Medilodge of Richmond in Richmond, MI is owned by a for-profit corporation, in Richmond, MI, in zipcode 48062, is Medicaid certified, Medicare certified, had a deficiency in how to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, had a deficiency in how to have approved installation, maintenance and testing program for fire alarm systems, had a deficiency in how to immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, had a deficiency in how to inspect, test, and maintain automatic sprinkler systems, had a deficiency in how to provide and implement an infection prevention and control program, had a deficiency in how to provide appropriate treatment and care according to orders, resident's preferences and goals, had a severe deficiency in how to ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, had a severe deficiency in how to provide appropriate pressure ulcer care and prevent new ulcers from developing, has a Resident Council, has automatic sprinklers in all required areas, improved or reached best on scores over the last two years (3 in total), doesn't have fines or payment denials, had a deficiency in both health and fire safety, has a 4- or 5-star rating in each of overall, long-stay quality measures, staffing, and registered-nurse staffing (4 total), is better than the nationwide mental-health averages in each of short-stay residents who newly received an antipsychotic medication, long-stay residents who received an antipsychotic medication, and long-stay residents who have depressive symptoms, is worse than the nationwide hospital-related averages in each of short-stay residents who had an outpatient emergency department visit, short-stay residents who were rehospitalized after a nursing home admission, outpatient emergency department visits per 1,000 long-stay resident days, and hospitalizations per 1,000 long-stay resident days, is worse than the nationwide averages in short-stay residents who were assessed and appropriately given the pneumococcal vaccine, were assessed and appropriately given the seasonal influenza vaccine, had an outpatient emergency department visit, and were rehospitalized after a nursing home admission (4 total), is better than the nationwide averages in short-stay residents who made improvements in function and newly received an antipsychotic medication, is worse than the nationwide physical-health averages in long-stay residents who experienced one or more falls with major injury, has a urinary tract infection, and were low-risk and lost control of their bowels or bladder, and is better than the nationwide physical-health averages in long-stay residents who became less able to move independently, were high-risk and had pressure ulcers, were physically restrained, had a catheter inserted and left in their bladder, lose too much weight, and needed increased help with daily activities (6 total).

Numeric values:
- incentive bonus payments per $1M in claims ($3,395)
- total fines ($0)
- total fines per resident ($0.00)
- change in total fines over two years (-$19,190)
- certified-bed occupancy rate (86.5%)
- long-stay residents assessed and appropriately given the seasonal influenza vaccine (80.0%)
- long-stay residents assessed and appropriately given the pneumococcal vaccine (72.4%)
- short-stay residents who made improvements in function (69.9%)
- short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (64.9%)
- low-risk long-stay residents who lose control of their bowels or bladder (62.1%)
- short-stay residents who were rehospitalized or had an outpatient emergency department visit (40.4%)
- short-stay residents assessed and appropriately given the pneumococcal vaccine (40.0%)
- short-stay residents who were rehospitalized after a nursing home admission (27.3%)
- long-stay residents who received an antianxiety or hypnotic medication (25.1%)
- long-stay residents whose ability to move independently worsened (16.7%)
- short-stay residents who had an outpatient emergency department visit (13.1%)
- long-stay residents whose need for help with daily activities has increased (12.1%)
- long-stay residents who received an antipsychotic medication (7.0%)
- long-stay residents experiencing one or more falls with major injury (5.1%)
- long-stay residents who lose too much weight (4.9%)
- high-risk long-stay residents with pressure ulcers (4.4%)
- long-stay residents with a urinary tract infection (3.0%)
- long-stay residents with a catheter inserted and left in their bladder (1.3%)
- short-stay residents who newly received an antipsychotic medication (1.0%)
- long-stay residents who have depressive symptoms (0.3%)
- long-stay residents who were physically restrained (0.0%)
- change in health-inspection rating over two years (+1 star)
- change in overall rating over two years (+1 star)
- change in quality-measures rating over two years (-1 star)
- change in residents in certified beds over two years (-3.5)
- change in staffing rating over two years (0 stars)
- health-inspection rating (3 stars)
- long-stay quality-measures rating (4 stars)
- overall rating (4 stars)
- quality-measures rating (3 stars)
- registered-nurse staffing rating (4 stars)
- RN staffing hours per resident per day (0.78)
- short-stay quality-measures rating (3 stars)
- staffing rating (4 stars)
- total nurse staffing hours per resident per day (3.93)
- change in facility-reported incidents or substantiated complaints over two years (+3)
- change in last-inspection-cycle health-deficiency score over two years (-48)
- change in last-inspection-cycle total health-inspection score over two years (-48)
- change in total last-inspection-cycle fire-safety deficiencies over two years (0)
- change in total last-inspection-cycle health deficiencies over two years (+3)
- change in total weighted health survey score over two years (-20.7)
- count of administration deficiencies (0)
- count of automatic sprinkler systems deficiencies (0)
- count of construction deficiencies (0)
- count of corridor walls and doors deficiencies (0)
- count of electrical deficiencies (0)
- count of emergency plans and fire drills deficiencies (0)
- count of emergency preparedness deficiencies (0)
- count of environmental deficiencies (1)
- count of exit deficiencies (0)
- count of fire alarm systems deficiencies (0)
- count of freedom from abuse, neglect, and exploitation deficiencies (0)
- count of gas, vacuum, and electrical systems deficiencies (0)
- count of hazardous area deficiencies (0)
- count of illumination and emergency power deficiencies (0)
- count of interior deficiencies (0)
- count of laboratories deficiencies (0)
- count of medical gases and anesthetizing areas deficiencies (0)
- count of miscellaneous deficiencies (1)
- count of nursing and physician services deficiencies (1)
- count of nutrition and dietary deficiencies (2)
- count of pharmacy service deficiencies (1)
- count of quality of life and care deficiencies (4)
- count of resident assessment and care planning deficiencies (1)
- count of resident rights deficiencies (1)
- count of services deficiencies (0)
- count of smoke deficiencies (2)
- count of smoking regulations deficiencies (0)
- facility-reported incidents (3)
- facility-reported incidents or substantiated complaints (19)
- facility-reported incidents or substantiated complaints per 100 residents in a certified bed (17.4)
- fines (0)
- health deficiencies during the last inspection cycle (14)
- health deficiencies from complaint surveys during the last inspection cycle (5)
- health deficiencies from the standard survey during the last inspection cycle (11)
- health-deficiency score during the last inspection cycle (108)
- hospitalizations per 1,000 long-stay resident days (2.34)
- outpatient emergency department visits per 1,000 long-stay resident days (1.12)
- payment denials (0)
- substantiated complaints (16)
- total health-inspection score during the last inspection cycle (108)
- total number of fire-safety deficiencies (3)
- total number of health deficiencies (11)
- total penalties (0)
- total weighted health survey score during the last 3 inspection cycles (87.3)
- certified beds (126)
- change in RN staffing hours per resident per day (+0.1)
- change in total nurse staffing hours per resident per day (-0.022)
- LPN staffing hours per resident per day (0.76)
- Nurse Aide staffing hours per resident per day (2.46)
- residents in certified beds (109)
- years certified for Medicare/Medicaid (31.7)