Medilodge of Grand Blanc

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 25, 2026

  Based on interview and record review, the facility failed to implement care plan interventions for one resident (Resident #3) of three residents reviewed for falls, resulting in a fall with fracture. Findings include:Resident #3 (R3): R3 most recently admitted to the facility on [DATE] with diagnoses that include a right femur fracture, a left femur fracture, muscle wasting and repeated falls. On 02/22/2026 at 1:07PM, during an interview, R3 was asked if he had sustained any falls while in the facility. R3 stated that in September he fell out of bed while receiving a bed bath. R3 stated that one staff member left the room while another staff member performed the bed bath. R3 stated the staff member had rolled him in the bed and was behind him drying his back. […]

• Actual harm, isolatedF686May 18, 2022

  Based on observation, interview, and record review, the failed to prevent the development of facility-acquired pressure ulcers for two residents (Resident #10 and Resident #53) out a total of 6 residents reviewed for pressure ulcers, resulting in the development of new pressure ulcers while Resident #10 and Resident #52 resided in the facility. Findings include: Record review of the facility 'Pressure Injury Prevention and Management' policy dated 1/1/2021, revealed the facility is committed to the prevention of avoidable pressure injuries and the promotion of healing of existing pressure injuries. Pressure ulcer/injury refers to localized damage to the skin and/or underlying soft tissue over a bony prominence or related to a medical or other device. […]

• Actual harm, isolatedF689May 18, 2022

  Based on interview and record review, the facility failed to prevent falls/accidents and provide safety with positioning for four residents (Resident #13, Resident #23, Resident #32 and Resident #51) of 7 residents reviewed, resulting in falls with injuries for Resident #23 and Resident #32 with positioning, and Resident #13 and Resident #51 observed during care with the likelihood for falls/accidents. Findings include: Record review of facility 'Fall-Clinical Protocol' dated 1/1/2021, revealed as part of an initial and ongoing resident assessment, the staff will help identify individuals with a history of falls and risk factors for subsequent falls . #2.) Based on the assessment an initial plan of care will be developed and implemented to address identified risk. […]

• Actual harm, isolatedF689Jun 4, 2021

  This Citation pertains to Intake Number MI 682. Based on observation, interview, and record review, the facility failed to maintain and/or ensure the safety of one resident (Resident #103) out of eight residents care/safety reviewed, by its failure to follow Safety Care Planned Interventions for a 2-person assist with Bed Mobility, failure to perform post-fall assessment before staff transferred the resident back to bed, and failure to use a mechanical Hoyer Lift to transfer Resident #103 off the floor post- fall as Care Planned, resulting in Resident #103 being sent to an acute care setting, pain, and surgical repair for femur fractures bilaterally (both legs). […]

• No harm, potential for more than minimal, widespreadF812Feb 25, 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 02/23/2026 at 8:55am during the kitchen tour with Certified Dietary Manager D and Regional Dietician E, observed a loose cap to the atmospheric vacuum breaker on the water line to the dishwasher. During this observation, CDM D was interviewed on the broken backflow preventer, and she stated that a contractor came out to repair it a couple weeks ago because it was spewing out water. […]