Medilodge of Lansing

In the surveyor’s words

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

• Immediate jeopardy, isolatedF695Jun 22, 2022

  This citation pertains to intake number MI 132. Based on observation, interview, and record review, the facility failed to ensure [CONDITION(S)] (a tube placed into the trachea in the neck to create an alternative airway) supplies were available, nursing staff were trained and competent in [CONDITION(S)] ([CONDITION(S)]) care for three out of three residents (Resident #42, 48, and 357) resulting in Immediate Jeopardy when the facility did not have the needed [CONDITION(S)] supplies, and an observation of [CONDITION(S)] care revealed a staff nurse who was not competent to provide [CONDITION(S)] care attempted to remove R48's entire [CONDITION(S)] before being stopped by the State Surveyor, including an attempt by the Director of Nursing to insert the incorrect inner cannula (tube that goes… […]

• Actual harm, isolatedF600Dec 13, 2022

  This citation pertains to intake MI00132648, MI00132380, MI00132653, MI00131631, MI00132101 and MI00132397. Based on observation, interview, and record review, the facility failed to protect the resident ' s right to be free from abuse including sexual abuse by another resident in one of 20 residents reviewed for abuse (R1, R2 R3, R10), , resulting in Resident #2 observed visibly upset, anxious and required anti-anxiety medication following the incident. Findings include: Resident #1 (R1) On 12/06/22 at 11:45 AM R1 was observed sitting in a wheelchair, wearing pajamas, hair not combed, and eating lunch in the dining room. R1's significant change Minimum Data Set (MDS) dated [DATE] indicated he admitted to the facility on [DATE] and was readmitted from a psychiatric hospital on 11/08/22. […]

• Actual harm, isolatedF689Dec 13, 2022

  This citation pertains to intakes MI00132318, MI00132309, MI00130769, MI00130733, MI00132653, MI00131631, MI00132101 and MI00130749. Based on observation, interview, and record review the facility failed to effectively supervise residents and implement effective interventions in 6 of 20 residents reviewed for abuse (Resident #1, #2, #3, #5, #10, #16, #17), resulting in continued resident to resident altercations. Findings include: Resident #1 (R1) On 12/06/22 at 11:45 AM R1 was observed sitting in a wheelchair, wearing pajamas, hair not combed, and eating lunch in the dining room. R1's significant change Minimum Data Set (MDS) dated [DATE] indicated he admitted to the facility on [DATE] and was readmitted from a psychiatric hospital on 11/08/22. […]

• Actual harm, isolatedF684Feb 4, 2021

  This citation pertains to Intake: MI 065 Based on observation, interview, and record review, the facility failed to timely review a STAT radiology report and timely notify the physician of a displaced left greater tuberosity avulsion [MEDICAL CONDITION] for one resident (R12) of four residents reviewed for falls, resulting in ongoing pain, lack of ongoing care coordination, assessment, timely diagnosis, and a greater than 10 hour delay of treatment for [REDACTED]. Findings Include: According to the facility, Falls-Clinical Protocol, revised 6/2018, reflected, 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 falling. This will be accomplished by the following task; a. […]

• Actual harm, isolatedF686Feb 4, 2021

  This citation pertains to MI 908. Based on observation, interview and record review, the facility failed to appropriately assess and treat pressure ulcers for two (Resident #11 and #15) of two reviewed for pressure ulcers, resulting in missed treatments, lack of wound assessments and the potential for worsening pressure ulcers. Findings include: Resident #11 (R11) Review of the medical record reflected that R11 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/18/2020, reflected that R11 had one unstageable pressure ulcer that presented as a deep tissue injury and was present on admission. […]