LANSING, MI (WOWO): A review of state and federal inspection records by Bridge Michigan found that nearly every nursing home in Michigan was cited for failing to protect the health and safety of residents between 2020 and 2024. At least 36 residents died from suspected neglect or abuse, including incidents involving untreated bedsores, falls, and choking.

The investigation analyzed more than 3,100 inspection records, death certificates, court documents, and interviews with families, staff, and advocates. Citations ranged from inadequate staffing and minimal training for nurse aides to unsanitary conditions, including mold, rodents, and odors.

Michigan law requires only two hours and 15 minutes of care per resident per day, significantly below the four-plus hours recommended by advocacy groups. The state maintains a $35 million fund to improve nursing home care, but bureaucratic restrictions have limited its use.

For-profit nursing homes made up the majority of facilities and received 43 percent more citations per bed than nonprofit or government-run homes. Families said they were frequently unaware of state investigations following injuries or deaths of loved ones.

Legislative efforts to improve transparency and safety, such as bills allowing cameras in nursing homes, have not advanced. Advocates and state officials say systemic issues, including staffing shortages and limited oversight, remain significant challenges for Michigan’s 34,000 nursing home residents.