Medilodge of Southfield

In the surveyor’s words

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

• Immediate jeopardy, widespreadF610Aug 29, 2023

  This citation pertains to Intake(s): MI00138981 and MI00138993 Based on observation, interview and record review, the facility failed to initiate and thoroughly investigate allegations of inappropriate sexual contact reported by R701 and R702 and failed to prevent further inappropriate sexual contact from occurring for R703 and protect other residents who resided in the facility. This deficient practice resulted in immediate jeopardy (IJ) when R701 and R702 reported that they no longer wanted Certified Nursing Assistant (CNA) A to provide care due to inappropriate contact and the facility continued to schedule CNA A who then worked with R703 who also alleged and reported CNA A touched them inappropriately during incontinence care. […]

• Immediate jeopardy, patternF880Jun 13, 2024

  This citation pertains to Intake(s): MI00144759 & MI00144593. Based on observations, interviews, and record reviews the facility failed to implement measures/restrictions implemented by the County's health department after the identification of a facility resident diagnosed with presumptive healthcare associated Legionella (a type of bacteria that causes pneumonia), failed to timely and accurately conduct surveillance of the facility's infections, and failed to ensure water management meetings were being conducted as documented in the facility's policy for three residents (R705, R706 and R708) of six reviewed for infection control. […]

• Immediate jeopardy, isolatedF684Aug 15, 2025

  Based on observation, interview and record reviews the facility failed to adequately assess/monitor residents experiencing identified changes of condition, notify the Physicians of their continued decline and transfer the residents to higher levels of care in a timely manner, for four residents (R7, R97, R168 and R175) of four residents reviewed for changes in condition, resulting in R7 not being transferred to a higher level of care and expiring, R97 having a critically low hemoglobin level and expiring, R168 having to be transferred to the hospital and subsequently intubated and R175 contracting sepsis resulting in shock. These deficient practices resulted in the increased likelihood of serious harm, serious injury and/or death to occur. […]

• Immediate jeopardy, isolatedF689Aug 11, 2023

  This citation pertains to Intakes MI00135989, MI00136742, MI00136994, MI00137746, MI00136638. This citation has citation has four deficient practices. Deficient Practice #1 Based on interview and record review the facility failed to prevent the elopement of one resident (R294) of three residents reviewed for elopement, resulting in immediate jeopardy (IJ) when R#294 who was previously identified as an elopement risk and had severe cognitive impairment, exited the building and left the facility premises without staff supervision, increasing the likelihood of serious injury, serious harm, serious impairment, or death. […]

• Immediate jeopardy, isolatedF684Oct 1, 2021

  This citation pertains to intake number: MI 036. Based on observation, interview and record review, the facility failed to accurately reconcile and transcribe a steroid medication ([MEDICATION(S)]) order for one (R906) of three residents reviewed for quality of care, resulting in an immediate jeopardy (IJ) when the facility failed to identify and implement the correct order of [MEDICATION(S)] 50 mg (milligram) once a day order for three days. The facility staff administered [MEDICATION(S)] 50 mg daily for seven weeks and three days. R906 was transferred to the hospital and admitted to the Intensive Care Unit (ICU) with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]