Based on interview and record review the facility failed to ensure that an effective training program for newly hired nurses was provided and monitored for all newly hired nurses in 1 of 1 resident (Resident #1) reviewed for training, resulting in a delay in treatment and emergent hospital transfer for Resident #1. Findings include:Resident #1Review of Interdisciplinary Documentation for Resident #1 dated [DATE] at 03:16 AM (3:16 am) and authored by Registered Nurse (RN) V at 8:19 am on [DATE] revealed .PA (physician assistant) notified of patient's change in condition, including hypotension (83/56 BP Blood pressure).lethargy, cool skin, significant bilateral lower-extremity edema, and blue-to purplish fluid-filled blisters on posterior heels bilaterally. …
F940 citations in Michigan
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F940 more often than its own record predicts
1.08 times the share F940 takes of citations nationally.
Of every deficiency written in Michigan in 2025, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F940 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.
This citation pertains to intakes #2677662 and #2648515.Based on observation, interview, and record review, the facility failed to maintain an effective training program for all facility and agency staff, consistent with their role in the facility to ensure the safety of residents in 1 resident (Resident #101) of 2 residents reviewed for elopement, and 2 residents (Resident #102 and #107) of 4 residents reviewed for the administration of controlled substance, resulting in agency staff not responding properly to door alarms and licensed nursing staff not maintaining an accurate account of controlled substances. Findings include: Resident #101Review of a Face Sheet revealed Resident #101 was originally admitted to the facility on [DATE], with pertinent diagnoses which included: dementia. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.37× |
| 2024 | 0.04% | 0.45× |
| 2025 | 0.11% | 1.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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