Community profile

Medilodge of Cheboygan

824 South Huron, Cheboygan, MI

Skilled Nursing

★ 4.36 reviewsRead reviews

About the community

About Medilodge of Cheboygan

A source-provided community description has not been published yet. Verified care, address, pricing, and availability facts remain below.

Family and resident feedback

4.3 out of 5 from 6 reviews

Overall rating from Caring.com. Recent public reviews can help surface themes to ask about on a tour. Ratings belong to the original review source and are not independently verified by us.

★★★★★

Positive

I am a friend or relative of a current/past resident

My mother is now temporarily at the Medilodge of Cheboygan. I give them a rating of five because of the level of care and professionalism they presented to me. My mother is blind and deaf, and they have gone above and beyond to make sure she's comfortable. The staff members are very attentive. My mother says the food is wonderful. They have a community center where there are activities. My mother also goes to physical therapy. The facility is outdated, and the rooms are very small. They put two in a room. It i…

LisaSeptember 29, 2022Caring.com

★★★★★

Positive

I am a friend or relative of resident

My mother was in tendercare cheboygan last year before she passed away with cancer.the staff was outstanding with my mom and my family,they treated her with dignity and love and had the utmost respect for her.the nursing staff to the dietary was extrodinary with ther skilled care.we want to thank everyone who took care of my mom,may God bless you all.

BurfamilySeptember 5, 2016Caring.com

★★★★★

Positive

I am/was a resident of this facility

Wonderful caring staff. Therapy was great and help push me toget home. After I discharged home my wife broke her hip and also stayed a Tendercare. We both would recommend.

BluesnailMay 21, 2015Caring.com

★★★★★

Positive

I am a friend or relative of resident

Tendercare is much better than it was years ago. I thought I would never place anyone back in there from what I heard about the place. When larson hall closed I had to put my husband in there and was worried but couldn't be happier. It is so nice and the staff really cater to him. They are always willing to do what they can to help and the whole place seems to have taken a turn for the better. I am so thankful he can stay in town and it is really nice in there.

jalneuman204July 14, 2012Caring.com

★★★★★

Positive

I am a friend or relative of a resident

My grandmother was sent to Tender Care in Cheboygan, Michigan recently. She went there for inpatient physical rehab after being released from the hospital. The facility itself was very impressive, a lot better than we thought it would be. She absolutely loved the food service there. They catered to her special dietary needs with so much attention to detail too. You would think that's a given in care facilities, but we've experienced some places that just didn't seem to care about the quality of food …

shufflezombehDecember 8, 2011Caring.com

★★★★★

Critical

I am a friend or relative of a resident

I called every other home in the Northern Michigan area trying to find a place for my mother. It is horrible. My mother was an incredibly large woman who needed assistance moving from her bed to her commode. At one point while doing a transfer they dropped her. They said that they didn't drop her, they "assisted her to the floor". When I questioned why a bed-bound patient who couldn't walk on her own needed to get on the floor, I never got a very good answer. But the worst part was when she was …

chr1124September 29, 2011Caring.com

Verified overview

What we know from public sources

Care options
Skilled Nursing
Operator
Not yet resolved
Public price status
Not publicly found
Last source check
October 26, 2026

Campus care settings

Skilled nursing

Medilodge of Cheboxgan

Capacity not published

Skilled nursing

Medilodge of Cheboygan

85 CMS-certified beds · CMS CCN 235566

Classification and identity evidence

Why this community appears in these categories

Skilled Nursing

Current CMS-certified nursing-home provider record; classification does not imply current admission availability.

Authoritative classification evidence · observed September 20, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed October 26, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed October 26, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed October 23, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed October 19, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed October 19, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed September 19, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed September 19, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed September 18, 2026

Skilled Nursing

Facility has the exact Skilled Nursing Facility NUCC taxonomy in a payer-published CMS Medicare Advantage provider-directory export; directory listing does not guarantee authorization or admission availability.

Official-source proxy—not an official marketing classification · observed September 18, 2026

Facility-level payment evidence

Plans and public programs found in source records

These are directory, certification, contract, or participation records. They do not determine an individual’s eligibility, authorization, network benefits, cost sharing, admission, or whether a visit or stay is free.

In-network record

Devoted Health Medicare Advantage H2697-024-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-025-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-023-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-020-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-018-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-016-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-017-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-027-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-028-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-026-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-022-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-015-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-002-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-001-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-003-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-004-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-007-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-009-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-006-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2697-019-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2526-003-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2526-002-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H2526-001-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-025-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-026-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-023-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-024-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-012-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-011-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-004-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-007-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-008-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-009-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-005-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-001-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-006-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-002-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-022-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-021-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-020-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-019-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-014-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-015-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-016-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-017-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

In-network record

Devoted Health Medicare Advantage H7471-013-000

Payer: Devoted Health · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

Confirm current network status, prior authorization, covered-stay requirements, cost sharing, and admission availability with the plan and facility.

Devoted Health CMS Medicare Advantage Provider Directory ↗ · source dated October 22, 2026

Certified provider record

MI Medicaid

Payer: MI Medicaid · Service scope: Long Term Nursing

Room-and-board coverage is not publicly confirmed.

CMS Provider Data Catalog ↗ · source dated August 1, 2026

Certified provider record

Original Medicare

Payer: Centers for Medicare & Medicaid Services · Service scope: Short Term Skilled Nursing

Room-and-board coverage is not publicly confirmed.

CMS Provider Data Catalog ↗ · source dated August 1, 2026

Payment-program records

Medicare and Medicaid information

Medicaid

CMS provider type: Medicare and Medicaid

A contract or certification record does not guarantee coverage, eligibility, or current acceptance of new residents.

Medicare

CMS provider type: Medicare and Medicaid

A contract or certification record does not guarantee coverage, eligibility, or current acceptance of new residents.

Official oversight

Inspection and quality records

Centers for Medicare & Medicaid Services2/5 overall CMS rating · 2/5 health inspection · 4/5 staffing · 9 recent-cycle deficienciesView the official record ↗

Coverage last checked October 26, 2026 via Centers for Medicare & Medicaid Services.

Questions to confirm with the community

Additional care fees
Not publicly disclosed
Move-in fee
Not publicly disclosed
Exact unit availability
Confirmation required