified nutritional professional and provided adequate nutrition to prevent a severe weight loss of 10.6% in one month. …
F692 citations in Michigan
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F692 more often than its own record predicts
1.09 times the share F692 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F692 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 care and services to prevent significant weight loss in one Resident (#28) of two residents reviewed for nutrition. This deficient practice resulted in a weight loss of 45.8 pounds (21.8%) over a six-month period.Findings include:Resident #60 (R60)Review of R60's Electronic Medical Record (EMR) revealed initial admission to the facility on 1/8/26 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side (a stroke causing partial or complete paralysis on the right side of the body), chronic kidney disease, diabetes mellitus, and bilateral cataracts (cloudy areas that form on the lens of the eye resulting in vision impairments). …
This citation pertains to intake 3137447.Based on interviews and record reviews the facility failed to provide sufficient fluids to maintain proper hydration for a resident receiving fluids via Percutaneous Endoscopic Gastrostomy (PEG) for one (R300) of four residents reviewed for hydration, resulting in dehydration, acute kidney injury (aki), the need for intravenous fluid replacement and contributing to the resident's transfer to a higher level of care.Findings include:A review of a complaint submitted to the State Agency (SA) reported neglect regarding the care provided to R300.A review of the medical record revealed R300 admitted to the facility on [DATE] with diagnoses that included: cerebral infarction (stroke) due to thrombosis (blood clot), hemiplegia (paralysis) and hemiparesis… …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 1.68% | 1.33× |
| 2024 | 1.80% | 1.52× |
| 2025 | 1.25% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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