Medilodge of Farmington

In the surveyor’s words

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

• Immediate jeopardy, patternF710Oct 24, 2024

  Based on interviews and record reviews the facility failed to ensure residents that required Ventilator care were provided ongoing medical supervision and oversight by a Physician for their respiratory care, ventilator and/or tracheostomy care, including the weaning process for ventilator residents, respiratory examinations, assessments and respiratory/ventilator changes in status throughout their inpatient stay, for nine (R's 40, 30, 55, 57, 35, 41, 10, 19 & 42) of 15 residents reviewed for ventilator care resulting in an identified systemic failure of interdisciplinary approach and Physician oversight for residents that required Ventilator and respiratory care, including adequate implementation of policies and procedures to monitor and supervise the weaning process for mechanical… […]

• Immediate jeopardy, isolatedF684Feb 6, 2025

  Deficient Practice Statement #1 This citation pertains to Intake # MI00149906. Based on interview and record review, the facility failed to timely assess and intervene for a resident who had a new tracheostomy (an artificial opening in the windpipe to assist with breathing), and who alerted staff that they were in distress by using non-verbal gestures, resulting in the death for one (R313) of three residents reviewed for a change in condition. Findings include: The IJ began on [DATE] when R313 had encountered a change in condition and notified CNA B. The Administrator was notified of the IJ on [DATE] at 2:05 PM. A plan of removal was requested at that time to remove the immediacy. […]

• Immediate jeopardy, isolatedF692Jul 1, 2021

  Based on observation, interview, and record review, the facility failed to ensure tube feeding formula and water flushes for hydration were administered per physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: R9 On 6/29/21 at 11:40 AM, 12:19 PM, 3:30 PM, and 4:05 PM, R9 was observed in their bed and was not responsive to attempts at verbal communication. At each of the observations, it was observed R9 had a full, 1000 milliliter (mL) bottle of tube feeding formula hanging from a pole connected to a pump for tube feeding delivery, as well as a bag of water for flushing and hydration. […]

• Actual harm, isolatedF692Jan 28, 2026

  Based on observation, interview, and record review, the facility failed to adequately monitor and assess residents for weight loss and implement interventions for two (R2 and R80) of three residents reviewed for nutrition, resulting in severe weight loss for R2 who lost 10.15 percent of their body weight within 60 days and R80 who lost 8.53 percent within 19 days. Findings include:R2 On 1/26/26 at 10:10 AM, R2 was observed lying in bed. R2 was receiving nutrition via a feeding tube and breathing assistance via mechanical ventilator. When addressed R2 did not open her eyes. […]

• Actual harm, isolatedF684Nov 12, 2025

  This citation pertains to Complaint #2658300.Based on interview and record review the facility failed to ensure adequate monitoring, thorough assessment including notification to a medical provider, and accurate and thorough documentation for a resident having a change in condition for one (R501) of one resident reviewed for changes in condition, resulting in a resident experiencing respiratory distress for 30 to 45 minutes before receiving emergency care and being transferred to the hospital. Findings include:A review of a complaint submitted to the State Agency (SA) revealed it was alleged the facility nurse did not call 911 in a timely manner when R501 wasn't breathing right and something was wrong on 10/28/25.On 11/7/25 at 12:46 PM, an interview was conducted with the complainant. […]