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

Medilodge of Kalamazoo

Kalamazoo, MI · 39 certified beds · Last Life Safety survey July 9, 2025

CMS Certification Number 235282 · first certified April 1976

Ownership

Operated by MEDILODGE · For profit - Limited Liability company

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

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MI

9 citations — more than 28% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

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

When is the next survey likely?

Well past the typical window (July 2026 to September 2026), and past the point by which nine in ten MI facilities have been surveyed. This facility’s last Life Safety survey was July 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

Emergency preparedness

1 of the 9 citations on file is 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)

4 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 9 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-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 facility9MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0622024-0832025-07
Citations at each Life Safety survey
Survey dateCitations
June 14, 20234
August 1, 20242
July 9, 20253

Most-cited tags

Most-cited tags at this facility
K-03212K-09251K-09181K-03741K-09231K-03241K-03631E-00151
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-07-09
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.12024-08-01
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-06-14
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-07-09
K-0923Have proper medical gas storage and administration areas.12023-06-14
K-0324Provide properly protected cooking facilities.12023-06-14
K-0363Install corridor and hallway doors that block smoke.12025-07-09
E-0015Address subsistence needs for staff and patients.12023-06-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies1

Every citation on file

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

July 9, 2025 — 3 citations

Citations issued on July 9, 2025
TagWhat the surveyor checksStatus
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 (July 25, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 17, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 17, 2025)

August 1, 2024 — 2 citations

Citations issued on August 1, 2024
TagWhat the surveyor checksStatus
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 (August 20, 2024)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (August 20, 2024)

June 14, 2023 — 4 citations

Citations issued on June 14, 2023
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (July 6, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 6, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 6, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 6, 2023)

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