Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Medilodge of Hillman

Hillman, MI · 39 certified beds · Last Life Safety survey September 11, 2025

CMS Certification Number 235423 · first certified June 1982

Ownership

Operated by MEDILODGE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MI

20 citations — more than 73% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to November 2026. This facility’s last Life Safety survey was September 2025. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 20 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility20MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-1042024-10122025-09
Citations at each Life Safety survey
Survey dateCitations
October 19, 20234
October 9, 20244
September 11, 202512

Most-cited tags

Most-cited tags at this facility
K-02223K-03212K-03452K-09202K-02112K-07121E-00411K-02911
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.32025-09-11
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-09-11
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-09-11
K-0920Ensure proper usage of power strips and extension cords.22025-09-11
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-09-11
K-0712Have simulated fire drills held at unexpected times.12025-09-11
E-0041Implement emergency and standby power systems.12025-09-11
K-0291Install emergency lighting that can last at least 1 1/2 hours.12025-09-11

What the citations cover

Citations by CMS category
  • Egress Deficiencies 6
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Egress Deficiencies6
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 11, 2025 — 12 citations

Citations issued on September 11, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (October 7, 2025)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (October 7, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (October 7, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 7, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (October 7, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 7, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 7, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 7, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (October 7, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 7, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 7, 2025)

October 9, 2024 — 4 citations

Citations issued on October 9, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (November 4, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 4, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 4, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 4, 2024)

October 19, 2023 — 4 citations

Citations issued on October 19, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 20, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (November 20, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 20, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 20, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.