Medilodge of Shoreline

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Oct 25, 2022

  This Citation pertains to Intake Number: MI00131987. Based on observation, interview, and record review, the facility failed to prevent sexual abuse of a resident by a staff member for one resident (Resident #801) of three residents reviewed for abuse, resulting in an Immediate Jeopardy to the health and safety of the resident when a staff member witnessed a Certified Nursing Assistant (CNA) in R801's room with his penis exposed, R801 without a brief, and R801 was assessed to have vaginal bleeding. R801 was transported to the hospital and started on Post Exposure Prophylaxis (PEP) coverage (medicine prescribed after possible exposure to HIV - Human Immunodeficiency Virus) and antibiotics. […]

• Immediate jeopardy, isolatedF600Sep 1, 2022

  This citation pertains to intakes: MI 815. Based on observation, interview and record review, the facility failed to prevent non-consensual sexual contact, and monitor a male Resident (R701-Brief Interview for Mental Status [BIMS] score of 15/15=intact cognition) with a known history of inappropriate sexual behaviors towards residents and staff (2022: 7/15, 7/17, 7/18 and 7/19), resulting in R701 performing a sex act with a female Resident (R702-BIMS of 4/15=severe cognitive impairment) on 8/26/2022 at approximately 4:45 PM. R701 was observed by a visitor walking by R702's room, with the bare breast of R702 in their mouth. R701 was kissing, touching and had their hands in R702's pants. […]

• Immediate jeopardy, isolatedF689Jun 8, 2022

  This citation pertains to Intake: MI 717 Based on observation, interview and record review, the facility failed to provide adequate supervision and monitoring to prevent an elopement from the facility for one sampled Resident (R350), who had severe cognitive impairment and eloped from the facility on 5/17/2022 at approximately 12:00 AM, in cold night-time temperatures of 48 degrees Fahrenheit, without facility staff being aware of the resident's whereabouts for approximately 2 hours, which required police and familial assistance to determine location. This deficient practice resulted in an immediate jeopardy, with the likelihood of serious injury, harm, impairment, or death. […]

• No harm, potential for more than minimal, widespreadF868Oct 17, 2024

  Based on interview and record review, the facility failed to ensure the Quality Assessment and Assurance (QAA) meetings were held quarterly, for two of four meetings, potentially affecting all of the 103 residents currently residing in facility resulting in delayed identification and resolution of identified issues. Findings include: On 10/17/24 at 12:30 PM, a meeting was held with the Nursing Home Administrator (NHA) regarding Quality Assurance (QA) activities at the facility. A review of the sign in sheets (to confirm at least three staff were present who were knowledgable of facility systems and oversight) revealed there was no sign in sheet for March and June 2024. […]

• No harm, potential for more than minimal, widespreadF925Oct 17, 2024

  This citation pertains to Intake MI00147288. Based on observation, interview, and record review, the facility failed to maintain a pest-free environment, resulting in gnats throughout the common areas of the facility and throughout residents rooms. This deficient practice had the potential to affect all 130 residents who reside in the facility. Findings include: On 10/15/24 at 9:18 AM, during initial tour room [ROOM NUMBER] bed two trash can was observed to gnats laying on and inside of the trash can. The trash can was without a liner/trash bag on the inside of the can. On 10/15/24 at 9:39 AM, during initial tour room [ROOM NUMBER] bed two trash can was observed to gnats laying on and inside of the trash can. The trash can was without a liner/trash bag on the inside of the can. […]