Medilodge of Milford

In the surveyor’s words

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

• Actual harm, isolatedF689Sep 25, 2025

  Based on observation, interview, and record review, the facility failed to properly use a Hoyer mechanical lift to transfer one resident (R51) of two residents reviewed for accidents, resulting in the mechanical lift falling on R51 causing a laceration to their head requiring a trip to the emergency room for imaging and treatment with staples to close the wound. Findings include: On 9/24/25 at 12:27 PM, a review of R51's progress notes was conducted and revealed the following: A nursing progress note entered into the record by Nurse 'I' dated 6/13/25 at 11:31 PM that read, Cena (nurse aide) informed me that lodger was being transferred to shower chair and hoyer tip <sic> and bumped her head. 1 inch laceration noted .New order to send to hospital noted . […]

• Actual harm, isolatedF686Sep 14, 2023

  This citation pertains to Intake MI 00133995 Based on observation, interview and record review, the facility failed to ensure timely interventions to reduce the risk of pressure ulcer development, perform accurate and timely skin assessments and ensure orders were clarified for one (R38) of four residents reviewed for pressure ulcers, resulting in R38 acquiring a device related pressure ulcer on the spine. Findings Include: R 38 On 9/12/23 at 9:50 AM, R38 was observed lying in bed on her back sleeping. Padded boots were observed in a wheelchair against the wall across from the bed. R38 was asked if they had any wounds or sores on their body. R38's Family Member present in the room explained R38 had a wound on her ankle and a wound on her back from a back brace. […]

• Actual harm, isolatedF692Sep 14, 2023

  This citation pertains to intake #'s MI00131500. Based on observation, interview, and record review, the facility failed to ensure adequate interventions to prevent weight loss for one resident (R90) of five residents reviewed for nutrition, resulting in a 15.69% weight loss from June 2023 to August 2023. Findings include: On 9/13/23 at 8:23 AM, R90's breakfast meal tray was observed on their bedside table in their room. The items on the meal tray were compared to the items on the meal ticket and it was noticed R90 had not been given their Health Shake supplement. It was further noted R90's tray had been set up for them, but R90 was laying at less than a 30-degree angle (almost flat) in their bed attempting to feed themselves some pureed eggs. […]

• Actual harm, isolatedF686Oct 12, 2021

  This citation pertains to intake #MI 156. Based on interview and record review, the facility failed to identify the development of a pressure ulcer and implement interventions in a timely manner for one (R701) of three residents reviewed for pressure ulcers, resulting in the development of an unstageable (obscured full thickness skin and tissue loss) pressure ulcer. Findings include: A complaint was received by the State Agency that alleged the resident developed a pressure ulcer during their admission to the facility. A review of R701's clinical record revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of Section M. […]

• Actual harm, isolatedF760Jun 30, 2021

  This citation pertains to intake #MI 786. Based on interview and record review, the facility failed to properly administer an opioid (narcotic) pain medication for one (R704) resident of one resident reviewed for use of a transdermal patch (a medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin and into the bloodstream), resulting in an overdose which required the use of [MEDICATION(S)] (a medication used to treat narcotic overdose in an emergency situation), fall with a skin tear, and hospitalization . Findings Include: Review of the clinical the clinical record revealed R704 was initially admitted into the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]