This citation pertains to intake number MI00148293. Based on interview and record review, the facility failed to ensure staff had appropriate competencies and skills needed to provide care in a manner that supported their psychosocial wellness in 1 (Resident #102) of 6 residents reviewed for behavioral competency, resulting in inappropriate staff to resident interactions, inability of staff to appropriately address the psychological distress, unmet care needs, and resident not maintaining or achieving highest practical psycho-social well being. …
F741 citations in Michigan
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F741 more often than its own record predicts
1.10 times the share F741 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F741 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 Number 3033712. Based on interview and record review, the facility failed to ensure that 3 residents (Resident #102, Resident #103 and Resident #104) had behavioral interventions and residents' responses to interventions documented for 3 residents reviewed for behaviors. Findings Include:Resident #102: Review of the Face Sheet, Nursing notes dated 7/26, and care plans dated 12/23, revealed Resident #102 was [AGE] years old, alert with confusion, admitted to the facility on [DATE], and dependent on staff for Activities of Daily Living (ADL). The residents diagnoses included stroke with hemiplegia and hemiparesis of the right side, anxiety, adjustment disorder, major depression, mild intellectual disabilities and Asperger's syndrome with behaviors. …
Based on interview and record review, the facility failed to assure staff received all required behavioral health education, resulting in the potential for inadequate and/or inappropriate resident care and residents not maintaining or achieving their highest practicable psycho-social well-being in a current facility census of 92 residents. Findings include: In an interview, on 01/15/20 at 11:46 AM, Nurse Educator T reported although all staff received Dementia training, she could find no education in the past 12 months for any staff regarding post-traumatic stress ([MEDICAL CONDITION]), catastrophic events or handling difficult behaviors. Nurse Educator T stated upon making that discovery, she immediately scheduled those topics for upcoming education. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 1.22× |
| 2024 | 0.02% | 0.43× |
| 2025 | 0.05% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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