This citation pertains to intake #: MI 832 Based on observation, interview and record review, the facility failed to meet the emotional and/or behavioral needs for 3 residents when they failed to 1). Identify and assess residents with a history of trauma and/or adjustment difficulty and implement the appropriate treatment and/or services and 2.) identify and implement facility policy for 1 resident (R4) after an actual attempt of suicide (wrapped a call light cord around her neck) and 2 residents that had verbalized thoughts of self-harm and feeling they would be better off dead (R67 and R9), resulting in an Immediate Jeopardy beginning on 1/27/22 when R67 expressed the desire to kill himself and went without safety interventions. …
F742 citations in Michigan
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F742 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F742 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 identify and assess behavioral changes (that included increased agitation, frustration, a decline in mental and psychosocial well-being), staff failed to follow care plan interventions and notify the physician of changes in the resident condition for one (R704) of one resident reviewed for a death, resulting in the failure of the facility staff to not have provided timely interventions and adequate supervision to R704 who was able to coordinate and carry out their suicide attempt in the facility. Findings include: Review of an Investigation Summary submitted by the facility to the State Agency (SA) documented in part, . the administrator conducted a complete and thorough investigation. …
Based on observation, interview and record review the facility failed to review anti-anxiety medication to meet resident needs for one (R28) of two residents reviewed.Findings include:Review of the clinical record revealed R28 was admitted into the facility on 5/19/26 with diagnoses that included: generalized anxiety disorder, depression and acquired absence of right leg below knee. According to the Minimum Data Set (MDS) assessment dated [DATE], R28 scored 14/15 on the Brief Interview for Mental Status exam (which indicated intact cognition).On 6/03/26 at 9:09 AM, R28 was observed sitting up in a manual wheelchair, with his breakfast tray in front of him. R28 reported that he preferred to be spoken to very slowly due to his anxiety. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 0.81× |
| 2024 | 0.15% | 1.20× |
| 2025 | 0.11% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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