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Medilodge of Livingston
3003 W Grand River, Howell, MI 48843 (opens Google Maps) · Livingston County · (517) 546-4210· 125 certified beds · avg 97 residents/day · certified since Apr 1, 1978 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MEDILODGE (53 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
inspected Jan 7, 2026
1
Serious findings on record
most recent Feb 11, 2025
$0
Fines, last 3 years
3.11
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 4, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 27 inspection findings. Open the full record below to read every finding.
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. F-0812
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 F-0880
The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. F-0557
View all 27 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 7, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jan 7, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Jan 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557 |
| Jan 7, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Jan 7, 2026 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jan 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jan 7, 2026 | C · Potential for minimal harm, widespread | 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. · F-0577 |
| Oct 30, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0742 |
| Aug 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Aug 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0695 |
| Feb 11, 2025 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0725 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Nov 30, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Nov 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Nov 30, 2023 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0693 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 7
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 1
2026
All citations: 8
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMichigan averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.11
Michigan average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.74
Michigan average: 0.84
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.63
Michigan average: 3.79
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Medilodge of Livingston. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Medilodge — 53 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Medilodge of Livonia — Livonia, MI · overall 3/5
- Medilodge of Ludington — Ludington, MI · overall 2/5
- Medilodge of Marshall — Marshall, MI · overall 1/5abuse
- Medilodge of Midland — Midand, MI · overall 5/5
- Medilodge of Milford — Milford, MI · overall 4/5
- Medilodge of Monroe — Monroe, MI · overall 5/5
- Medilodge of Montrose INC — Montrose, MI · overall 1/5abuse
- Medilodge of Mt. Pleasant — Mt. Pleasant, MI · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 52 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Michigan midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 24% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 13 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 |
Facility data as of CMS processing date 2026-08-01. CCN 235330.
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