Deficiency Index

F895 citations in Michigan

Administration Deficiencies

Have a Compliance and Ethics Program.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F895 in Michigan. Pick another state for the same tag.

Against expectation — 2024

Michigan cites F895 more often than its own record predicts

Versus expected share3.48×

3.48 times the share F895 takes of citations nationally.

Share of Michigan citations0.04%

Of every deficiency written in Michigan in 2024, this is the portion that was F895.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Michigan surveyors wrote

F895 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.

F · No harm, potential for more than minimal, widespreadMarch 5, 2026

Based on interview and record review, the facility failed to implement policies and procedures to ensure an effective Compliance and Ethics program. Findings: During an interview on 3/5/2026 at 2:31 PM, Regional Nurse (RN) M reported that the parent organization of the facility has a corporate director of compliance. RN M said staff can report suspected violations to a hotline.During the interview on 3/5/2026 at 2:31 PM, the Nursing Home Administrator (NHA) said she did not recall having training on the facility Ethics and Compliance program, but thought the online training was scheduled yearly. …

Optalis Health & Rehabilitation of Whitehall

The short window

Recent years

YearShare of Michigan citationsvs expected
20230.03%1.74×
20240.04%3.48×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Michigan surveyors cite →

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