Inspection Reports for
The Avalon of Bloomfield Township

R 325.1932 Resident’s medications: Residents A, B, and C did not consistently receive their medications as scheduled, with late administrations outside the one-hour window and incomplete narcotic count logs.

MCL 333.20173 Covered facility; employees or applicants for employment; prohibitions; criminal history check: the background clearance provided for Employee 1 did not align with either hire date and was conducted on 2/24/23.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents; the facility did not have the residents’ rights policy posted.

R 325.1921 Governing bodies, administrators, and supervisors; the home lacked physician’s orders, resident service plan references, manufacturer’s guidelines, and training for bed rails used by Resident A, placing residents at risk of injury.

R 325.1922 Admission and retention of residents; Resident B's admission contract was void of signatures and did not contain the home's admission and discharge policies.

R 325.1922 Admission and retention of residents; the facility was unable to produce evidence that Resident A and Residents B, C, D, E, and F were screened for tuberculosis within 12 months prior to admission.

R 325.1923 Employee's health; the facility could not produce evidence that Employees 4, 5, and 6 had tuberculosis screening completed upon hire. Employee 1's TB screen did not align with hire dates.

R 325.1932 Resident’s medications; repeated instances of medication administration outside time parameters, late charting, improper documentation of missed doses, residents self-administering without proper evaluation, and unsecured medications in Resident A and G’s rooms.

R 325.1944 Employee records and work schedules; Employee 3's file lacked proof of training or competency to perform med tech duties.

R 325.1976 Kitchen and dietary; sausage links were left open and not properly sealed in the commercial walk-in freezer.

R 325.1979 General maintenance and storage; visible leaks under sinks on second and third floor dining/activity rooms and garbage observed on the floor of the first floor family room.

R 325.1979 General maintenance and storage; unsecured chemicals and cleaning agents were observed in multiple locations including dining room cabinet, med cart, laundry room, family room, and sun porch, posing ingestion and poisoning risks to residents.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: staff 1 slapped Resident A during care, failing to treat her with dignity and respect as evidenced by the forceful and insistent manner of changing Resident A’s brief despite her verbal and physical indications to stop.

R 325.1931 Employees; general provisions: staff working with residents requiring transfers were not properly trained prior to working with those residents, as documented training was missing for selected staff who worked with residents needing two-person assist and Hoyer lift transfers.

R 325.1932 Resident medications: the facility documented medications as given when they were not administered to residents on 7/08/2025.