Inspection Reports for Hampton Manor of Bedford

3099 W Sterns Rd, Lambertville, MI 48182, United States, MI, 48182

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Deficiencies per Year

4 3 2 1 0
2021
2022
2023
2024
Unclassified
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Jun 26, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that a resident did not receive her prescribed medication, Xarelto, which resulted in a double stroke.
Findings
The investigation established a violation that the resident did not receive her medication as prescribed due to errors in transcription and administration. However, no violation was found regarding the caregiver's response time or use of a gait belt during a stroke emergency.
Complaint Details
The complaint alleged that the Resident of Concern (ROC) did not receive her prescribed Xarelto medication after hospitalization, leading to a double stroke. The complaint also alleged delayed caregiver response and lack of gait belt during a stroke emergency. The medication administration violation was substantiated; the caregiver response and gait belt allegation was not substantiated.
Deficiencies (1)
Description
The directions for the administration of Xarelto were not correctly transcribed into the facility’s medication administration record, resulting in repeated errors in its administration.
Report Facts
Capacity: 114 Complaint Receipt Date: May 23, 2024 Investigation Initiation Date: May 23, 2024 Report Date: Jun 26, 2024 Medication not administered dates: 3 Caregiver response time: 15.37
Employees Mentioned
NameTitleContext
Barbara ZabitzLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the investigation report
Shahid ImranAdministrator/Authorized RepresentativeFacility administrator involved in the investigation
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Jun 18, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that residents do not get timely care because the facility does not have enough staff.
Findings
The investigation found 66 instances of extended wait times for response to resident call lights during the evaluated week, confirming that staffing levels were insufficient to meet resident needs. The facility acknowledged some delays were due to caregivers not resetting call pendants, but the majority were attributed to inadequate staffing.
Complaint Details
The complaint alleged that there were only 2 caregivers on the floor for 50-60 residents, resulting in residents waiting 30-60 minutes for help. The investigation substantiated the violation of inadequate staffing and delayed care.
Deficiencies (1)
Description
Residents do not get timely care because the facility does not have enough staff.
Report Facts
Capacity: 114 Extended wait times: 66 Staffing count: 8 Staffing count: 4
Employees Mentioned
NameTitleContext
Barbara P. ZabitzHealth Care SurveyorAuthor of the investigation report
Shahid ImranAdministrator/Authorized RepresentativeNamed as facility administrator and involved in the investigation
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Nov 27, 2023
Visit Reason
The inspection was conducted following a complaint alleging that Resident A lacked protection, including incidents of falls and burns.
Findings
The investigation substantiated that staff did not consistently follow Resident A's service plan, which included safety measures such as using lids on hot drinks and placing a body pillow under the bed sheet. This failure resulted in Resident A sustaining burns and a fall.
Complaint Details
The complaint alleged Resident A was found on the floor next to her bed and later admitted to the hospital, with uncertainty if the admission was due to the fall or COVID-19. Additionally, Resident A spilled hot tea on herself, resulting in burns that worsened and required hospitalization. The allegation of lack of protection was substantiated.
Deficiencies (1)
Description
Failure to follow Resident A's service plan for protection and safety, including not using lids on hot liquids and improper placement of a body pillow.
Report Facts
Capacity: 114 Complaint Receipt Date: Oct 30, 2023 Investigation Initiation Date: Oct 31, 2023 Report Due Date: Dec 29, 2023
Employees Mentioned
NameTitleContext
Jessica RogersLicensing StaffConducted the inspection and authored the report
Carol CancioAdministratorFacility administrator involved in exit conference
Shahid ImranAuthorized RepresentativeFacility authorized representative involved in exit conference
Inspection Report Renewal Census: 44 Capacity: 114 Deficiencies: 4 Oct 11, 2023
Visit Reason
The visit was conducted as a Renewal Licensing Study to assess compliance with licensing requirements and to determine if the facility meets standards for license renewal.
Findings
The facility was found to be non-compliant with several rules including medication administration record inaccuracies, failure to prepare and post therapeutic diet menus, incomplete meal and food records, and presence of expired food in the kitchen refrigerator. A corrective action plan is required to address these violations.
Deficiencies (4)
Description
Medication administration records were incomplete or inaccurately documented, including doses left blank and medications administered contrary to prescribed instructions.
Therapeutic and special diet menus were not prepared or posted as required.
Meal and food records were incomplete, with missing resident counts on production sheets for several dates.
Expired food and spilled coffee were found in the kitchen refrigerator, compromising food safety.
Report Facts
Number of residents interviewed and/or observed: 44 Facility capacity: 114 Number of staff interviewed and/or observed: 16 Dates with incomplete meal production sheets: 3 Number of excluded employees followed up: 3
Employees Mentioned
NameTitleContext
Jessica RogersLicensing ConsultantAuthor of the inspection report and contact for corrective action plan
Shahid ImranAuthorized RepresentativeFacility licensee representative
Carol CancioAdministrator/Licensee DesigneeFacility administrator
Employee #1Interviewed regarding meal menus and food records deficiencies
Inspection Report Renewal Deficiencies: 0 Mar 8, 2023
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 license renewal.
Report Facts
License effective period: 12
Employees Mentioned
NameTitleContext
Jessica RogersLicensing StaffSigned the renewal notification letter
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Oct 25, 2022
Visit Reason
The inspection was conducted as a special investigation following a complaint alleging multiple issues including lack of respect for residents' privacy, poor incontinence care, unknown whereabouts of a resident, improper use of gloves, bed bug infestation, urine-saturated furniture, and lack of staff knowledge on mechanical lift use.
Findings
The investigation established a violation regarding care staff not respecting residents' privacy. All other allegations including incontinence care, resident whereabouts, bowel movement monitoring, glove use, bed bug infestation, furniture condition, and mechanical lift training were found not to be violations based on documentation and observations.
Complaint Details
The complaint alleged that care staff did not respect residents' privacy, failed to provide good incontinence care, did not know the whereabouts of a resident in the memory care unit, did not identify residents' bowel movements, used food service-grade gloves for care, had bed bugs in the facility, had urine-saturated furniture in the memory care unit, and lacked knowledge on using a mechanical lift. Only the privacy violation was substantiated.
Deficiencies (1)
Description
Care staff do not respect the privacy of residents.
Report Facts
Capacity: 114 Complaint Receipt Date: Sep 15, 2022 Investigation Initiation Date: Sep 16, 2022 Inspection Date: Oct 25, 2022 Exit Conference Date: Jun 7, 2023
Employees Mentioned
NameTitleContext
Barbara P. ZabitzHealth Care SurveyorAuthor of the Special Investigation Report
Jennifer BoothAdministratorFacility administrator mentioned in report
Shahid ImranAuthorized RepresentativeFacility authorized representative mentioned in report
Inspection Report Original Licensing Capacity: 114 Deficiencies: 0 Apr 5, 2021
Visit Reason
The inspection and licensing study was conducted to determine compliance with applicable licensing statutes and administrative rules for the purpose of issuing an original license for Hampton Manor of Bedford.
Findings
The study determined substantial compliance with licensing statutes and administrative rules. The facility is newly constructed with a total capacity of 114 beds, including assisted living and memory care units, and is approved to operate as a home for the aged with programs for aged and Alzheimer's disease or related conditions.
Report Facts
Licensed capacity: 114
Employees Mentioned
NameTitleContext
Shahid ImranAuthorized RepresentativeNamed in relation to technical assistance and licensing process.
Carol CancioAdministratorNamed in relation to technical assistance and licensing process.
Andrea KrausmannLicensing StaffAuthor of the licensing study report and recommendation.
Russell B. MisiakArea ManagerApproved the licensing study report.

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