Based upon observation and interview the facility failed to provide resident bedrooms that are at, or above ground level in six of 70 rooms in the facility (rooms 101, 103, 105, 107, 109, and 111) resulting in the potential for water damage in resident living spaces. Findings include: On 6/25/24 at 1:42 PM, during an environmental tour of the facility six resident rooms (number's 101, 103, 105, 107, 109 and 111) were observed below grade level. The windows of the rooms had a visual line of sight that looked up and out, with the ground leveling out at the base of the windows. On 6/25/24 at 2:10 PM, an interview with the Housekeeping and Laundry Director, staff A, revealed the rooms had been like that for several years, but are no longer in use. …
F916 citations in Michigan
Environmental Deficiencies
Ensure each resident has a room at or above ground level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Michigan cites F916 more often than its own record predicts
6.52 times the share F916 takes of citations nationally.
Of every deficiency written in Michigan in 2024, this is the portion that was F916.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F916 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.
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 8.11× |
| 2024 | 0.02% | 6.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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