Based on interview and record review the facility failed to obtain MRI result, and notify the practitioner of the results in a timely manner, for 1 of 24 residents (Resident #14), reviewed for infections, resulting in delayed treatment and worsening of a pressure ulcer. Chronic [DIAGNOSES REDACTED] is a severe, persistent, incapacitation infection of bone, which develops after two months of an injury or initial infection .The common signs and symptoms are pain and movement restriction .Treatments .include antibiotics and surgery to remove the dead tissue . (sic) Tangella, K. MD (May 17, (YEAR)). Chronic [DIAGNOSES REDACTED]. …
F777 citations in Michigan
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F777 more often than its own record predicts
1.06 times the share F777 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F777.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F777 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: 2634191.Based on interview and record reviews the facility failed to ensure a STAT (immediate) chest x-ray was ordered and completed as noted by the physician assistant for one (R702) of one resident reviewed for radiology services. Findings include:A review of the medical record revealed R702 was re-admitted to the facility on [DATE] with a primary diagnosis of acute on chronic diastolic (congestive) heart failure and additional diagnoses of edema, paroxysmal atrial fibrillation and acute embolism and thrombosis of unspecified deep veins of lower bilateral extremity. A Minimum Data Set (MDS) assessment dated [DATE] noted a Brief Interview for Mental Status (BIMS) score of 13, which indicated intact cognition. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 1.28× |
| 2024 | 0.04% | 1.49× |
| 2025 | 0.03% | 1.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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