This citation pertains to intake MI 578. Based on observation, interview, and record review the facility failed to properly maintain two mechanical lifts (Lift #1 ,Lift #2) when two (R17 and R47) of nine residents reviewed for accidents fell to the floor because a bolt broke off the mechanical lifts during transfers of R17 and R47 resulting in injury and the potential for injury. R17 sustained a compression fracture of the T12 vertebrae. R47 did not sustain any injury. Findings include: Lift#1, R17: According to the 'Event Report' dated 11/18/21 at approximately 12:00 PM, R17 was being transferred with a mechanical lift (Lift #1). The mechanical lift broke, dropping R17 to the floor. The resident was assessed and transferred out to the emergency room for complaints of pain. …
F908 citations in Michigan
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F908 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F908 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 interviews and record review, the facility failed to maintain the kitchen exhaust system, potentially decreasing the system's ability to capture grease, smoke and particulate matter. Findings include:On 06/22/2026 at 8:58AM, observed the ventilation hood over the cookline in the main kitchen had three empty spaces that did not have a filter or spacer, and exposing the interior of the ductwork. During the observation, the Dietary [NAME] (DC) L was asked where the filters were and DC L answered they were stored on the cookline, next to cooking equipment, because they had fallen out of the tracks, of the hood, that the filters fit in. …
Based on observation, interview and record review, the facility failed to maintain one (1) of three mechanical dish machines in safe operating condition, by failing to perform lime calcification removal on a schedule which prevented excessive lime deposits on the mechanical components of the machine. This deficient practice has the potential to result the main kitchen's dish machine to fail or not properly clean and sanitize food contact surfaces affecting all 80 residents of the facility. Findings include: On 2/15/22 at 12:50 PM the mechanical dish machine, located in the main kitchen was observed to have accumulations of lime and other calcification deposits on the walls and sprayer arms. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.84× |
| 2024 | 0.28% | 0.63× |
| 2025 | 0.27% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction