Medilodge of Grand Rapids

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jan 29, 2026

  This citation pertains to Intake 2718302.Based on interview and record review the facility failed to honor a residents choice for do not resuscitate (DNR; no CPR to be performed) and ensure cardiopulmonary resuscitation (CPR) was not performed on a resident who was a DNR in 1 (Resident #1) of 8 residents reviewed for CPR, resulting in Resident #1 being subjected to dehumanization and unavoidable pain when facility staff initiated CPR and contacted Emergency Medical Services (EMS) and then performed unwanted life sustaining efforts (cardiopulmonary resuscitation (CPR), automated external defibrillation (AED; delivers electric shock to attempt to restore normal heart rhythm), and insertion of an intraosseous venous access (inserting a specialized needle into the bone marrow cavity to provide… […]

• Immediate jeopardy, isolatedF684Jan 10, 2025

  This citation pertains to intake #MI00148777 Based on interview and record review, the facility failed to implement treatment measures when a change in condition was identified (acute stroke) in 1 (Resident #100) of 2 residents reviewed for change in condition, resulting in an Immediate Jeopary when on 1014/24, Resident #100 had sign and symptoms of a stroke and facility staff did not identify them resulting in the diagnosis of a cerebral infarction due to occlusion (Stroke caused by a blockage in a blood vessel) and a 27-day hospitalization . […]

• Immediate jeopardy, isolatedF689Jan 6, 2025

  This citation pertains to Intake: MI00149223 Based on interview and record review, the facility failed to ensure 1 of 1 residents (Resident #100) reviewed for safety, received the correct food tray and assistance with eating on [DATE], resulting in an Immediate Jeopardy when Resident #100 choked on a piece of cauliflower and subsequently died . Findings include: The immediate jeopardy began on [DATE] and was identified on [DATE] due to the facility's failure to provide the correct diet tray and no assistance when eating resulting in Resident #100 choking on a piece of cauliflower and subsequent death. On [DATE] at 12:00 PM, the Nursing Home Administrator was verbally notified and received written notification of the Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF689Aug 29, 2023

  This citation pertains to intake: MI00138818. Based on interview and record review, the facility failed to ensure the safety and prevent elopement in 1 (Resident #100) of 5 residents reviewed for accidents/hazards, resulting in an Immediate Jeopardy when Resident #100, who had been assessed as an elopement risk and fall risk, had made multiple prior attempts to exit the facility, and had a Brief Interview for Mental Status (BIMS) of 3, exited the facility unbeknownst to facility staff and was located on 7/24/23 at 7:30 PM down the hill of the facility driveway on the sidewalk, located along a 35 mph, 4-lane divided road. […]

• Immediate jeopardy, isolatedF691Mar 1, 2023

  This citation pertains to intake MI00132704. Based on interview and record review, the facility failured to monitor and care for nephrostomy tubes consistent with professional standards of practice, in one of one resident reviewed for nephrostomy care and services (Resident #10), resulting in an Immediate Jeopardy due to the likelihood for serious harm and/or death when Resident #10 required an emergency transfer to the hospital for appropriate care with intravenous fluids, replacement of nephrostomy tubes and antibiotic treatment for a serious infection. […]