Medilodge of Marshall

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Nov 15, 2024

  This citation pertains to intake MI00147874 Based on interview and record review the facility failed to provide Cardiopulmonary Resuscitation (CPR) for 1 resident (R200) of 4 residents reviewed who was a full code resulting in Immediate Jeopardy when CPR efforts were not performed at the time resident R200 was found to have no pulse or respirations and this deficient practice has the potential for 44 facility residents not having there full code status wishes honored. Findings include: Review of the electronic medical record (EMR) revealed that on [DATE] R200 was found unresponsive and with no pulse. […]

• Actual harm, isolatedF600May 28, 2026

  This citation pertains to intake numbers 2790883 and 2790891.Based on observations, interviews, and record review, the facility failed to protect the residents' right to be free from physical abuse by a resident.Findings Include:Review of the medical record reflected Resident #4 (R4) was admitted to the facility on [DATE], with diagnoses that included pseudobulbar effect (a neurological condition causing sudden uncontrollable episodes of laughing or crying), mild cognitive impairment, chronic motor or vocal tic disorder, and severe intellectual disabilities. […]

• Actual harm, isolatedF691May 28, 2026

  This citation pertains to intake number 2801450 Based on interview and record review, the facility failed to ensure appropriate urostomy care for one resident (resident #7) out of three reviewed, resulting in a hospitalization for a diagnosis of septic shock secondary to a urinary tract infection. Findings include:Review of the medical record reflected Resident #7 (R7) was admitted to the facility on [DATE], with diagnoses that included neuromuscular dysfunction of bladder and paraplegia. R7 no longer resided in the facility.On 5/27/26 at 3:04 PM, R7s Family Member (FM) S stated that she frequently visited R7 at the facility when he resided there and expressed concerns regarding the provision of urostomy care. […]

• Actual harm, isolatedF686Jan 6, 2026

  This citation pertains to Intake: 2644057Based on observation, interview, and record review the facility failed to prevent the development of pressure ulcers for one resident (#4) out of three residents with pressure ulcers reviewed, resulting in the development of two unstageable pressure ulcers and one stage 3 pressure ulcer. Findings Included:Resident #4 (R4)Review of the medical record revealed R4 was admitted to the facility 05/03/2025/ with diagnoses that included chronic obstructive pulmonary disease (COPD), chondrocostal junction syndrome (inflammation and pain where ribs connect to cartilage), obesity, anxiety, mild neurocognitive disorder (a stage where there's a noticeable decline in memory), neuromuscular dysfunction of bladder (nerve damage between brain and bladder causing… […]

• Actual harm, isolatedF689Jun 27, 2022

  This citation pertains to intake number MI 154. Based on observation, interview, and record review, the facility failed to ensure one out of three residents (Resident #1) had adequate supervision, and appropriate interventions put into place and implemented for fall prevention, resulting in a [CONDITION(S)], and a [CONDITION(S)] that resulted in a decline of activities of daily living (ADLs). Findings Included: Per the facility face sheet Resident #1 (R1) was admitted to the facility on [DATE]. Diagnoses included abnormalities of gait and mobility, dementia, muscle weakness, and anxiety at the time of R1's admission to the facility. In an observation on 6/24/2022, at 8:10 AM, R1 was observed in her bed eating breakfast, alert but confused when spoken too. […]