Inspection Report
Renewal
Capacity: 28
Deficiencies: 6
Jan 7, 2025
Visit Reason
The inspection was conducted as a renewal licensing study for Brookdale Farmington Hills North I to assess compliance with regulatory requirements and determine eligibility for license renewal.
Findings
The facility was found to be in non-compliance with several administrative rules including tuberculosis screening for residents and employees, medication administration errors, inaccurate meal census records, improper use of a resident bathroom for storage, and unsafe food handling practices in the kitchen. Repeat violations were noted for meal records and kitchen food safety.
Deficiencies (6)
| Description |
|---|
| Resident A's tuberculosis screening was completed after admission, not within 12 months prior as required. |
| Employee 1 did not have evidence of initial tuberculosis screening within 10 days of hire and before occupational exposure. |
| Medication administration errors including missed doses and documentation errors for Resident A and Resident B. |
| Meal census records were combined with another building and included counts for residents outside this license. |
| A communal bathroom was used for storage and housekeeping functions, violating resident toilet room use rules. |
| Multiple perishable food items in the kitchen were left uncovered and unlabeled, posing a food safety risk. |
Report Facts
Facility capacity: 28
Staff interviewed: 5
Residents interviewed: 6
Missed medication doses: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mary North | Authorized Representative | Named as authorized representative of the facility |
| Rebecca Eagle | Administrator | Named as administrator of the facility |
Inspection Report
Renewal
Deficiencies: 0
Jan 7, 2024
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Inspection Report
Complaint Investigation
Census: 8
Capacity: 28
Deficiencies: 1
May 11, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A lacked care, including missed showers, medication errors, and falls, as well as allegations that staff's children were present in the facility and residents were given Kool-Aid to drink.
Findings
The investigation established a violation related to Resident A not always receiving care consistent with her service plan, including incomplete medication administration records. The allegation regarding staff's children being in the facility and residents receiving Kool-Aid was not substantiated.
Complaint Details
The complaint alleged Resident A lacked care, including missed showers, medication errors, and falls. It also alleged staff's children were in the facility and residents received Kool-Aid to drink. The violation related to Resident A's care was substantiated; the other allegations were not.
Deficiencies (1)
| Description |
|---|
| Resident A did not always receive care consistent with her service plan, including incomplete medication administration on specific dates. |
Report Facts
Capacity: 28
Census: 8
Dates with incomplete medication records: 3
Complaint Receipt Date: Apr 20, 2023
Investigation Initiation Date: Apr 21, 2023
Inspection Date: May 11, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Rowe | Administrator | Interviewed during inspection; provided information about Resident A and facility operations |
| Mary North | Authorized Representative | Participated in exit conference and correspondence |
Inspection Report
Renewal
Deficiencies: 0
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 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 renewal period: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Staff | Signed the renewal letter and conducted the administrative review |
Inspection Report
Original Licensing
Capacity: 28
Deficiencies: 0
Feb 17, 2009
Visit Reason
The visit was conducted to process an addendum to the original licensing study report due to a legal entity name change for the licensee.
Findings
The licensee legally changed its name from Alterra Healthcare Corporation to Brookdale Senior Living Communities, Inc. on February 17, 2009. This change does not affect the tax identification number.
Report Facts
Facility capacity: 28
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