Based on interview, and record review, the facility failed to implement an effective training program in regard to infection prevention and control and Enhanced Barrier Precautions (EBP) in 4 of 5 staff members reviewed for infection control/EBP education, resulting in the potential for cross-contamination and the spread of infection to a vulnerable population. Findings include: On 5/7/25 at 3:53 PM, requested information from Infection Preventionist C to verify that Agency Registered Nurse (RN) QQ and Agency RN UU completed education in regard to EBP prior to working a shift at the facility. …
F945 citations in Michigan
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F945 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F945 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% | 1.87× |
| 2024 | 0.06% | 1.37× |
| 2025 | 0.03% | 0.48× |
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