Medilodge of Munising

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 31, 2022

  Based on observation, interview, and record review, the facility failed to prevent physical and verbal abuse (staff to resident) involving two Residents (R23 and R26) of six residents reviewed for abuse, with the potential to affect all residents in the facility. This deficient practice resulted in physical harm (broken leg) for R23, feelings of helplessness, embarrassment, and serious psychosocial harm. Findings include: R23 Review of R23's Electronic Medical Record (EMR) revealed admission to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF609Jan 7, 2026

  Based on interview and record review, the failed to fully implement and operationalize its Abuse Program Policy and Procedure and immediately report to the State Agency allegations and actual resident to resident abuse for 9 Residents (Residents #4, #10, #52, #55, #R63, #100, #101, #102, & #103) from 13 residents reviewed for abuse, resulting in Resident #4 being involved in multiple incidents of resident to resident abuse, the potential for continued abuse and falls with major injury in the facility to go unrecognized, and Resident #4 grabbing on to the wrist of Resident #102, causing pain, fear and increased anxiety.Findings include:Resident #4 (R4)Review of an admission Record revealed R4, was originally admitted to the facility on [DATE] with pertinent diagnoses which included:… […]

• Actual harm, isolatedF684Dec 4, 2024

  This citation pertains to MI00148054: Based on interview and record review the facility failed to properly transcribe and administer medications per physicians orders for 1 Resident (#3) of 4 residents reviewed for quality of care, resulting in the lack of assessment, monitoring, and documentation and resulted in hospitalization and subsequent delay in treatment/resolution of the infection with the potential for worsening of condition. Findings include: Resident #3 (R3) Review of an Admission Record revealed R3 was originally admitted to the facility on [DATE] with diagnoses including, osteomyelitis (bone infection), left ankle and foot. […]

• Actual harm, isolatedF686Oct 24, 2024

  This deficiency pertains to Complaint Intake MI00146981. Based on observation, interview, and record review, the facility failed to provide necessary treatment and services to prevent the development and promote the healing of pressure injuries for three Residents (#29, #22, and #36) of three residents reviewed for wounds. This deficient practice resulted in the deterioration of a left heel pressure injury in one Resident (#29) resulting in gangrene, sepsis, and the need for surgical amputation. Findings include: Resident #29 (R29): Review of R29's electronic medical record (EMR) revealed initial admission to the facility on [DATE] with diagnoses including vascular dementia and type two diabetes. […]

• Actual harm, isolatedF689Oct 24, 2024

  This Deficient Practice Statement (DPS) has two parts: A and B. DPS A: Based on observation, interview, and record review, the facility failed to provide adequate supervision resulting in a fall with major injury for one Resident (#64) of five residents reviewed for accident hazards and supervision. This deficient practice resulted in serious bodily injury including a head laceration and a cervical (neck) fracture for Resident #64. Findings include: Resident #64 (R64): Review of R64's electronic medical record (EMR) revealed initial admission to the facility on [DATE] with diagnoses including osteoporosis, repeated falls, a stroke affecting the right dominant side, and toxic encephalopathy (a brain condition often resulting in changes in cognitive function). […]