Medilodge of Capital Area

In the surveyor’s words

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

• Immediate jeopardy, patternF689May 1, 2023

  Based on observation, interview, and record review the facility failed to prevent accidents, failed to adequately investigate accidents, determine root cause of accident for one resident (#75) resulting in death and to prevent potential accidents with harm in six residents (#22, #26, #29, #36, #46, #84) of seven residents reviewed, resulting in Immediate Jeopardy when resident #75 was using an unassessed electric scooter, fell , suffered a left hip fracture, and died related to complication of the fall and failed to prevent the potential of serious harm to other residents that are using electric wheelchairs and scooters in a current facility census of 83. […]

• Immediate jeopardy, isolatedF600Dec 30, 2024

  This citation pertains to Intake Numbers MI00148941, MI00148966 and MI00149186 Based on observation, interview and record review the facility failed to protect the resident's (R505) right to be free from sexual abuse by another resident (R501) of 7 sampled residents reviewed for abuse resulting in sexual assault of R505 who was cognitively impaired and also resulted in the likelihood of physical harm, infection, and emotional pain and suffering, based on the reasonable person concept. The Director of Nursing (DON) was interviewed on 12/18/2024 at 10:10 AM. and confirmed viewing the facility surveillance video captured on 12/12/24. The video taken on 12/12/24 at 7:42 PM showed R501 ushered R505 into R501's room. […]

• Actual harm, isolatedF684Apr 13, 2023

  This citation pertains to intake MI00133592, MI00134607, MI00132301, and MI00134412. Based on observation, interview, and record review, the facility failed to monitor, provide care and treatments according to professional standards of practice, the care plan, and resident choice in 6 of 6 residents reviewed for care and services (Resident #2, #4, #5, #12, #14, & #17), resulting in the medications, treatments or care not provided (Resident #2, #4, #5, #12, #14,#17), emergency room transfers (Resident #4, #5, #17), a delay in treatment (Resident #5), and treatment for infection (Resident #5). […]

• No harm, potential for more than minimal, widespreadF812Jun 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment affecting 115 residents who consume food products, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings include:On 06/23/2026 at 8:55 A.M., an initial tour of the food service was conducted with Account Manager (AM) J and Regional Registered Dietician (RRD) K. The following items were noted:The one-door reach-in cooler was observed without any interior racks or mounting clips to support racks for food storage.The 2022 FDA Model Food Code section 4-501.11 states: (A) EQUIPMENT shall be maintained in a state of repair and condition that meets the requirements specified under Parts 4-1 and 4-2. […]

• No harm, potential for more than minimal, widespreadF921Jun 26, 2026

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the physical plant affecting 115 residents, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings include:On 06/23/2026 at 2:14 P.M., an environmental tour of the facility Laundry Service was conducted with Account Manager (AM) M. The following items were noted:Clean Laundry Room:One of two commercial washing machines was observed non-functional. Laundry Aide O was queried: How long has the washing machine been down? Laundry Aide O stated: Two months at least. Laundry Aide O also stated: The machine was not working right, and we could only get three loads washed a day. […]