Medilodge of Frankenmuth

In the surveyor’s words

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

• Actual harm, isolatedF689May 1, 2024

  Based on observation, interview, and record review the facility failed to abide by one resident's (Resident #3) assessed level of assistance during incontinence care, resulting in Resident #3 rolling off of her bed and onto the floor during care and sustaining a preventable femur fracture that required surgical intervention. This citation was cited at Past Non-Compliance with a Compliance Date of 11/06/2023. Findings Include: Resident #3: On 4/29/2024 at 12:15 PM, an interview was conducted with Resident #3 regarding her stay at the facility. She reported while she recently has shown improvements, she had a fall in October 2023 when she rolled out of bed during a brief change and broke her leg. […]

• Actual harm, isolatedF689Apr 5, 2022

  Based on observation, interview and record review, the facility failed to ensure that the causative factors and a complete fall analysis were addressed on investigations regarding two falls with one injury (fracture) for one resident (Resident #46), resulting in a fracture of the right wrist, discomfort, hospitalization and pain. Findings Include: Resident #46: Review of the Face Sheet, Minimum Data Set (MDS, resident assessment tool dated 3/17/22), Physician orders, Progress Note's, Diagnosis Sheet and care plans, revealed Resident #46 was [AGE] years-old, alert and interviewable, admitted to the facility on [DATE], ambulated with a walker, gait belt and 1 assist for transfers and toileting, and required staff assistance with Activities of Daily Living (ADL's). […]

• Actual harm, isolatedF692Nov 5, 2021

  This Citation pertains to Intake Number MI 3592. Based on interview and record review, the facility failed to monitor the hydration status of one resident (Resident #40) out of two residents reviewed for hydration, resulting in a decline in condition and hospitalization . Findings include: Resident #40: According to the Admission Record, printed 11/4/2021, Resident #40 was an [AGE] year old male admitted to the Covid Recovery Unit of the facility on 9/10/2021 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #40 had an admission nursing assessment performed by the nursing staff on 9/10 and 11/2021. On 9/10/2021 at 7:50 PM, Resident #40 had no signs or symptoms of active Covid infection. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents who consume food from the kitchen. Findings include: On 05/04/2026 at 8:54am during the initial kitchen tour, observed yogurt with a best by date of April 22nd, 2026, in the walk-in cooler. On 05/04/2026 at 9:00am, milk with a use by date of 5/3/26 was observed in the three-door fridge. During this observation, when asked how long milk is kept for, Certified Dietary Manager (CDM) R stated it's good for seven days once opened. […]

• No harm, potential for more than minimal, widespreadF880May 6, 2026

  Based on observation, interview, and record review, the facility 1) Failed to 1) follow enhanced barrier precautions (EBP) for residents identified with qualifying medical needs, for one resident #6 (R6) of one resident; 2) Ensure that respiratory treatment and suctioning equipment were properly stored and maintained, for one (R6) of one residents; 3) Ensure that infection control rounding data collection and surveillance was performed for all residents residing in the facility; and 4) Ensure that appropriate glucometer disinfection was followed for one of three residents reviewed (Resident #29) for infection prevention. Findings include: Observation and interview on 05/04/2026 at 10:36 AM surveyor knocked and walked into nurses providing high contact direct care to resident #8. […]