Medilodge of Yale

In the surveyor’s words

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

• Actual harm, isolatedF684Apr 2, 2024

  This citation pertains to intake MI00143016 and MI00143086. Based on interview and record review, the facility failed to promptly identify and intervene for an acute change in condition for one resident (R700) out of one reviewed for change in condition, resulting in R700 experiencing pain and hospitalization . Findings Include: On [DATE] at 1:38 PM, an interview was conducted with Caregiver (CG) D. CG D stated that they were with R700 the entire night. CG D stated that R700 had been complaining of pain since 10:00PM. R700 stated that they had to keep going in the hallway to find someone. CG D stated that they R700 had emesis (vomiting) and was moving around because they could not find a comfortable position. […]

• Actual harm, isolatedF686Aug 2, 2021

  This citation pertains to intake # MI 362. Based on interview and record review, the facility failed to bridge (provide protection underneath the tubing so it does not press against the skin) the tubing of a wound vac (a pump utilized on wounds to remove excess drainage) for one (Resident #701) of two residents reviewed for pressure ulcer care, resulting in the worsening of a pressure wound and pain. Findings include: On 08/02/2021 at 08:35 AM, Confidential Witness A was interviewed regarding Resident #701's wound care while at the facility. Confidential Witness A explained that the Resident was admitted to the facility on [DATE] with a wound on their buttocks area. Confidential Witness A stated, (Resident #701) went to the wound clinic on 06/29/2021, I was there. […]

• No harm, potential for more than minimal, patternF656Jan 5, 2022

  Based on observation, interview and record review, the facility failed to complete a comprehensive, individualized care plan for five residents (Resident #35, 45, 47, 64 and 123) of 18 reviewed for care planning, resulting in the potential for missed care needs. Findings include: Resident #45 On 01/03/2022 at 01:04 PM, Resident #45 was observed dressed and groomed in their wheelchair. Resident #45 was wearing oxygen tubing in their nose. Resident #45 stated that the oxygen was new to them since their most recent hospitalization . Resident #45 was asked about the care they received in the facility and stated, I am just waiting to go home now. […]

• No harm, potential for more than minimal, isolatedF656Jul 9, 2025

  Based on observation, interview, and record review, the facility failed to implement care plan interventions for heel boots, for one resident (R25) of two reviewed for positioning needs. Findings include: On 07/07/25 at 9:25 AM, and 04:18 PM, R25 was observed sleeping supine in bed, no heel boots on and heels not elevated off surface of the bed. No extra pillows or heels boots were observed at bedside. Review of the record for R25 revealed: R25 was admitted into the facility on [DATE]. Diagnoses included Muscle Weakness, High Blood Pressure, and Difficulty in Walking. […]

• No harm, potential for more than minimal, isolatedF684Jul 9, 2025

  Based on observation, interview, and record review the facility failed to assess, monitor and control blood sugar levels (accu-cheks) for two residents (R54, R16) of three residents whose blood sugar monitoring was reviewed. Findings include: R54 On 07/07/2025 at 9:25 AM, R54 was observed walking in the hall. R54 indicated their blood sugars were out of control. R54 reported they did not discuss this with facility staff. A review of the medical record revealed R54 was admitted into the facility on [DATE] with readmissions after hospitalizations on 01/13/25, 01/17/25, and 03/14/25 secondary to complications from abdominal surgeries that included wound leaks, wound abscess, wound infection and ileus. Pertinent diagnoses include: Diabetes Mellitus and surgical complications. […]