This citation pertains to intake MI00135277. Based on interview and record review, the facility failed to provide appropriate behavioral health services for the expression of suicidal ideation for one Resident (#202) of three Residents reviewed for behavioral health. This deficient practice resulted in actual harm when Resident #202 intentionally overdosed on ibuprofen, resulting in the Resident's hospitalization with subsequent unresponsiveness requiring fluid resuscitation. Findings include: Resident #202 was admitted to the facility on [DATE]. …
F740 citations in Michigan
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F740 more often than its own record predicts
1.21 times the share F740 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F740 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 interview and record review, the facility failed to provide the necessary behavioral healthcare services per provider recommendations, including individual counseling, to attain or maintain the highest practical physical, mental, and psychosocial well-being for one Resident (#10) out of three residents reviewed for mood and behavior.Findings include:Resident #10 (R10)Review of R10's Electronic Medical Record (EMR) revealed initial admission to the facility on 2/18/26 with diagnoses including post-traumatic stress disorder (PTSD), major depressive disorder, sleep disorder, below knee amputation of the left leg, and delusional disorder. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.30% | 1.14× |
| 2024 | 0.30% | 1.21× |
| 2025 | 0.32% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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