Inspection Reports for Farmington Hills Inn

The inspection was conducted in response to a complaint alleging that an unauthorized person passed medications to residents at the facility.

The investigation confirmed that Employee 1 allowed her 16-year-old daughter, Employee 2, who is not trained to pass medications, to pass medications to residents on 08/30/2025. This violation was established based on video footage and witness statements.

The complaint alleged that on 08/30/2025, Employee 1 allowed her 16-year-old daughter, who is not a staff member trained to pass medications, to pass medications to residents. The allegation was substantiated based on video evidence and interviews.

The inspection was conducted in response to a complaint alleging inadequate supervision of Resident A, specifically concerning bruises from falling out of bed.

The investigation found that Resident A had a fall on 2024-11-17 resulting in pain in her arm. Resident A's service plan was outdated and inconsistent with her current needs, and the facility used a bedrail without a physician's order, which was not properly secured and considered a form of restraint. The facility was found not in compliance with applicable rules.

Complaint alleged inadequate supervision of Resident A with bruises from falling out of bed. APS denied allegations but investigation confirmed a fall occurred on 2024-11-17 with injury and non-compliance with care plan and restraint use.

The inspection was conducted in response to allegations received on 09/09/2024 from Adult Protective Services accusing Employee #1 of verbally abusing Resident A and overmedicating residents, which allegedly led to deaths.

The investigation found no evidence that Employee #1 verbally abused Resident A or overmedicated residents. However, deficiencies were found in the facility's Controlled Substance Narcotic Forms for medication carts #1 and #4, including incomplete logs and missing signatures, resulting in a substantiated violation.

The complaint alleged that Employee #1 verbally abused Resident A and overmedicated three residents leading to their deaths. The investigation did not substantiate these allegations but did find additional deficiencies related to medication documentation.

The investigation was initiated due to allegations received from Adult Protective Services concerning mistreatment of residents, including claims of overmedication and harm caused by staff.

The investigation found no evidence to substantiate the allegations that staff harmed or overmedicated residents. However, an additional finding was substantiated regarding the lack of a completed Workforce Background Check for an employee who worked under supervision prior to resignation.

The complaint alleged that staff harmed and overmedicated residents, including Resident A being given edible marijuana chocolates leading to a fall, Resident B being overmedicated and taken to hospital, and Resident C found with bruising possibly caused by staff. The allegations were not substantiated.

The inspection was conducted in response to complaints alleging poor quality of care, unsanitary medication carts and living areas, and poor staffing levels at Farmington Hills Inn.

The investigation found that the allegation of unsanitary medication carts and living areas was substantiated with observations of dirty medication carts and stained carpets. Allegations of poor quality of care and poor staffing levels were not substantiated. Staff were observed following infection control practices and staffing schedules met facility goals despite some call-offs.

The complaint alleged poor quality of care including infection control issues, unsanitary conditions such as employees not changing gloves and leaving soiled briefs in hallways, poor staffing levels, and inadequate PPE for COVID-19. The complaint was partially substantiated with unsanitary medication carts and living areas found, but poor quality of care and poor staffing were not established.

The inspection was conducted as a renewal licensing study for the Farmington Hills Inn facility to assess compliance with regulatory requirements and determine license renewal eligibility.

The facility was found to be in non-compliance with several administrative rules including overdue resident service plan updates, missed medication doses, unsecured medication cart, incomplete employee training records, and lack of posted weekly menus. Numerous repeat violations were cited.

The inspection was conducted following a complaint alleging neglect of Resident A, unauthorized use of personal cell phones by employees, and an elopement incident involving an unknown resident.

The investigation substantiated neglect of Resident A due to lack of an updated service plan reflecting her increased care needs and safety concerns. The facility also failed to maintain resident confidentiality related to Resident B's elopement. The allegation that Resident A's authorized representative did not receive a discharge notification letter was not substantiated.

Complaint alleged Resident A was neglected and lacked care, employees used personal cell phones inappropriately, and an unknown resident eloped from the facility. The complaint also alleged Resident A’s authorized representative did not receive a discharge notification letter. The neglect and elopement allegations were substantiated; the discharge notification allegation was not substantiated.

The inspection was conducted in response to a complaint alleging that staff was abusive to Resident A, including physical aggression and mistreatment.

The investigation substantiated that Employee #1 displayed abusive behavior toward Resident A, including physical aggression and ignoring Resident A's requests to avoid contact. The facility failed to protect Resident A from this abuse.

The complaint alleged that on 1/11/2023, Employee #1 pulled Resident A's arm, forced her to undress for a shower while making derogatory comments, took Resident A's cell phone, and that the facility moved Resident A instead of addressing the staff's aggressive behavior. The claim was substantiated based on interviews and observations.

The inspection was conducted in response to a complaint alleging unprofessional staff behavior, inadequate medical supplies, insufficient night staffing, untimely medication administration, and failure to deliver meals to Resident A.

The investigation found no evidence of staff swearing or lack of medical supplies. However, violations were established for inadequate night staffing and untimely medication administration. The allegation regarding meal delivery was not substantiated.

The complaint alleged that staff were unprofessional and swore at Resident A, the facility ran out of medical supplies, inadequate night staffing, residents did not receive medication timely, and Resident A's meals were not delivered. The claims of unprofessional staff and lack of medical supplies were not substantiated. The claims of inadequate night staffing and untimely medication administration were substantiated. The meal delivery claim was not substantiated. APS did not substantiate the claims.

The investigation was initiated due to a complaint alleging improper medication administration to a resident resulting in dangerously elevated blood pressure and inadequate staffing causing medication errors.

The investigation confirmed multiple medication errors where midodrine was administered despite systolic blood pressure readings exceeding the prescribed limit. Staffing levels were below the facility's self-identified optimal numbers, though not conclusively linked to the errors. The facility failed to report multiple medication errors as required.

The complaint alleged that midodrine was given to the resident when systolic blood pressure was over 150 mmHg, including readings as high as 230 mmHg, risking stroke. The complainant also alleged inadequate staffing contributed to medication errors. Both allegations were substantiated.

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.

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 10/10/2022.