Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Renewal
Census: 22
Capacity: 72
Deficiencies: 8
Sep 26, 2024
Visit Reason
The inspection was conducted as a renewal licensing study for Brookdale Northville to assess compliance with state regulations and determine if the facility meets requirements for license renewal.
Findings
The facility was found to be in non-compliance with multiple administrative rules including employee health screening, resident medication management, use of communal bathrooms for storage, improper garbage container lids, kitchen sanitation issues, and general maintenance deficiencies. Numerous repeat violations were noted.
Deficiencies (8)
| Description |
|---|
| Employee files lacked evidence of initial tuberculosis testing within required timeframe for four employees. |
| Resident service plans did not accurately specify medication administration status for Residents A and B. |
| Multiple missed medication doses with undocumented reasons and incorrect medication administration documentation for several residents. |
| Communal bathrooms were used for storage purposes. |
| Multiple garbage containers throughout the facility were observed without lids. |
| Facility staff failed to use Ecolab test strips to verify dish sanitizer chemical levels for the month of September. |
| Ice scoop was stored inside the ice machine without proper sanitation after each use, increasing risk of contamination. |
| Facility required deep cleaning due to sticky surfaces, visible floor staining, disarray in communal restrooms, and damaged tile floor in housekeeping closet. |
Report Facts
Number of staff interviewed: 12
Number of residents interviewed: 22
Facility capacity: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristy Hamrick | Administrator | Confirmed medication administration practices and documentation errors |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and recommendation |
Inspection Report
Renewal
Deficiencies: 0
Oct 2, 2023
Visit Reason
The document serves as a notification of the renewal of the Home for the Aged license for Brookdale Northville following an administrative review of licensing activity over the past year.
Findings
The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license for 12 months effective 10/29/2023.
Report Facts
License effective period: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Staff | Author of the renewal notification letter |
Inspection Report
Complaint Investigation
Capacity: 72
Deficiencies: 2
Sep 6, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A lacked proper care, specifically regarding administration of post-surgical eye drops, failure to hold a care conference with the resident's durable power of attorney, and lack of an appointed shift supervisor on duty.
Findings
The investigation substantiated violations related to lack of care for Resident A due to failure to administer post-surgical eye drops as prescribed and failure to appoint a designated shift supervisor on duty. The allegation that Resident A's care conference was not held with his son/durable power of attorney was not substantiated.
Complaint Details
The complaint alleged Resident A did not receive proper care before and after eye surgery, specifically missing post-surgical eye drops on 7/25/2023 and 7/26/2023. It also alleged Resident A's care conference was not held with his son/durable power of attorney and that there was no appointed shift supervisor on duty. The investigation substantiated the lack of care and shift supervisor allegations but did not substantiate the care conference allegation.
Deficiencies (2)
| Description |
|---|
| Failure to ensure Resident A's post-surgical medications were ordered and administered as prescribed. |
| Failure to appoint one designated shift supervisor of resident care on duty per shift. |
Report Facts
Capacity: 72
Complaint Receipt Date: Jul 27, 2023
Investigation Initiation Date: Jul 28, 2023
Report Due Date: Sep 26, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Conducted the investigation and authored the report |
| Leslie Aneed | Administrator | Facility administrator mentioned in relation to documentation and investigation |
| Mary North | Authorized Representative | Facility authorized representative involved in correspondence and exit conference |
Inspection Report
Complaint Investigation
Capacity: 72
Deficiencies: 1
Aug 25, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that a resident did not receive necessary assistance and personal care, including timely incontinence care and bathing, and concerns about staff behavior and DNR orders.
Findings
The investigation established a violation regarding excessive wait times for assistance for the Resident of Concern (ROC), but could not substantiate inadequate care or taunting by staff. The facility had no documentation of daily ADL care for the ROC, and no evidence was found that the facility improperly claimed a DNR order.
Complaint Details
The complaint alleged that the Resident of Concern did not receive timely assistance with toileting and bathing, was left in soiled diapers for extended periods, and was taunted by a caregiver. It also alleged the facility incorrectly claimed a Do Not Resuscitate (DNR) order for the resident. The investigation substantiated the excessive wait times but did not substantiate the taunting or DNR allegations.
Deficiencies (1)
| Description |
|---|
| Excessive wait times for assistance with toileting and personal care for the Resident of Concern. |
Report Facts
Capacity: 72
Call light response times exceeding 15 minutes: 15
Inspection Report
Renewal
Deficiencies: 0
Oct 29, 2022
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 administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license.
Report Facts
License duration: 12
Inspection Report
Original Licensing
Capacity: 72
Deficiencies: 0
Jun 15, 2015
Visit Reason
The document is an addendum to the Original Licensing Study Report requested to change the facility name from Wynwood of Northville, a Brookdale Community, to Brookdale Northville as part of a rebranding project.
Findings
The name change was confirmed to have occurred on 2015-06-15 with no changes in ownership, operations, or location. The recommendation is to approve the facility name change to Brookdale Northville.
Report Facts
Facility capacity: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patricia J. Sjo | Licensing Staff | Author of the addendum and recommendation |
| Betsy Montgomery | Area Manager | Approved the addendum |
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