Inspection Reports for
Michigan Masonic Home

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: the facility did not comply with Resident A’s right to receive personal mail unopened on the same day it is received, as staff opened Resident A’s social security benefit statements without her consent.

R 325.1921 Governing bodies, administrators, and supervisors: the facility transitioned medication administration duties to resident assistants without an organized program, lacking training documentation and competency checks on injection medications and catheter care.

R 325.1931 Employees; general provisions: due to inconsistent shower documentation and lack of detailed information in the service plan, the facility was found non-compliant with this licensing rule.

R 325.1931 Employees; general provisions: the facility has worked below their staffing ratios and utilized staff from another licensed health care facility to fill staff shortages.

R 325.1932 Resident Medications: staff did not complete the medication administration record on 02/06 that prescribed medications were administered as required.

R 325.1976 Kitchen and dietary: leftover food was found in a refrigerator on the second floor, which was not destroyed as required.

F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights: the facility failed to maintain self-esteem, honor preferences, and ensure care was given in a dignified manner for one resident (R47) by not addressing his preference for male caregivers for showers.

F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to implement interventions to prevent falls for three residents (R12, R38, and R87), including lack of supervision, inadequate fall interventions, and insufficient documentation of safety measures.

F 0880 Provide and implement an infection prevention and control program: the facility failed to have an active and ongoing plan for reducing the risk of Legionella and other opportunistic pathogens in premise plumbing, including stagnant water fixtures and lack of testing or control measures.

F 0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: the facility failed to maintain a safe, functional, sanitary, and comfortable environment, including plumbing fixtures without proper backflow prevention, exposed linens, improper wastewater connections, and accumulation of trash under laundry carts.

F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: staff pushed a resident in a wheelchair without foot pedals, creating a risk of the resident falling or injury.

F 0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines: the physician delayed 42 days in reviewing a pharmacy recommendation to discontinue an unnecessary cranberry supplement.

F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights: the facility failed to treat two residents with dignity and respect, resulting in unmet care needs and potential loss of self-worth, including inaccessible call lights, unaddressed drooling, and lack of interaction.

F 0679 Provide activities to meet all resident's needs: the facility failed to ensure meaningful activities were provided for one resident, resulting in boredom and disengagement, with insufficient activities staff and reliance on nursing to bring residents to activities.

F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the facility failed to maintain sanitary conditions in the kitchen, including refrigeration temperatures above safe limits and serving dairy products stored improperly, increasing risk of foodborne illness.