Inspection Reports for Fairmont Senior Living of Northville
15870 N Haggerty Rd, MI, 48170
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
10.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
102% worse than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Renewal
Census: 22
Capacity: 120
Deficiencies: 10
Nov 28, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study Report to evaluate compliance with licensing requirements and to determine if the facility's license should be renewed.
Findings
The facility was found to be in non-compliance with multiple rules including lack of organized protective measures for bedside assistive devices, missing tuberculosis screening for employees, inadequate staff training, medication administration issues, missing posted menus, ventilation problems, lack of reliable thermometers in refrigerators/freezers, incomplete disaster plans, and missing workforce background checks. Repeat violations were noted for some deficiencies.
Deficiencies (10)
| Description |
|---|
| Lack of organized program to ensure protection and supervision related to bedside assistive devices; missing physician order and insufficient care plans for halo rings. |
| Facility lacked an annual tuberculosis risk assessment and employee files lacked verification of TB screening within 10 days of hire. |
| Failure to designate a fully dressed, awake supervisor of resident care on each shift. |
| Staff training records lacked required training including personal care, medication administration, resident rights, and fire safety. |
| Residents did not always receive medications as prescribed; medication administration records had blanks. |
| Weekly regular menu was not posted; special and therapeutic diet menus were outdated. |
| Inadequate ventilation in restrooms and beauty salon lacking discernable airflow. |
| Southside Memory Care refrigerator and freezer lacked reliable thermometers. |
| Disaster plan lacked policy and procedure for explosions. |
| Employee files lacked workforce background checks consistent with Public Health Code. |
Report Facts
Capacity: 120
Residents observed/interviewed: 22
Staff interviewed/observed: 12
Others interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rick Goren | Administrator/Authorized Representative | Interviewed regarding bedside assistive device policy and facility operations |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Oct 13, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A was physically assaulted by Resident B and that Resident A was not administered medication according to the prescriber's orders.
Findings
The allegation of physical assault was not substantiated, but the facility was found to have violated medication administration rules by improperly administering blood pressure medication and failing to document medication administration properly.
Complaint Details
The complaint alleged that Resident A was physically assaulted by Resident B and that Resident A was not administered medication according to prescriber orders, including incidents of giving insulin when it should not have been given and failure to monitor blood pressure medication administration. The physical assault allegation was not substantiated, but medication administration violations were substantiated.
Deficiencies (2)
| Description |
|---|
| Medication technicians administered blood pressure medication to Resident A when unwarranted and failed to administer medication when indicated by prescriber parameters. |
| The facility did not maintain medication administration records as required, including missing documentation of medication administration times and incomplete logs. |
Report Facts
Capacity: 120
Medication administration omissions: 5
Medication administration errors: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara P. Zabitz | Health Care Surveyor | Conducted the investigation and authored the report |
| Rick Goren | Administrator/Authorized Representative | Facility administrator involved in the investigation |
Inspection Report
Renewal
Deficiencies: 0
Mar 16, 2023
Visit Reason
An administrative review of the facility's 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 facility's 12-month license effective 12/18/2022.
Report Facts
License effective date: Dec 18, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Signed the renewal letter and communicated the licensing decision |
Inspection Report
Original Licensing
Capacity: 120
Deficiencies: 9
May 25, 2021
Visit Reason
The inspection was conducted as part of the original licensing study for Brighton Gardens of Northville to evaluate compliance with state regulations and determine eligibility for licensing as a home for the aged.
Findings
Multiple violations were established related to resident service plan updates, supervision of resident care, staffing adequacy, medication supervision, employee work schedules, menu posting, meal and food records, and kitchen and dietary safety and sanitation practices. A corrective action plan is required due to the severity of these violations.
Deficiencies (9)
| Description |
|---|
| Failure to update resident service plans when there was a significant change in care needs. |
| Failure to designate one person on each shift as supervisor of resident care who is fully dressed, awake, and on premises. |
| Insufficient staffing resulting in delayed response times to resident calls for assistance, some exceeding 120 minutes. |
| Resident medication supervision not adequately addressed in service plans, including lack of specific instructions for PRN medications. |
| Work schedules did not accurately reflect staff who actually worked or identify supervisors of resident care. |
| Menus for regular and therapeutic diets were not prepared and posted for the current week. |
| Failure to maintain meal census and records of food used for the preceding three months. |
| Food items in kitchen were uncovered, undated, and potentially unsafe for consumption. |
| Multi-use utensils were not properly sanitized and dishwasher temperature logs were incomplete. |
Report Facts
Capacity: 120
Resident calls for assistance delayed: 31
Extended response times: 174
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Hardy | Licensee Authorized Representative | Participated in exit conference and referenced as administrator |
| A'Nisah Muhammad | Lead Care Manager | Named as one of the supervisors of resident care during shifts |
| Wallace Bannerman | Cook | Named in findings related to kitchen and dietary violations |
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