Medilodge of Alpena

In the surveyor’s words

From the most serious findings on record at Medilodge of Alpena, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 1, 2024

  Based on interview and record review, the facility failed to recognize a change in condition for one Resident (R70) out of 23 residents reviewed for quality of care. This deficient practice resulted in hospitalization and death. Findings include: Resident #70 (R70) Review of the admission record for R70, revealed an original admission to the facility on [DATE], with medical diagnoses including congestive heart failure (heart does not pump or fill adequately), chronic obstructive pulmonary disease (chronic inflammatory lung disease that causes obstructed airflow from the lungs), morbid obesity, and muscle weakness. […]

• Actual harm, isolatedF686Aug 1, 2024

  Based on observation, interview, and record review the facility failed to prevent the development of pressure wound for two Residents (R33 & R70) out of three residents reviewed for pressure ulcer care. This deficient practice resulted in deterioration of pressure wound, sepsis, and hospitalization , requiring wound debridement for R70. Findings include: Resident #70 (R70) Review of the admission record for R70, revealed an original admission to the facility on [DATE], with medical diagnoses including congestive heart failure (heart does not pump or fill adequately), chronic obstructive pulmonary disease (chronic inflammatory lung disease that causes obstructed airflow from the lungs), morbid obesity, and muscle weakness. […]

• Actual harm, isolatedF686Mar 31, 2021

  Based on observation, interview, and record review, the facility failed to implement interventions to prevent pressure ulcer injuries for two residents (#38 and #300) of four residents reviewed for pressure ulcer injuries. This deficient practice resulted in harm due to multiple pressure ulcer injuries and the potential for wound infection. Findings include: Resident #38 A review of Resident #38's face sheet revealed an admission date of [DATE]. Resident #38 had multiple medical [DIAGNOSES REDACTED]. Resident #38's Minimum Data Set (MDS) assessment dated [DATE] indicated a Brief Interview for Mental Status (BIMS) score of 12/15, indicating Resident #38 was cognitively intact. During an interview with Resident #38 on 03/30/21 at 9:14 a.m., Resident #38 was observed laying on his back. […]

• No harm, potential for more than minimal, widespreadF761Aug 10, 2023

  Based on observation, interview, and record review, the facility failed to: 1.) Remove expired IV (intravenous) medications and supplies. 2.) Remove expired needles and syringes. 3.) Remove expired wound vac tubing. 4.) Remove expired respiratory suctioning and nebulizer supplies. from medication storage rooms; 5.) Remove expired healthcare disinfectant wipes. 6.) Maintain a clean medication cart free of loose pills. 7.) Properly date multi-use inhalers when opened for two of two medications, and two of three medication carts reviewed for medication storage. […]

• No harm, potential for more than minimal, widespreadF812Aug 10, 2023

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety as evidenced by: 1. Failing to ensure two staff persons washed their hands after being potentially contaminated. 2. Failing to ensure the ventilation system in the kitchen and dish washing rooms was properly balanced to exhaust the steam being generated by the high temperature dish machine. 3. Failing to ensure beverage containers being used by employees were stored in a manner which could not contaminate food contact surfaces. These deficient practices have the potential to result in food borne illness among any and all 109 residents of the facility. Findings include: 1. […]