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

Medilodge of Sault Ste. Marie

Sault Ste. Marie, MI · 106 certified beds · Last Life Safety survey February 11, 2026

CMS Certification Number 235292 · first certified November 1976

Ownership

Operated by MEDILODGE · For profit - Limited Liability company

Ownership changed February 1, 2018 (change of ownership)from FMG MERIDIAN STREET MICHIGAN LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MI

27 citations — more than 86% 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 13 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 4 months from now. This facility’s last Life Safety survey was February 2026. 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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2 inspection-and-testing tags have 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

4 of the 27 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)

13 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 27 Life Safety citations above. The Physical Environment Index

F-0584 Honor 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.
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.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.

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.

Citations on file over three years, compared
Measure	Citations
This facility	27
Median facility in MI	14
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 29, 2024	6
January 9, 2025	8
February 11, 2026	13

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	3	2026-02-11
K-0920	Ensure proper usage of power strips and extension cords.	2	2025-01-09
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-02-11
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2025-01-09
K-0511	Have properly installed electrical wiring and gas equipment.	2	2026-02-11
K-0711	Provide a written emergency evacuation plan.	2	2026-02-11
K-0351	Install an approved automatic sprinkler system.	1	2024-01-29
E-0013	Develop Emergency Preparedness policies and procedures.	1	2026-02-11

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Egress Deficiencies 4
Gas, Vacuum, and Electrical Systems Deficiencies 4
Emergency Preparedness Deficiencies 4
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Egress Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	4
Emergency Preparedness Deficiencies	4
Miscellaneous Deficiencies	4
Services Deficiencies	3
Construction Deficiencies	1

Every citation on file

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

February 11, 2026 — 13 citations

Citations issued on February 11, 2026
Tag	What the surveyor checks	Status
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (March 10, 2026)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (March 10, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 10, 2026)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (March 10, 2026)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (April 8, 2026)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 10, 2026)
K-0222	Add 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 (March 10, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 10, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (March 10, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 10, 2026)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (March 10, 2026)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (March 10, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 10, 2026)

January 9, 2025 — 8 citations

Citations issued on January 9, 2025
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 12, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 12, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 12, 2025)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 12, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 12, 2025)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (February 12, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 12, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 12, 2025)

January 29, 2024 — 6 citations

Citations issued on January 29, 2024
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 21, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (February 21, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (February 21, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (February 21, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 21, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (February 21, 2024)

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