Inspection Reports for
Hampton Manor of Brighton

R 325.1931 Employees; general provisions: staffing was consistently below minimum levels described by facility management.

R 325.1933 Personal care of residents: the facility could not demonstrate weekly bathing activities were completed for Residents C, D, E and F who require staff assistance.

R 325.1931 Employees; general provisions: the facility could not demonstrate that service planned bathing tasks were completed for Residents C, D, E and F.

R 325.1932 Resident medications: the facility could not demonstrate that medications were administered as prescribed due to repeated documentation errors and medication unavailability.

R 325.1944 Employee records and work schedules: schedules were not updated to reflect staffing changes throughout the timeframe reviewed.

R 325.1921 Governing bodies, administrators, and supervisors: Resident A had multiple fall occurrences where family, physician, and hospice had not been notified and the service plan was not updated with corrective measures.

R 325.1932 Resident medications: Resident A missed multiple consecutive medications due to unavailability and refusal, and required blood pressure readings were not documented prior to medication administration.

R 325.1921 Governing bodies, administrators, and supervisors: the service plan for Resident B lacked information about bedside assistive devices related to purpose, staff responsibility, and maintenance schedules.

R 325.1922 Admission and retention of residents: the facility did not have evidence of initial tuberculosis screening for Resident B prior to admission.

R 325.1931 Employees; general provisions: care staff did not attest on the MAR that care tasks for Resident D, Resident B, and Resident C were completed as required.

R 325.1932 Resident medications: Resident A’s service plan lacked detailed information on anxiety behaviors and medication administration criteria; similar findings noted for Residents C and D.

R 325.1932 Resident medications: Resident B did not receive prescribed medications on multiple dates in March 2025 as ordered.

R 325.1932 Resident medications: medication technician did not initial administration of multiple medications for Resident B on several occasions.

R 325.1954 Meal and food records: the facility was not completing a meal census for the kind and amount of food used.

R 325.1976 Kitchen and dietary: the dishwasher sanitized with a heat cycle but there was no routine testing to ensure proper function.

R 325.1976 Kitchen and dietary: the walk-in refrigerator, freezer, and dry storage contained opened, unsealed, and undated food items.

R 325.1976 Kitchen and dietary: a reliable internal thermometer was not provided for the freezer.

R 325.1922 Admission and retention of residents: the service plan did not detail housekeeping services and incontinence pad placement despite frequent incontinence episodes and the requirement for reasonable care checks.

R 325.1921 Governing bodies, administrators, and supervisors: the licensee did not ensure the safe use of bedside assistive devices; bed rails were present without physician orders or service plan instructions, contrary to facility policy.

R 325.1932 Resident medications: medication administration records showed missed doses without documentation and medications given outside the prescribed time frames.

R 325.1976 Kitchen and dietary: the facility lacked monitoring or recording of dish machine temperatures to ensure proper sanitation of dishes.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents; adoption; posting and distribution; contents; additional requirements; discharging, harassing, retaliating, or discriminating against patient exercising protected right; exercise of rights by patient's representative; informing patient or resident of policy; designation of person to exercise rights and responsibilities; additional patients' rights; definitions: Observation of Resident B indicated that she was not being provided nail care as outlined in the service plan.

R 325.1976 Kitchen and dietary: The facility was unable to demonstrate that food is handled, stored, prepared, and transported safely for human consumption by not appropriately taking and recording the temperature of the food.

R 325.1953 Menus: Inspection of the facility revealed the menu for regular and therapeutic diets were not posted.

R 325.1932 Resident medications: Resident A's medication administration record contained multiple blank entries, and it could not be determined if Resident A received or refused several medications as ordered by the physician.

R 325.1932 Resident medications: medications were administered over an hour before or after the scheduled time on 5/13/2024, violating the resident's service plan.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: an open binder at an assisted living nurse station publicly displayed a resident’s room number with their shower skin assessment.

R 325.1941 Records; general: the facility lacked a February 2024 staff schedule as required.

R 325.1931 Employees; general provisions: the home did not have adequate and sufficient staff on duty at all times, with some shifts having only one or two staff members.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to ensure Employee #4’s background check was completed for the specific licensed home where he worked.

R 325.1931 Employees; general provisions: Employee #4 was not trained under the licensed home for the aged program specific to the facility’s program statement and service plans.

R 325.1931 Employees; general provisions: the facility had insufficient staff on duty on 4/2/2024, requiring memory care staff to leave their unit unattended to assist assisted living staff.

R 325.1921 Governing bodies, administrators, and supervisors: the home lacked an organized program ensuring Resident A's service plan adequately addressed her transfer needs and failed to document two-hour safety checks on night shift for April 2, 2024.

R 325.1931 Employees; general provisions: the April 2024 staff schedule lacked designation of a supervisor of resident care during each shift as required.

MCL 333.20173a (5)(c)(iii) Criminal history checks: staff person 1 was hired before completing fingerprint process as required.

R 325.1921 Governing bodies, administrators, and supervisors: Resident C had bedside assistive devices without physician orders or proper service plan documentation.

R 325.1923 Employee's health: Staff persons 1, 2, and 3 did not complete tuberculosis screening as required and annual TB risk assessment was not completed.

R 325.1931 Employees; general provisions (5): Staffing levels were insufficient on various shifts, preventing resident needs and PRN medication administration from being met. Repeat violation.

R 325.1931 Employees; general provisions (6): Staff persons 1, 2, and 3 lacked required training on personal care, first aid, and medication administration.

R 325.1931 Employees; general provisions (7): Facility administrator does not evaluate employee competencies as required.

R 325.1932 Resident medications (3)(b)(v): Medication technician failed to initial medication administration logs for multiple residents on multiple dates.

R 325.1953 Menus (2): Facility did not maintain copies of menus as actually served for the preceding three months.

R 325.1964 Interiors (9)(b): Soiled linen room in memory care unit lacked continuously operated exhaust ventilation.

R 325.1972 Solid wastes: Trash can in memory care common area did not have a lid.

R 325.1976 Kitchen and dietary (6): Walk-in refrigerator, freezer, and dry storage contained opened, unsealed, and undated food items.

R 325.1976 Kitchen and dietary (9): Leftover breakfast was not destroyed and was left sitting on the counter in memory care unit.

R 325.1931 Employees; general provisions: the facility was short staffed for approximately two and a half hours with only two staff to care for 34 assisted living residents and 10 memory care residents on 7/28/2023.

R 325.1944 Employee records and work schedules: the home did not make changes to the planned work schedule to reflect the staff who actually worked on 7/28/2023.