Inspection Reports for
The Reserve at Orchard Lake

R 325.1923 Employee's health: the facility was unable to produce evidence that Employees 1 and 2 were screened for TB within 10 days after hire, and some employees had TB screening completed before hire dates.

R 325.1932 Resident’s medications: multiple residents missed doses of prescribed medications without documentation of reasons; repeat violation established.

R 325.1953 Menus: a weekly menu was not posted, only lunch and dinner for the current day were observed.

R 325.1968 Toilet and bathing facilities: resident toilet rooms in the memory care unit and second floor were used as storage.

R 325.1972 Solid wastes: multiple garbage cans, including three in the commercial kitchen, did not contain lids.

R 325.1976 Kitchen and dietary (6): perishable food items in the walk-in refrigerator and freezer lacked proper labeling and/or were not sealed to prevent contamination; repeat violation established.

R 325.1976 Kitchen and dietary (8): thermometers were missing from refrigerators and freezers in multiple apartments and the memory care kitchen; repeat violation established.

R 325.1976 Kitchen and dietary (13): the facility could not demonstrate adequate sanitization of dishes; a plastic scoop was stored inside a sugar container and was not sanitized after each use.

R 325.1979 Kitchen and dietary (1): mold was observed on the ceiling and wall near an exhaust fan in the first floor laundry room; corroded and water damaged drywall was observed in the second floor laundry room.

R 325.1931 Employees; general provisions: Resident C’s service plan was not followed on 7/9/24, as he was not assisted to the bathroom and subsequently sustained a fall with injury.

R 325.1944 Employee records and work schedules: facility schedules were not updated on three occasions to accurately reflect care and med passing staff present.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents; facility staff failed to treat Resident A with dignity and respect consistent with the provisions of care outlined in public health code statute by intentionally antagonizing her, causing her to become visibly upset on 4/20/24.

R 325.1924 Reporting of incidents, accidents, elopement; the licensee could not demonstrate that an incident report was completed on the 4/20/24 incident involving Resident A and corrective measures could not be confirmed or evaluated.

R 325.1921 Governing bodies, administrators, and supervisors: the facility did not protect Resident A from injury while under their care as no fall was documented or reported.

R 325.1931 Employees; general provisions: the service plan did not adequately specify the required two-person assistance for Resident A's transfers, risking her safety.

R 325.1921 Governing bodies, administrators, and supervisors: the facility did not maintain an organized program of protection, supervision, and assistance as only one staff was working in the memory care area to respond to residents and phone calls after concierge hours.

R 325.1931 Employees; general provisions: staff did not treat Resident B with dignity and failed to attend to his protection and safety when he came to the balcony undressed and staff offered no help.

R 325.1922 Admission and retention of residents: Resident A’s service plan was not updated to address her repeated phone calls to staff, police, and EMS.

MCL 333.21321 Bond required: the facility is currently holding resident funds and has not given a bond with a surety approved by the department.