Inspection Reports for
Orchard Hill

R 325.1944 Employee records and work schedules: schedules provided by the facility were not always updated to reflect staffing changes for the timeframe reviewed.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: the facility did not have their resident rights policy posted.

R 325.1922 Admission and retention of residents: resident admission contracts for Residents A, B and C were not updated to reflect the new ownership entity and Resident D did not have a service plan in place.

R 325.1922 Admission and retention of residents: Residents B, C, D, E and F’s tuberculosis testing was not completed within 12 months prior to admission.

R 325.1923 Employee's health: Employees 1, 2, 3 and 4’s initial tuberculosis testing was not completed within 10 days of hire.

R 325.1932 Resident medications: multiple residents missed scheduled medication doses and staff failed to document reasons or made documentation errors regarding medication administration.

R 325.1944 Employee records: Employee 1 and 2’s files lacked evidence of training.

R 325.1954 Meal and food records: the facility was unable to produce a meal census record.

R 325.1972 Solid wastes: garbage containers throughout the facility were uncovered without lids, including several in the commercial kitchen.

R 325.1976 Kitchen and dietary: perishable food items in the commercial kitchen’s refrigerator and freezer were not properly stored and lacked labels or dates.

R 325.1976 Kitchen and dietary: reliable thermometers were missing from refrigerators and freezers in resident rooms 124 and 203, the activity room, and memory care areas.

R 325.1976 Kitchen and dietary: the facility could not confirm that utensils and dishes were adequately protected from contamination due to lack of temperature monitoring records for the dish machine.

R 325.1979 General maintenance and storage: hazardous and toxic materials were stored in unlocked cabinets in unsecured areas, posing ingestion and poisoning risks to residents lacking safety awareness.

R 325.1931 Employees; general provisions: Resident A's service plan lacked specific care instructions and wound management details, and wound care documentation was incomplete.

R 325.1932 Resident medications: Resident A did not always receive medications as prescribed, including incomplete antibiotic courses and missed doses due to medication unavailability.

R 325.1921 Governing bodies, administrators, and supervisors: the facility did not follow policy and procedure post fall occurrences, including failure to notify family and complete incident reports as required.