Inspection Reports for Livonia Comfort Care

The inspection was conducted in response to a complaint alleging that Resident A lacked care consistent with her service plan and did not receive her medications as prescribed.

The investigation substantiated violations related to inconsistencies between Resident A's service plan and medication administration records, incomplete documentation, and failure to administer medications as prescribed. Several falls were documented, but it could not be confirmed that Resident A was left on the floor.

The complaint alleged that Resident A, who was in hospice care, experienced inadequate care leading to rapid condition worsening, was found on the floor multiple times soiled, and did not receive necessary medications resulting in severe thrush. Both allegations were substantiated.

The inspection was conducted in response to a complaint alleging that Resident B entered Resident A's room and staff did not respond to Resident A's call light for over 20 minutes.

The investigation confirmed that Resident B entered Resident A's room and rummaged through her belongings while Resident A, who is bed bound, repeatedly pressed the call pendant without timely staff response. The facility failed to complete required safety checks and did not update service plans to reflect residents' current needs. Additional violations included failure to notify the department of administrator change and lack of monitoring regarding bed rails on Resident A's bed.

Complaint received on 2024-12-11 alleged that on 2025-01-14 Resident B entered Resident A's room and staff did not respond to call light for over 20 minutes. The complaint was substantiated with violations found.

The investigation was initiated due to a complaint from Adult Protective Services alleging that a resident of concern (ROC) did not receive appropriate care at Livonia Comfort Care.

The investigation found that the ROC exhibited aggressive and combative behaviors that made care difficult, and the facility was unable to provide a service plan for the ROC. No violation was established regarding lack of care, but a violation was established for failure to have a service plan for the resident.

Complaint was received from Adult Protective Services on 07/30/2024 alleging inadequate care for the ROC. The allegation was not substantiated, but additional findings related to lack of a service plan were substantiated.

The inspection was conducted as a Renewal Licensing Study to evaluate compliance with state regulations for license renewal of the facility.

The facility was found to be non-compliant with several administrative rules including failure to update authorized representative information, lack of timely tuberculosis screening for residents, missed medication doses without documentation, improper food labeling and storage, lack of thermometer in medication refrigerator, inconsistent sanitation testing, and unsecured hazardous materials.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Livonia Comfort Care.

The inspection identified a few physical plant items out of compliance on 01/18/2023, which were subsequently corrected by 01/19/2023. The study determined substantial compliance with the Public Health Code and administrative rules, leading to the recommendation of a temporary 6-month license for 88 beds.