Medilodge of Monroe

In the surveyor’s words

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

• Actual harm, isolatedF697Apr 2, 2025

  This citation pertains to MI00151320. Based on interview and record review the facility failed to properly assess and ensure pain was effectively managed for one resident (R901) of four residents reviewed for a fall with injury resulting in ongoing pain. Findings include: The survey agency received an allegation that the facility failed to effectively manage and assess pain. On 4/1/25 at 9:05 AM, Family Member (FM) A was interviewed. FM A stated they were contacted on 3/10/25 by the unit manager. FM A said the unit manager asked them had anyone contacted her over the weekend. The FM A said no. FM A said they were told because R901 had to be given Lorazepam (anti-anxiety) medication, and they wanted to start R901 on Buspirone (ant-anxiety). […]

• Actual harm, isolatedF684Oct 7, 2021

  This citation pertains to intake MI 544 This citation contains two deficient practice statements. DPS#1 Based on interview and record review the facility failed to assess, monitor, and treat a resident for dehydration (clinically significant loss of total body water) in a timely manner for 1 of 17 residents (R911) reviewed for quality of care, resulting in R911 admitted to the hospital with dehydration. Findings include: Record review on 10/5/21 of R911's face sheet revealed admission into the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF921Feb 8, 2023

  Based on observation, interview, and record review, the facility failed to effectively clean and maintain the physical plant effecting 91 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and decreased illumination. Findings include: On 02/07/23 at 04:35 P.M., An interview was conducted with Licensed Practical Nurse (LPN) Unit Manager H regarding the 2007 ARJO Spa Tub. (LPN) Unit Manager H stated: The spa tub leaks and has been out of service for approximately 1-1.5 weeks. On 02/08/23 at 09:00 A.M., A common area environmental tour was conducted with Director of Maintenance K. The following items were noted: 200 Hall Restroom A: The commode base caulking was observed (etched, cracked, stained, separated). […]

• No harm, potential for more than minimal, widespreadF812Jan 27, 2022

  Based on observation, interview, and record review, the facility failed to maintain the kitchen in a clean, safe, and sanitary condition and ensure proper cooling of time/temperature control for safety food, homemade vegetable soup, resulting in the increased potential for food-borne illness. These deficient practices had the potential to affect residents eating from the kitchen. Findings include: During an observation and interview on 1/25/2022 at 9:45 AM in the facility kitchen with Certified Dietary Manager (CDM) C, the following occurred: - Food crumbs and debris were observed in three drawers located in the cook's preparation table where various cooking and serving utensils were stored. - A broken glass bulb was observed over the stove. […]

• No harm, potential for more than minimal, patternF550Feb 14, 2024

  Based on observation, interview, and record review the facility failed to maintain the dignity of five residents (R3, R7, R37, R54 , and R58,) of six residents reviewed, resulting in the residents verbalizing their preferences to have their own personal clothing and frustration of not being completely dressed for breakfast while seated in the dining room (common area). Findings include: R7 On 2/11/2024 at 8:44 a.m., observed R7 sitting in the dining room in a gown, no socks, no shoes with both bare feet on the floor. R7 Stated, My feet are cold. R7 was observed rubbing both arms stating, My arms are cold. R7 arms were observed with no blanket nor sweater. […]