This citation pertains to intake 3069088. Based on interview and record review, the facility failed to ensure a dental evaluation was completed in a timely manner for one resident (R901) of two residents reviewed for Nutrition, resulting in continued oral pain, facial swelling, delay in starting speech/language pathology therapy (SLP) and subsequently being kept on a pureed diet. Findings include:On 7/22/26 a concern submitted to the State Agency was reviewed which alleged R901 was unable to eat properly and did not receive the appropriate treatment for mouth pain. On 7/22/26 the medical record for R901 was reviewed and revealed the following: R901 was initially admitted to the facility on [DATE] and was discharged to the hospital on 6/27/26 and did not return. …
F791 citations in Michigan
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F791 more often than its own record predicts
1.15 times the share F791 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F791 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 prompt dental services for 1 of 1 resident (Resident #73) reviewed for dental care, resulting in Resident #73 experiencing pain, difficulty eating and the potential for spread of infection.Findings include:Resident #73Review of an admission Record revealed Resident #73 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: chronic respiratory failure (when the lungs cannot properly oxygenate the blood). Review of a Minimum Data Set (MDS) assessment for Resident #73, with a reference date of 5/19/26 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which indicated Resident #73 was cognitively intact. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.30% | 1.02× |
| 2024 | 0.34% | 1.23× |
| 2025 | 0.32% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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