Inspection Reports for
Bickford of Canton

R 325.1923 Employee's health: Employee #1’s personnel file did not contain documentation of a tuberculosis screening upon hire and prior to occupational exposure, and Employee #2 had a TB screening completed before hire date.

MCL 333.20173a Covered facility; employees or applicants for employment; prohibitions; Employee #3 did not have documentation of a valid workforce background check.

R 325.1953 Menus: The therapeutic and special diet menu posted in the facility reflected weekly menus; however, the menus were outdated and labeled for the week of March 27, 2026.

R 325.1976 Kitchen and dietary: There was no chemical sanitization logs maintained for March and April 2026.

R 325.1976 Kitchen and dietary: Food items, including meat, mushrooms, grapes, and cheese, were observed stored in the refrigerator uncovered or improperly wrapped, and Oreo cookies were found open in the dry storage area.

R 325.1976 Kitchen and dietary: Observations of resident refrigerator and freezer thermometers showed inconsistent temperature readings ranging from 20°F to 60°F, and temperature logs were not maintained for March and April 2026.

R 325.1979 General maintenance and storage: Cleaning chemicals and sprays were observed in unlocked kitchen cupboards within the memory care unit, creating a potential safety risk; these items were removed at the time of inspection.

R 325.1931 Employees; general provisions: the facility did not contact the local police authority within 30 minutes after Resident A eloped, and the service plan lacked specific details about her wandering history and elopement risk.

R 325.1924 Reporting of incidents, quality review programs: the facility did not notify Resident A’s POA regarding the incident within the required timeframe.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to provide adequate supervision and emergency medical care to Resident A, resulting in a fall and delayed hospital evaluation.

R 325.1922 Admission and retention of residents: the facility did not update Resident A’s service plan to include the need for her walker to be placed in front of her while sitting, a known safety requirement.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: Resident rights and responsibilities were not posted in a public place in the facility.

R 325.1913 Licenses and permits; general provisions: The facility license was not posted in a conspicuous public area of the home but was observed in a binder.

R 325.1932 Resident medications: Medication administration records were incomplete and lacked sufficient instructions for PRN medications, making it unclear if residents received medications as prescribed. Repeat violation.

R 325.1931 Employees; general provisions: Staff schedules showed shifts without a designated supervisor of resident care. Repeat violation.

R 325.1943 Resident registers: Resident discharge information was incomplete on face sheets. Repeat violation.

R 325.1953 Menus: Therapeutic or special diet menus were not posted for the current week. Repeat violation.

R 325.1964 Interiors: Memory care public restroom, beauty salon, soiled linen room, and residents’ bathing/toileting facilities lacked adequate and discernable air flow.

R 325.1970 Water supply systems: Hot water temperatures at resident plumbing fixtures were not regulated within the required range of 105 to 120 degrees Fahrenheit.

R 325.1976 Kitchen and dietary: Sanitization solution log and dish machine temperature log were incomplete or left blank for several days.

R 325.1976 Kitchen and dietary: The refrigerator in room 110 lacked a thermometer, and thermometers in residents’ refrigerators read 45 to 50 degrees Fahrenheit with uncertain accuracy.

R 325.1954 Meal and food records: The facility was unable to produce meal census production sheets beyond two weeks. Repeat violation.

R 325.1981 Disaster plans: The disaster plan lacked written procedures for explosion and loss of heat.

R 325.1931 Employees; general provisions: The facility lacked a staff training program ensuring evaluation of employee competencies prior to independent work. Repeat violation.

R 325.1922 Admission and retention of residents and R 325.1923 Employee's health: Employees #2 and #3 lacked tuberculosis screening within ten days of hire and before occupational exposure. Repeat violation.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to provide adequate protection for Resident A and other residents due to an inadequate supervision plan for Resident B, a known wanderer with safety risks and aggression.

R 325.1913 Licenses and permits; general provisions: the facility did not notify the department within 5 business days of the resignation of the previous administrator and the lack of a new administrator as of the onsite date.