Medilodge of Hillman

In the surveyor’s words

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

• Actual harm, isolatedF600Sep 11, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse in review of two Residents (#26 & #19) of three residents reviewed for abuse. This deficient practice resulted in Resident #19 experiencing ongoing emotional distress, including fear of a sense of safety within the facility when in proximity of Resident #26 who was the one involved in the altercation.Findings include:Resident #19 (R19)A review of R19's Electronic Medical Record (EMR) revealed admission to the facility on 1/17/24, with diagnoses including major depressive disorder, and Post-Traumatic Stress Disorder (PTSD) (a mental health condition that develops after experiencing or witnessing a traumatic event). […]

• Actual harm, isolatedF689Mar 12, 2025

  This citation pertains to intake MI00150640. Based on interview and record review the facility failed to provide safe and adequate assistance with bed mobility for one Resident (#2) of three residents reviewed for accidents, hazards, and supervision. This deficient practice resulted in a fall with major injury, hospitalization , and death. Findings include: Resident #2 (R2) Review of a complaint submitted to the State Agency (SA) on [DATE], revealed, on [DATE], [Registered Nurse (RN) H] called the complainant and told them [R2] was having a routine brief exchange done by one staff member [Certified Nurse Assistant (CNA) D]. Complainant R stated that they were informed [CNA D] had rolled [R2] on her side. […]

• Actual harm, isolatedF686Feb 29, 2024

  This citation is linked to intake MI00141867. Based on observation, interview, and record review, the facility failed to provide pressure ulcer care per professional standards of practice for one Resident (R10) of three reviewed for pressure ulcer care. This deficient practice resulted in the worsening of a facility aquired pressure injury to an unsgateable pressure injury requiring antibiotics. Findings include: R10 R10 developed an in house Moisture Associated Skin Damage area on 11/24/23 which subsequently worsened to stage II, and ultimately progressed to an unstageable pressure injury on 2/5/24 with worsening measurements through 2/26/24. R10 also developed a wound infection, requring treatment with antibiotics. […]

• No harm, potential for more than minimal, widespreadF923Sep 11, 2025

  Based on observation, interview and record review, the facility failed to maintain a safe, comfortable and homelike environment by failing to ensure proper exhaust ventilation in the facility allowing the build-up of foul odors with the potential to affect all residents in the facility.Findings include: On 09/10/2025 at 10:30 AM, observed that the ventilation fan was not working in room [ROOM NUMBER]. A tissue test at the exhaust grille over the toilet noted that it was not pulling air in. […]

• No harm, potential for more than minimal, widespreadF755Oct 19, 2023

  Based on observation, interview, and record review, the facility failed to consistently document narcotic drug disposition in two of two medication carts during review for medication storage. This deficient practice had the potential to affect the entire facility population and resulted in the potential for drug diversion, misappropriation, and the potential for untreated conditions related availability of medications. Findings include: On 10/18/23 at 8:00 AM, an observation was made of medication administration on the [NAME] Hall with Registered Nurse (RN) H. This surveyor observed the narcotic count book with RN H. […]