Medilodge of East Lansing

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678May 1, 2023

  This citation pertains to intake M100134214 Based on interview and record review, the facility failed to provide timely cardiopulmonary resuscitation (CPR) and according to standards of practice for one (Resident # 6) of one reviewed for emergency resuscitation, resulting in Immediate Jeopardy when R6 was found unresponsive without pulse or respiration with a full 5-minute delay prior to the initiation of CPR including one full minute listening for breath and heart sounds. This deficient practice resulted in death for R6 with the likelihood that the 54 facility residents who are a full code to not receive timely CPR. […]

• Actual harm, isolatedF692Dec 8, 2025

  This citation pertains to intact 2655825Based on observation, interview, and record review the facility failed to prevent significant weight loss in two residents (#12, #16) of three residents reviewed for weight loss. Findings Included: Resident #12 (R12)Review of the medical record revealed R12 was admitted to the facility 05/24/2024 with diagnoses that included chronic respiratory failure with hypoxia, moderate protein calorie malnutrition, Angelman Syndrome (rare genetic disorder affecting the nervous system), gastrostomy, spastic quadriplegic (paralysis affecting both arms and both legs) cerebral palsy (brain damage during development), convulsion, dependence on respiratory ventilator, hypokalemia (low potassium), hypotension, esophagitis (inflammation esophagus), obstructive and… […]

• Actual harm, isolatedF693Dec 8, 2025

  This citation pertains to intact 2655825Based on observation, interview, and record review the facility failed to follow physician orders for the administration of tube feeding solution for one resident (#12) out of three residents reviewed resulting in the harm of significant weight loss. Findings Included: Resident #12 (R12)Review of the medical record revealed R12 was admitted to the facility 05/24/2024 with diagnoses that included chronic respiratory failure with hypoxia, moderate protein calorie malnutrition, Angelman Syndrome (rare genetic disorder affecting the nervous system), gastrostomy, spastic quadriplegic (paralysis affecting both arms and both legs) cerebral palsy (brain damage during development), convulsion, dependence on respiratory ventilator, hypokalemia (low potassium),… […]

• Actual harm, isolatedF686Apr 10, 2025

  This citation pertains to intake number MI00151442 and MI00151852 Based on observation, interview, and record review the facility failed to provide for three out of three residents (Resident #105, #106, #111) care and services to prevent and promote healing of pressure ulcers resulting in worsening wounds, osteomyelitis, and hospitalization . Findings Included: Review of the facility Matrix, dated 4/8/25, the facility census was 69 and they had nine current residents with pressure ulcers and three had facility acquired pressure wounds. Review of two complaints received by the State Agency alleged the facility failed to prevent worsening of pressure ulcers for R105 and R106, who was known high risk for skin breakdown. […]

• Actual harm, isolatedF684May 1, 2023

  This citation pertains to intake M100134214 Based on interview and record review, the facility failed to routinely assess and monitor a resident with COVID-19 for one (Resident # 6) of 3 residents reviewed for quality of care, resulting in failure to identify a change in resident condition resulting in ongoing deterioration to death. Findings include: Resident #6 (R6) was readmitted to facility [DATE] with diagnoses including acute and chronic respiratory failure, chronic obstructive pulmonary disease, acute ischemic heart disease, sleep apnea, and nicotine dependence. Review of Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE] reflected a Brief Interview for Mental Status (BIMS-a cognitive screening tool) score of 9 (moderate cognitive impairment). […]