Medilodge of Livingston

Name: Medilodge of Livingston
Address: 3003 W Grand River, Howell, MI, 48843, US
Telephone: 5175464210

3003 W Grand River, Howell, MI 48843 · Livingston County · 125 certified beds · avg 97 residents/day · certified since Apr 1, 1978

Part of chain: MEDILODGE (53 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.11

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 11, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 4, 2025 (Past Non-Compliance)

All citations in the current public record (27)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 7, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 7, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 7, 2026	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 7, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 7, 2026	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Oct 30, 2025	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint
Aug 27, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 27, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 11, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 15, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 15, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 15, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 15, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 15, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Oct 15, 2024	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Oct 15, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 30, 2023	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Nov 30, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	7	0	E
2025	4	1	G ▲
2026	8	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.11	4.32	3.95	bottom 2% in Michigan; bottom 18% in the U.S.
Registered Nurse hours	0.74	0.84	0.69	bottom 48% in Michigan; top 33% in the U.S.
Weekend total nurse staffing	2.63	3.79	3.50	bottom 1% in Michigan; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.49	0.48	top 32% in Michigan; top 28% in the U.S.
Total nursing staff turnover (%)	23.7	44.1	45.8	top 6% in Michigan; top 6% in the U.S.
RN turnover (%)	22.7	39.2	42.9	top 20% in Michigan; top 18% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.40, RN 1.05, weekend 3.72. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
B&y Healthcare S Corp	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2016
B&y Trust	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2016
Century Opco Group LLC	Organization	5% or Greater Direct Ownership Interest	—	02/01/2016
Cody Healthcare S Corp	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2016
Craig Flashner 2007 Trust	Organization	5% or Greater Indirect Ownership Interest	—	02/01/2016
Century Healthcare Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2016
Flashner, Craig	Individual	Corporate Director	NOT APPLICABLE	02/01/2016
Flashner, Craig	Individual	Corporate Officer	NOT APPLICABLE	02/01/2016
Flashner, Craig	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2016
Kirk, Kristine	Individual	W-2 Managing Employee	NOT APPLICABLE	02/01/2016
Norcross, Robert	Individual	Contracted Managing Employee	NOT APPLICABLE	02/01/2016
Perlstein, Yitzchok	Individual	Corporate Director	NOT APPLICABLE	02/01/2016
Perlstein, Yitzchok	Individual	Corporate Officer	NOT APPLICABLE	02/01/2016
Perlstein, Yitzchok	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2016
Prestige Administrative Services, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2016
Rogers, Stacey	Individual	Contracted Managing Employee	NOT APPLICABLE	02/01/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Where do you post your latest state inspection results and the ombudsman's contact information?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Willows at Howell	1.5 mi	Howell, MI	★★★★★	4/5
Medilodge of Howell	3.0 mi	Howell, MI	★☆☆☆☆	1/5
Wellbridge of Brighton	7.8 mi	Howell, MI	★★★☆☆	3/5
Wellbridge of Pinckney	11.7 mi	Pinckney, MI	★★★★★	4/5
Caretel Inns of Brighton	12.1 mi	Brighton, MI	★★☆☆☆	2/5
Argentine Care Center	13.5 mi	Linden, MI	★★★★★	3/5
West Hickory Haven	15.7 mi	Milford, MI	★☆☆☆☆	1/5
Caretel Inns of Linden	16.5 mi	Linden, MI	★★☆☆☆	2/5	abuse
Regency at Whitmore Lake	16.8 mi	Whitmore Lake, MI	★☆☆☆☆	1/5
Fenton Healthcare	18.1 mi	Fenton, MI	★★★★★	4/5
Medilodge of Milford	18.7 mi	Milford, MI	★★★★☆	3/5
Wellbridge of Fenton	19.0 mi	Fenton, MI	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Howell →

Facility data as of CMS processing date 2026-08-01. CCN 235330.

The Care File

Visit checklist — Medilodge of Livingston

3003 W Grand River, Howell, MI 48843 · 5175464210

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ Feb 11, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Where do you post your latest state inspection results and the ombudsman's contact information?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235330 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)