Inspection Reports for
Bay City Comfort Care

R 325.1922 Admission and retention of residents: Resident A’s discharge letter did not include a statement informing the resident of the right to file a complaint with the department.

R 325.1921 Governing bodies, administrators, and supervisors: The administrator detailed behaviors displayed by Resident E but had not used that knowledge to establish interventions that caregivers could use to provide care to the resident.

MCL 333.20175 Maintaining record for each patient; wrongfully altering or destroying records; noncompliance; fine; licensing and certification records as public records; confidentiality; disclosure; report or notice of disciplinary action; information provided in report; nature and use of certain records, data, and knowledge: The facility was not documenting observations made of behaviors displayed by Resident A, Resident B and Resident E.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to provide adequate supervision to Resident A, who was a high fall risk and fell out of her wheelchair when staff left her unattended.

R 325.1932 Resident medications: multiple residents received medications more than an hour past the scheduled time, with some medications administered over two hours late.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: staff reclined Resident A’s chair to prevent her from getting up and falling, which constituted an inappropriate physical restraint.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to protect residents by serving unmodified food to Resident C, contrary to her physician's order for a mechanical soft diet.

R 325.1931 Employees; general provisions: The home did not have adequate and sufficient staff on duty at all times consistent with resident service plans, including shifts with fewer caregivers than optimal and only one caregiver present on the memory care unit for a resident requiring a 2-person transfer.