Inspection Reports for
The Woodlands of DeWitt

R 325.1921 Governing bodies, administrators, and supervisors: Resident E’s service plan lacked information about bedside assistive devices related to purpose, staff responsibilities, and maintenance schedules.

R 325.1922 Admission and retention of residents: The facility did not have evidence of tuberculosis screening for Resident A, Resident B, and Resident C.

R 325.1931 Employees; general provisions: Resident A’s service plan did not provide detail on Elara Hospice involvement and the role of the hospice company.

R 325.1931 Employees; general provisions: Resident C’s service plan stated blood pressure would be monitored, but no record showed this was completed.

R 325.1931 Employees; general provisions: The administrator or designees did not evaluate medication administration competencies for staff person 1 and staff person 2.

R 325.1979 General maintenance and storage: Cleaner and disinfecting wipes were easily accessible to residents in the memory care unit, posing an ingestion and poisoning risk.

R 325.1931 Employees; general provisions: Resident B was not offered or refusal documented for showers on multiple scheduled days as required by the service plan.

R 325.1932 Resident medications: Resident B ran out of prescribed Bimatoprost Sol 0.03% eye drops and did not receive the medication as prescribed from 09/06 to 09/08 and 09/13 to 09/17.

R 325.1932 Resident medications: The facility failed to contact the appropriate licensed health care professional regarding the missed doses of Bimatoprost medication.

R 325.1932 Resident medications: Prescribed medication was not administered according to labeling instructions and orders by the licensed health care professional.

R 325.1922 Admission and retention of residents: the facility could not provide evidence that Resident B participated in the development of the service plan.

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: Relative B1 was denied visitation with Resident B on 01/01/2024 despite a physician order limiting visits to specific hours and conditions.

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: Resident A was issued a discharge letter due to her guardian’s statements towards staff, which does not meet licensing criteria for discharge from the facility.

R 325.1922 Admission and retention of residents: Resident A’s discharge letter did not provide correct information on how to file a complaint with the Licensing Department.

R 325.1932 Resident medications: Resident A was administered morphine outside of physician orders on 6/24/2023 at 5:17pm due to wife instructing staff to give it even though Resident A was not in pain, and medication administration records showed conflicting doses and documentation errors.