Inspection Reports for Brookdale Grand Blanc
5080 E Baldwin Rd, Holly, MI 48442, United States, MI, 48442
Back to Facility ProfileDeficiencies per Year
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Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 40
Capacity: 78
Deficiencies: 0
Apr 4, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility's license renewal.
Findings
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.
Report Facts
Number of staff interviewed and/or observed: 9
Number of residents interviewed and/or observed: 40
Capacity: 78
Number of excluded employees followed up: 4
Inspection Report
Complaint Investigation
Capacity: 78
Deficiencies: 2
Mar 21, 2024
Visit Reason
The investigation was initiated due to complaints alleging Resident A's medications were not administered as prescribed, Resident A lacked care, the facility was understaffed, and medication technicians required training.
Findings
The investigation found violations related to medication administration where Resident A's medications, specifically Midodrine and Carbidopa-Levodopa, were not always administered as prescribed. The facility also lacked an organized program to ensure Resident A's service plan reflected specific care and maintenance for his heart monitor and record of falls. No violations were found regarding understaffing or medication technician training.
Complaint Details
The complaint alleged Resident A's medications were not administered correctly, Resident A lacked care including falls with injuries and inadequate feeding assistance, the facility was understaffed, and medication technicians required training. The investigation substantiated violations related to medication administration and lack of organized care program but did not substantiate understaffing or training deficiencies.
Deficiencies (2)
| Description |
|---|
| Resident A's medications, specifically Midodrine and Carbidopa-Levodopa, were not always administered as prescribed by the licensed healthcare professional. |
| The facility lacked an organized program to ensure Resident A's service plan reflected specific care and maintenance for his heart monitor as well as record of falls. |
Report Facts
Facility capacity: 78
Resident weight: 161.8
Resident weight: 134.2
Resident census: 62
Resident census: 55
Resident census: 63
Resident census: 61
Resident census: 61
Resident census: 59
Staff on duty: 6
Staff on duty: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Vahlbusch | Administrator | Interviewed regarding Resident A's care and facility staffing |
| Mary North | Authorized Representative | Corresponded and involved in Resident A's care |
| Jessica Rogers | Licensing Staff | Conducted the investigation and authored the report |
| Employee #1 | Interviewed regarding medication administration and Resident A's care | |
| Employee #2 | Interviewed regarding medication administration and Resident A's care; training records reviewed |
Inspection Report
Complaint Investigation
Census: 20
Capacity: 78
Deficiencies: 1
Jan 25, 2024
Visit Reason
The inspection was conducted following an anonymous complaint received on 01/16/2024 alleging that Resident A eloped from the facility and was struck by a car.
Findings
The investigation confirmed that Resident A eloped from the facility and was fatally struck by a car. The facility failed to ensure Resident A's safety as staff were unaware he had left, the door alarm did not alert staff, and the resident did not sign out as required. The service plan did not reflect increased supervision despite noted confusion.
Complaint Details
The complaint alleged that Resident A eloped from the facility on 01/08/2024 and was struck by a car, resulting in death. The violation was established based on investigation findings.
Deficiencies (1)
| Description |
|---|
| Failure to assure the safety of Resident A who eloped and was struck by a car due to lack of supervision and ineffective door alarms. |
Report Facts
Capacity: 78
Census: 20
Staff count: 6
911 call time: 811
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Vahlbusch | Administrator | Administrator interviewed and provided information regarding facility policies and incident |
| Brender Howard | Licensing Staff | Author of the Special Investigation Report |
Inspection Report
Renewal
Deficiencies: 0
May 7, 2023
Visit Reason
The document serves as a license renewal notification for the Home for the Aged facility, Brookdale Grand Blanc AL, effective for 12 months starting May 7, 2023.
Findings
The license for the facility has been renewed in accordance with state law, valid only at the listed address and non-transferable.
Report Facts
License effective date: May 7, 2023
Inspection Report
Complaint Investigation
Census: 61
Capacity: 78
Deficiencies: 4
Dec 12, 2022
Visit Reason
The inspection was conducted in response to a complaint alleging understaffing, neglect of Resident A, and failure to administer medications as prescribed at Brookdale Grand Blanc AL.
Findings
The investigation found that the facility was sufficiently staffed, but substantiated neglect of Resident A related to wound care, call light response times, and medication administration issues. Additionally, the facility failed to maintain meal census records for the required three-month period.
Complaint Details
The complaint alleged the facility was understaffed, Resident A was neglected including call light response delays and nutritional neglect, and Resident A had not received medications as prescribed. The understaffing allegation was unsubstantiated; neglect and medication administration allegations were substantiated.
Deficiencies (4)
| Description |
|---|
| Resident A's wound care was inadequate due to lack of specific instructions in the service plan and inconsistent catheter changes. |
| Resident A experienced delayed call light responses inconsistent with facility policy. |
| Resident A's medications (Senna 8.6 mg and Tamsulosin 0.4 mg) were documented as given but were not available in the medication cart and not reordered timely. |
| The facility maintained meal census records for only seven days, not the required three-month period. |
Report Facts
Resident census: 61
Total licensed capacity: 78
Call light wait times: 58
Call light wait times: 5
Medication missing: 2
Meal census period: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Vahlbusch | Administrator | Interviewed regarding staffing, Resident A care, and documentation |
| Jessica Rogers | Licensing Staff | Author of the Special Investigation Report |
| Amy Borzymowski | Authorized Representative | Participated in exit conference and corrective action plan correspondence |
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