This citation has two deficient practice statements: Based on observation, interview, and record review, the facility failed to implement a comprehensive infection control program, as evidenced by the failure to complete the following during a COVID-19 outbreak: 1. Implement measures to contain the outbreak. 2. Complete infection surveillance, tracking, trending, and monthly summaries, 3. Implement effective Transmission Based Precautions (TBP) and ensure appropriate donning and doffing of personal protective equipment (PPE). This deficient practice resulted in immediate jeopardy when 40 Residents out of a total facility census of 45 residents contacted COVID-19, including one death (R102), 4 Resident (R102, R14, R11 and R45) hospitalization s, and sustained outbreak transmission. …
F880 citations in Michigan
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F880 less often than its own record predicts
0.89 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F880 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 implement a complete infection control program as evidenced by failure to:Effectively mitigate outbreaks of COVID-19 and Influenza A resulting in widespread dissemination of infection disease throughout the facility.Properly disinfect and store multiple-resident use glucometers and individual insulin pens following use.Maintain clean and sanitary medication carts, andProperly clean and sanitize resident bed pans for 5 of the 5 residents in the facility that use bed pans.This deficient practice resulted in the harm when COVID-19 and Influenza A outbreaks in January and February 2026, respectively, spread throughout all Halls of the facility, infecting 25 Residents with one death for COVID-19, infecting 10 Residents… …
This Citation Pertains to Intake 3133516. Based on interview and record review, the facility failed to implement surveillance as part of the facility's Infection Control (IC) program encompassing process surveillance including lack of tracking of potential infections, including rashes, and lack of investigation and identification of trends for scabies (contagious skin infestation caused by microscopic mites) within the facility, resulting in the potential spread of microorganisms and contagious infestations for all 74 facility residents. Findings include:Review of intake documentation dated as received 8/4/26 revealed a concern the facility has a scabies outbreak involving multiple residents and staff. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 4.19% | 0.81× |
| 2024 | 5.50% | 0.98× |
| 2025 | 5.52% | 0.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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