B-
70/100

Medilodge of Kalamazoo Inspection Report, Violations & Safety Grade (Kalamazoo, Michigan)

1701 S 11th Street, Kalamazoo, Michigan 49009

Phone: 2693752020

CMS Overall:2/5

Overview & Bed Count

Certified Beds
39
Avg Residents/Day
37.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Kalamazoo
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMichigan AvgDifference
RN Hours per Resident per Day1.310.78+0.53
Total Nurse Hours per Resident per Day3.794.03-0.24
CMS Staffing Rating4/53.6/5-
Nursing Staff Turnover45.2%44.6%-

Health Citation History

24 health citations on record

DateCategoryDescriptionSeverity
2026-06-11Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.G – Actual Harm
2026-06-11Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2026-06-11Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-06-11Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D – Moderate Harm Potential
2025-07-09Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2025-07-09Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2025-07-09Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-07-09Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2025-07-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-07-09Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-05-14Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-08-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-08-01Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2024-08-01Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2024-08-01Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.D – Moderate Harm Potential
2024-08-01Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-23Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2023-06-14Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.E – Moderate Harm Potential
2023-06-14Resident Rights DeficienciesLet each resident or the resident's legal representative access or purchase copies of all the resident's records.D – Moderate Harm Potential
2023-06-14Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2023-06-14Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential
2023-06-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-06-14Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-06-14Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential

Fire Safety Citation History

9 fire safety citations on record

DateCategoryDescriptionSeverity
2025-07-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2025-07-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2025-07-09Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2024-08-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-08-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure that sources of ignition are removed from patients receiving respiratory therapy.E – Moderate Harm Potential
2023-06-14Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2023-06-14Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2023-06-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-06-14Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-07-09Payment Denial-9 days starting 2025-08-12

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