Inspection Reports for Bay City Comfort Care

The investigation was initiated due to allegations received from Adult Protective Services regarding Resident A's eviction and stolen belongings.

The investigation found that Resident A's eviction was consistent with the residency agreement and not a violation, and the allegation of stolen belongings was not substantiated. However, the facility violated the rule by failing to include a statement in Resident A's discharge letter informing the resident of the right to file a complaint with the department.

The complaint investigation was initiated based on allegations that Resident A was evicted and that Resident A's belongings were stolen. Both allegations were not substantiated. However, an additional finding of a violation was substantiated regarding the discharge letter.

The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Bay City Comfort Care.

The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.

The investigation was initiated due to complaints alleging sexual aggression by a resident, delayed response to call lights resulting in residents being saturated with urine, lack of regular repositioning causing skin breakdown, and caregivers' inability to handle uncontrollable resident behavior.

The investigation found no violations regarding sexual aggression, delayed incontinence care, or skin breakdown due to repositioning. However, a violation was established related to the facility's failure to adequately manage Resident E's uncontrollable behavior and lack of documentation of observed behaviors for Residents A, B, and E.

The complaint alleged Resident A was sexually aggressive towards Resident B without caregiver intervention, Resident C waited nearly 30 minutes for assistance resulting in being saturated with urine, residents were not repositioned regularly causing skin breakdown including Resident D, and Resident E had uncontrollable behavior that caregivers could not manage. The investigation substantiated only the issue related to Resident E's behavior management and documentation.

The inspection was conducted in response to a complaint alleging inadequate protection for Resident A, late medication administration, and delayed meal provision for Resident B.

The investigation found violations for inadequate protection of Resident A, late administration of medications to multiple residents, and inappropriate use of restraint by reclining Resident A's chair. No violations were found regarding inadequate care related to soiled clothing or delayed meals for Resident B.

Complaint alleged inadequate protection for Resident A who fell from her wheelchair and later died, residents administered medications late, and Resident B not receiving meals timely. The complaint was substantiated for inadequate protection and late medication administration but not for inadequate care or meal provision.

The investigation was initiated due to a complaint that a resident was served food not modified to a texture she could safely swallow, which resulted in choking and death.

The investigation confirmed that the Resident of Concern (ROC) was served unmodified food contrary to physician orders, leading to choking and death. Another resident was also found to be at risk due to being served unmodified food despite having a mechanical soft diet order.

The complaint alleged that the Resident of Concern was served food not modified to a safe texture multiple times, leading to choking and death. The violation was substantiated based on police and medical examiner reports, interviews, and facility observations.

The document serves as a notification that the Home for the Aged license for Bay City Comfort Care, LLC has been renewed for a 12-month period effective April 24, 2023.

The license renewal was granted in accordance with MCL 333.20155(1), confirming the facility's compliance to continue operation under the Home for the Aged license.

The investigation was initiated due to a complaint alleging insufficient staffing, inadequate incontinence care, failure to reposition a resident with pressure sores, and lack of resident care supplies at Bay City Comfort Care, LLC.

The investigation found a violation for insufficient staffing as the facility did not have adequate staff on duty consistent with resident needs. Violations were not established for inadequate incontinence care, failure to reposition a resident with pressure sores, or lack of resident care supplies.

The complaint alleged insufficient staffing, inadequate incontinence care, failure to reposition a resident with pressure sores, and lack of resident care supplies. The staffing violation was substantiated; other allegations were not substantiated.

The inspection was conducted in response to a complaint alleging that Resident A did not receive his prescribed injection antibiotic medication as ordered.

The investigation confirmed that Resident A did not receive the antibiotic injection on the prescribed start date and missed doses on 10/22/22 and 10/23/22 due to the facility's inability to administer the medication over the weekend. The facility received the medication and order on 10/17/22 but failed to administer it timely and refused offered education and assistance from a home care company.

The complaint alleged that Resident A did not receive his injection antibiotic medication starting on 10/18/22 as ordered. The violation was established based on interviews and document review.

The investigation was initiated due to a complaint alleging that a resident did not receive appropriate personal care and that the facility was understaffed, impacting resident care.

The investigation found that the allegation of inadequate personal care for the Resident of Concern was not substantiated, but the facility was found to have insufficient staffing levels, particularly in the Memory Care unit, with multiple shifts lacking assigned staff. Additionally, the facility failed to maintain accurate employee work schedules documenting actual staff who worked.

The complaint alleged that the Resident of Concern was found in a soiled and wet incontinence brief and that the facility was understaffed, leading to inadequate care. The allegation of inadequate personal care was not substantiated, but the staffing inadequacy was substantiated.

The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Bay City Comfort Care, LLC.

The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. The study recommended issuance of a temporary license with a maximum capacity of 67.