Based on interview and record review, the facility failed to monitor blood sugars for 1 Resident (R36) of 5 residents reviewed for medication regimen, resulting in R36 having an excessively high blood sugar when it was discovered and potential for serious harm or death related to prolonged high blood sugars. Findings include: Review of R36's face sheet, no date, revealed he was a [AGE] year-old male admitted to the facility on [DATE] and had diagnoses that included: Acute [CONDITION(S)] ([CONDITION(S)]), Morbid (severe) obesity, acute [CONDITION(S)], [CONDITION(S)] due to streptococcus pneumoniae, neuromuscular dysfunction of bladder (neurological condition of the bladder), difficulty walking, anxiety disorder, sleep apnea and [CONDITION(S)]. …
F756 citations in Michigan
Drug regimen review · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F756 more often than its own record predicts
1.44 times the share F756 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F756.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F756 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 act upon Pharmacy recommendations timely for one (R67) of five reviewed. Findings include: Review of the medical record reflected R67 admitted to the facility on [DATE], with diagnoses that included type 2 diabetes. The Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 6/12/26, reflected R67 scored 15 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 08/12/2026 at 1:45 PM, R67 was observed in bed, using a tablet device. A Pharmacy review for 8/11/25 included a recommendation to consider a Hemoglobin A1c (test that measures the average amount of sugar in the blood over the past three months) at least every six months. …
Based on interview and record review, the facility failed to develop and maintain policies that established specific time frames for each step in the process of monthly drug regimen reviews for the pharmacist and physician to follow resulting in the potential for negative behaviors or health outcomes due to delayed medication orders, changes, or discontinuations for all 58 residents residing in the facility. Findings include: 05/02/18 01:04 PM, Director of Nursing (DON) B was asked for the facility policy on Medication Regimen Review (MRR) and what the time frames were that the pharmacist and physician must follow for the MRR process and if an irregularity was identified. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 1.02% | 1.08× |
| 2024 | 1.33% | 1.63× |
| 2025 | 1.14% | 1.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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