F921 in Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F921 more often than its own record predicts
Versus expected share2.25×
2.25 times the share F921 takes of citations nationally.
Share of Michigan citations1.91%
Of every deficiency written in Michigan in 2025, this is the portion that was F921.
Michigan1.91%
National0.85%
Share of all citations that were F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F921 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.
J · Immediate jeopardy, isolatedApril 20, 2023
This citation pertains to intake MI00135751
Based on observation, interview, and record review, the facility failed to implement interventions to ensure exit door alarms were properly functioning resulting in an immediate jeopardy when one cognitively impaired resident (R101) eloped from the facility unbeknownst to staff and without the exit door alarm sounding on 4/2/23 at approximately 10:40 AM. A visitor alerted facility staff that a resident had exited the facility. Staff observed R101 in his wheelchair on the sidewalk between the facility and the parking lot and returned R101 to the facility without incident. …
F · No harm, potential for more than minimal, widespreadAugust 27, 2026
Based on observation, interview, and record review, the facility failed to maintain general cleanliness and repair of the physical environment, affecting all residents in the facility. Findings include:On 08/26/2026 at 9:40 AM, black buildup was observed accumulated around the hand sink basin drain in the second floor north med room. On 08/26/2026 at 11:10 AM, heavy dust was observed accumulated around the internal frame of the door in the second floor bulk linen storage room. Environmental Services Director (EVSD) P acknowledged the buildup, and indicated staff do not come to this area. On 08/26/2026 at 1:13 PM, black buildup was observed accumulated on the air vent register in the first floor north soiled utility room. …
C · No harm, potential for minimal, widespreadFebruary 5, 2025
Based on observation, interview, and record review, the facility failed to provide a clean and homelike environment for residents in one (C-wing) of four nursing units. Findings include:
On 02/04/25 at 2:00 PM, an observation was made of the C-wing medication storage room. The air vents in the room were noted to have layers of dirt and dust on it. Additionally an oberservation of a dried reddish stain on a light cover in the C-wing hallway was noted.
On 02/04/25 at 2:10 PM, an interview occurred with the Maintenance Director D(MDD) to discuss the cleaning of the vents and light fixtures. The MMD stated, it must have been missed. …
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