Inspection Reports for
Brookdale Farmington Hills North II
27900 Drake Road, Farmington Hills, MI, 48331
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Inspection Report — Jan 7, 2025
Renewal State
Date: Jan 7, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility license should be renewed.
Findings
The facility was found to be in non-compliance with multiple administrative rules including lack of organized protection programs for residents, delayed tuberculosis screenings for residents and employees, medication administration documentation errors, outdated posted menus, inaccurate meal census records, improper use of resident bathrooms for storage, unsafe food handling practices, and unsecured hazardous materials storage.
Deficiencies (9)
Lack of organized program of protection related to bedside assistive devices without physician orders or proper evaluation.
Resident tuberculosis screenings were completed after admission dates.
Employee tuberculosis screening was not completed within required timeframe.
Medication administration records showed missed doses without documentation of reason.
Posted menu was not for the current week.
Meal census records combined with another building, including residents outside this license.
Resident toilet rooms used for storage and housekeeping purposes.
Multiple perishable food items left uncovered and unlabeled in kitchen refrigerator and freezer.
Unsecured chemicals cleaning agents stored in unlocked cabinets in dining room.
Report Facts
Staff interviewed/observed: 7
Residents interviewed/observed: 7
Date of on-site inspection: Jan 7, 2025
Date of exit conference: Jan 8, 2025
Date of Bureau of Fire Services Inspection: Apr 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Eagle | Administrator | Reported that assistive device was brought in by resident's family and was not authorized by facility or physician; submitted progress note regarding medication administration. |
Inspection Report — Nov 25, 2024
Complaint Investigation State
Date: Nov 25, 2024
Visit Reason
The investigation was conducted in response to allegations of inadequate care, visible bruises on residents, caregivers under the influence of drugs, and medication administration issues including missed or late medications and absence of medication technicians.
Complaint Details
The complaint alleged residents had inadequate care and visible bruises, caregivers were under the influence of drugs, and medications were administered late or missed with no medication technicians on-site. The allegation of inadequate care and caregiver impairment was not substantiated. The medication administration allegation was substantiated due to late medication administration without proper documentation.
Findings
The investigation found no evidence to substantiate allegations of inadequate care, visible bruises, or caregivers under the influence of drugs. However, it was substantiated that medications were administered late, and the facility did not fully follow its own medication administration policies.
Deficiencies (1)
Medications were administered late without adequate nurse notes explaining the delays, violating facility policy.
Report Facts
Dates of late medication administration: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Eagle | Administrator | Interviewed regarding allegations and medication administration |
| Jessica Rogers | Licensing Staff | Conducted inspection and authored report |
Inspection Report — Nov 7, 2024
Complaint Investigation State
Date: Nov 7, 2024
Visit Reason
The inspection was conducted in response to a complaint received on 11/04/2024 alleging that Resident A went missing from the facility and was found injured after wandering away.
Complaint Details
Complaint received from Adult Protective Service on 11/04/2024 alleging Resident A went missing on 11/02/2024 and was found injured two and a half miles from the facility. Violation was established.
Findings
The investigation found that Resident A, who was identified as a wanderer in his service plan, was able to exit the facility through a broken door whose latch and alarm system were not functioning properly. Resident A was found with injuries consistent with a fall. The facility failed to protect Resident A and did not comply with the resident's service plan or maintenance requirements.
Deficiencies (2)
Failure to protect Resident A consistent with his service plan, allowing him to exit through a broken door and sustain injuries.
The side door in the memory care unit was broken and the alarm system did not alert staff when Resident A exited.
Report Facts
Staff on duty: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Eagle | Administrator | Interviewed regarding the incident and facility conditions |
| Tina Edens | APS Worker | Provided information about Resident A's hospitalization |
Notice — Jan 7, 2024
State
Date: Jan 7, 2024
Visit Reason
An administrative review of licensing activity for the past year was conducted to determine compliance with public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Findings
The facility demonstrated substantial compliance with applicable regulations, leading to the renewal of its Home for the Aged license effective January 7, 2024.
Inspection Report — Jul 18, 2023
Complaint Investigation State
Date: Jul 18, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that the facility did not provide the Resident of Concern (ROC) with the protection, supervision, and assistance she required.
Complaint Details
The complaint alleged that the facility did not provide the Resident of Concern with adequate protection, supervision, and assistance, including failure to notify family of injury and inadequate assistance with meals. The complaint was substantiated with violations established.
Findings
The investigation found that the facility failed to notify the ROC's family of a significant injury and did not maintain complete records of the ROC's condition and incidents. However, there was no evidence that caregivers were inadequately trained. Violations were established related to protection and record-keeping.
Deficiencies (2)
Failure to provide the Resident of Concern with necessary protection, supervision, and assistance.
Failure to maintain complete and accurate records of the Resident of Concern's observations and incidents.
Report Facts
Caregiver hire dates: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Mary North | Administrator | Named as facility administrator during investigation |
| Leslie Rowe | Authorized Representative | Named as authorized representative during investigation |
| Barbara P. Zabitz | Health Care Surveyor | Conducted the investigation and authored the report |
Inspection Report — Dec 8, 2022
Renewal State
Date: Dec 8, 2022
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with the applicable regulations, resulting in the renewal of the Home for the Aged license for a 12-month period effective 01/07/2023.
Report Facts
License effective period: 12
Inspection Report — Nov 15, 2022
Complaint Investigation State
Date: Nov 15, 2022
Visit Reason
The investigation was initiated due to complaints alleging that a resident displayed problematic behaviors that were not addressed and that the facility was understaffed.
Complaint Details
The complaint alleged that a Resident of Concern (ROC) displayed problematic behaviors that were not addressed and that the facility was understaffed. The allegation regarding the ROC's behaviors was not substantiated, but the understaffing allegation was substantiated.
Findings
The investigation concluded that the allegation regarding the resident's problematic behaviors was not substantiated, but the facility was found to be understaffed during the relevant period, constituting a violation.
Deficiencies (1)
The facility was understaffed and did not have adequate and sufficient staff on duty at all times consistent with resident service plans.
Report Facts
Complaint Receipt Date: Oct 11, 2022
Investigation Initiation Date: Oct 11, 2022
Report Due Date: Dec 10, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Barbara P. Zabitz | Health Care Surveyor | Author of the Special Investigation Report |
| Alexis Clark | Administrator | Administrator interviewed during the investigation |
| Mary North | Authorized Representative | Authorized representative who reviewed findings |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report — Feb 17, 2009
Original Licensing State
Date: Feb 17, 2009
Visit Reason
The visit was conducted as an addendum to the original licensing study report to document a legal entity name change for the licensee from Alterra Healthcare Corporation to Brookdale Senior Living Communities, Inc.
Findings
The licensee legally changed its name on February 17, 2009, with no other changes to the tax identification number or facility operations. It is recommended that the facility's license be modified to reflect this name change.
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