F-tags by state · Michigan

Most common nursing home citations in Michigan

14,008 health citations were recorded at 421 of 420 rated nursing homes in Michigan over the last three inspection cycles, about 33.4 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations14,00833.4 per rated facility
Facilities cited421of 420 rated
Actual harm (G–I)7876% of citations
Immediate jeopardy (J–L)1431% of citations

Top 25 F-tags in Michigan

"State share" is the percentage of rated Michigan nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care86785%69%
2F880Provide and implement an infection prevention and control program.Infection control68883%81%
3F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary59878%76%
4F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of life & care48965%39%
5F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy services47965%59%
6F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care42656%44%
7F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights40758%43%
8F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Assessment & care planning37558%58%
9F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation34147%40%
10F658Ensure services provided by the nursing facility meet professional standards of quality.Assessment & care planning33748%29%
11F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation30243%35%
12F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning29548%42%
13F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environment & safety29044%17%
14F695Provide safe and appropriate respiratory care for a resident when needed.Quality of life & care26245%46%
15F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of life & care25544%33%
16F692Provide enough food/fluids to maintain a resident's health.Quality of life & care22641%29%
17F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident rights22537%39%
18F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation20734%28%
19F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy services20739%34%
20F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident rights18937%25%
21F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing & physician services18130%16%
22F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Assessment & care planning18133%35%
23F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Quality of life & care17736%22%
24F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy services16931%38%
25F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy services16833%23%

Citations by category

Quality of life & care4,354
Resident rights2,035
Assessment & care planning1,633
Pharmacy services1,372
Abuse, neglect & exploitation1,092
Nutrition & dietary1,063
Infection control1,059
Nursing & physician services526
Environment & safety515
Administration359

Citations by survey year

202124
20221,380
20234,226
20244,687
20253,689
20262

Partial years reflect the rolling three-cycle window.

Check a specific Michigan nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 420 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Michigan. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in Michigan?
F689 (Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.) is the most-cited F-tag in Michigan, with 867 citations at 359 facilities, or 85% of the state's rated nursing homes, compared with 69% nationally.
How many nursing home citations are there in Michigan?
14,008 health citations across 421 of 420 rated nursing homes in the last three inspection cycles, about 33.4 per facility. 787 involved actual harm and 143 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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