Based on observation, interview, and record review, the facility failed to ensure systems were in place to provide sufficient staffing to meet resident needs (incontinence care, pressure ulcer prevention, oxygen therapy, ADL care, supervision, [CONDITION(S)] medication monitoring) for 6 residents (R143, R146, R151, R28, R93, and R17) reviewed for staffing, resulting in an Immediate Jeopardy when, beginning on 1/23/22, facility staff did not meet the basic needs of residents. This deficient practice placed all residents residing in the facility at risk for serious harm, injury, and/or death. Findings: Resident #143 (R143) Review of an Admission Record revealed R143 was a [AGE] year old female, admitted to the facility on [DATE], with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
F725 citations in Michigan
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F725 more often than its own record predicts
1.64 times the share F725 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F725 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.
This citation pertains to intake #3073875Based on observation, interview and record review, the facility failed to provide sufficient nursing staff for 5 (Resident #6, #45, #57, #30, and #110) of 99 residents who reside in the facility, resulting in a delay in wound assessment and treatment for Resident #6 who developed osteomyelitis and required a toe amputation, unmet care needs (#30), lack of supervision for a resident who wanders (Resident #6), missed or late medication administration (Resident #45 & #57), long call light wait times and unmanaged pain (Resident #110) and a potential for decreased overall well-being of all 99 residents within the facility. …
This citation pertains to complaints #3072757, 3093009All times are in Eastern Daylight Time (EDT) unless otherwise notedBased on interview and record review, the facility failed to ensure sufficient nursing staff were available to promote the highest practicable level of physical, mental, and psychosocial well-being of the residents. This failure had the potential to affect all 78 residents residing in the facility. Findings include:The Centers for Medicare & Medicaid Services (CMS) Payroll-Based Journal (PBJ) Staffing Data Report, which reflects quarterly staffing submissions by nursing homes to CMS, for FY 2026 Quarter 2 (January 1 through March 31, 2026), revealed the facility triggered for excessively low weekend staffing.The Facility Assessment (FA), dated 5/14/26, established… …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 1.26% | 1.56× |
| 2024 | 1.09% | 1.36× |
| 2025 | 1.27% | 1.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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