Medilodge of St. Clair

In the surveyor’s words

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

• Actual harm, isolatedF600May 26, 2022

  This citation pertains to Intake: MI 053. Based on observation, interview and record review, the facility failed to prevent employee to resident abuse for one sampled Resident (R3) of 2 reviewed for abuse, resulting in the likelihood for further abuse towards R3, additional residents including those who may yell or scream, and those who were cognitively impaired (from a reasonable person's concept) that were provided care by the employee. Findings include: A review of the facility's reported incident summary noted, On 12/04/2021 at approximately 3:20pm, [CNA C] reported to [Nursing Home Administrator NHA] that she witnessed [Nurse D] say F*ck This, F*ck you, I can't F*cking do this anymore, Hitler had the right idea to resident [R3] . […]

• Actual harm, isolatedF740May 26, 2022

  Based on observation, interview and record review, the facility failed to administer nonpsychiatric and/or [CONDITION(S)] behavior medications and manage behaviors appropriately per physician orders, for one Resident (Resident #23) of four residents reviewed for behaviors, resulting in mental anguish, uncontrolled anger and impulsiveness. Findings include: On [DATE] at 11:19 AM, Resident #23 was observed in the room next to their room, helping set up a meal tray for another resident. Resident #23 was dressed and groomed and talking in a very quiet tone. The Resident was calm and smiling. During this time, an interview was attempted but the Resident did not answer questions appropriately. On [DATE] at 07:45 AM, Resident #23 was up in the lobby wearing the same outfit as the previous day. […]

• No harm, potential for more than minimal, widespreadF814Dec 10, 2025

  Based on observation, interview, and record review, the facility failed to properly dispose of waste and maintain dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility. Findings include:On 12/8/25 at approximately 7:50 AM, the facility's exterior trash refuse area was observed with Food Service Manager D. The dumpsters were observed to be overflowing with stacked up trash bags. The bags were piled up beyond the top edge of the containers, to the point where the lids could not be closed. When queried at that time, Food Service Manager D stated that the containers were usually overflowing after the weekend. When queried regarding how often the containers were emptied, Food Service Manager D stated, I believe once a week. […]

• No harm, potential for more than minimal, widespreadF925Dec 10, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program by eliminating harborage conditions. This deficient practice had the potential to affect all residents, staff and visitors. Findings include: On 12/8/25 at 7:35 AM, the facility's dish machine was observed. Underneath the soiled side drain board, there was a build-up of sludge on the floor tiles, and the flooring was damp. There was a cup and a small bowl which had accumulated on the floor along the back wall. There were numerous gnats observed on the pipes and the back wall under the soiled drain board. When queried at that time, Food Service Manager D confirmed the presence of the gnats and stated that the flooring was in need of a good cleaning. […]

• No harm, potential for more than minimal, widespreadF925Oct 3, 2024

  Based on observation, interview, and record review, the facility failed to maintain a pest-free environment, resulting in flies in the facility and resident complaints. This deficient practice had the potential to affect all residents in the facility. Findings include: On 10/1/24 at 2:45 PM, there were several flies observed in the 100 hallway. On 10/1/24 at 2:50 PM, the window in room [ROOM NUMBER] was observed to be open. The exterior screen frame was observed to be bent, leaving an approximately 1 inch gap. The screen was not tight-fitting, to prevent pest entry into the room. On 10/1/24 at 3:00 PM, Maintenance Supervisor V confirmed the bent screen, and stated he would take care of it right away. […]