The Lodge at Taylor

In the surveyor’s words

From the most serious findings on record at The Lodge at Taylor, in the surveyor’s own words.

• Actual harm, isolatedF684Jul 18, 2024

  This citation pertains to intake MI00145597. Based on interview and record review, the facility failed to implement interventions for a hypoglycemia (blood glucose/sugar) for one resident (R103) out of three residents reviewed for change in condition, resulting in R103 being hospitalized for hypoglycemia. Findings include: Review of an Admission Record revealed, R103 admitted to the facility on [DATE] and discharged [DATE] with pertinent diagnosis which included End Stage Renal and Type 2 Diabetes. Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed R103 had no cognitive impairment with a Brief interview for Mental Status (BIMS) score of 15 out of 15. Review of a progress note with a date of [DATE] at 2:07 p.m. […]

• Actual harm, isolatedF686Mar 28, 2024

  This citation pertains to Intake MI00143341. Based on interview and record review, the facility failed to implement adequate interventions in a timely manner for one resident (R103) deemed to be at very high risk for pressure ulcers out of five residents reviewed for wound care, resulting in the worsening of an existing stage 4 pressure ulcer. Findings include: It was reported to the State Agency that a resident was not receiving appropriate wound care treatment. On 3/27/24 at 11:08 AM, a Concerned Family Member for Resident #103 (R103) said R103 passed away on 1/31/24 because he was not receiving adequate wound care in the facility. […]

• Actual harm, isolatedF686Aug 24, 2023

  This citation pertains to intake MI000132679 and MI00136138. Based on interview and record review the facility failed to assess, monitor abnormal skin condition, and implement interventions to prevent the development and worsening of pressure ulcers for two (R411 and R421) of six residents reviewed resulting in R411 developing a Stage 3 pressure ulcer {Full-thickness loss of skin, in which adipose/fat is visible in the ulcer and granulation tissue and rolled wound edges are often present with visible slough (wet/filmy yellow dead cells/tissue) and/or eschar (dry black dead cells/tissue)} that required hospitalization and R421 developing an infected and worsening unstageable sacral wound. […]

• Actual harm, isolatedF689Feb 24, 2021

  This citation pertains to intake MI 6730. Based on observation, interview and record review the facility failed to provide adequate supervision during resident's smoking sessions, affecting one resident (R#1) out of three residents reviewed for smoking session protocols, resulting in R#1 acquiring a second degree burn to forehead. Findings Include: On 2/23/21, record review revealed R#1 was admitted into the facility on [DATE] with [DIAGNOSES REDACTED]. According to Minimum Data Set ((MDS) dated [DATE], R#1 had intact cognition and was extensive assist with Activities of Daily Living (ADLS). Record review of facility's Past Non-Compliance Checklist documented Receptionist took the residents out to smoke at their scheduled time. The phone rang. Receptionist handed resident R#9 the lighter. […]

• No harm, potential for more than minimal, widespreadF812Aug 2, 2022

  Based on observation, interview, and record review, the facility failed to: 1. Consistently ensure the vegetable freezer was clean and free of debris; 2. Properly date-label food in the freezer; 3. Ensure an internal thermometer was available in the meat freezer; 4. Ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, 23-pound beef roast; 5. Ensure food items past the use-by-date were not stored with active food; 6. Ensure pans were allowed to air dry before stacking; 7. Ensure wire storage racks were in good condition and cleanable; and 8. Ensure ladles were stored properly to prevent contamination. […]