Based on interview and record review, the facility failed to implement resident care policies related to diabetic care, wound care, activities of daily living, physician services, medical consultation, dental care, pharmacy reviews and medial coordination of care, resulting in multiple harm level deficiencies. Findings include: During the quality assurance (QA) review on 2/7/22 at 2:36 PM, the Nursing Home Administrator could not locate a QA plan that indicated the medical director was involved in coordination of care for the residents. QA meeting minutes did not indicate the Medical Director attended all quarterly QA meetings. See the 2567 dated 2/10/22 for care deficiencies related to lack of blood sugar/laboratory monitoring of diabetic patients. …
F841 citations in Michigan
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F841 more often than its own record predicts
2.40 times the share F841 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F841.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F841 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 ensure the Medical Director fulfilled their responsibility of implementing Medication Regimen Review (MRR) policies/procedures to include coordination of care between the facility and the consulting pharmacist/pharmacy for 3 (Resident #10, #57 and #3) of 5 residents reviewed for medications. This deficient practice has the potential to affect all residents that reside at the facility. Findings include: During an interview on 4/17/2026 at 1:01 PM, Interim CEO B confirmed that the facility did not have documentation to confirm that Medical Director (MD) CCC had been completing monthly pharmacy recommendation reviews for Resident #10, #53 and #3. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2024 | 0.02% | 0.74× |
| 2025 | 0.08% | 2.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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