Inspection Reports for Oakleigh of Macomb Senior Living

The inspection was conducted in response to a complaint alleging neglect of Resident A, including concerns about pressure ulcers, falls due to lack of supervision, and being left in soiled briefs for hours.

The investigation found that the allegations of neglect and unsanitary room conditions were not substantiated. Resident A was alert, oriented, and able to communicate needs, with staff conducting hourly rounds. However, an additional finding was a violation for failure to update Resident A's service plan to include the use of a Hoyer lift for transfers.

Complaint alleged neglect of Resident A including pressure ulcer from being left in wheelchair, multiple falls due to lack of supervision, and being left in soiled briefs for hours. The complaint also alleged Resident A’s room was dirty with urine smell and blood stains on carpet. Violations for neglect and dirty room were not established. Additional finding of violation was made for failure to update service plan regarding Hoyer lift use.

The investigation was initiated due to complaints received on 03/19/2024 alleging that Resident A had stroke symptoms on 03/04/2024 and the facility did not seek medical attention, that Resident A was lifted inappropriately causing injury, and that Resident A did not receive assistance with personal care on 03/11/2024.

Violations were established for failure to assure emergency medical care for Resident A after stroke symptoms, improper use and inadequate staff training on the Hoyer lift causing injury risk, incomplete and insufficiently detailed service plans, lack of posted weekly menus for therapeutic diets, and failure to maintain an organized protection program due to unauthorized bedside assistive devices. No violation was found regarding lack of personal care assistance on 03/11/2024.

Complaint received from Adult Protective Services on 03/19/2024 alleging failure to seek medical attention for Resident A after stroke symptoms on 03/04/2024, improper lifting causing injury, and lack of personal care assistance on 03/11/2024. The complaint was substantiated for the first two allegations but not for the third.

The inspection was conducted in response to a complaint alleging mishandling of an indwelling urinary catheter used by a resident, which was investigated to determine if violations occurred.

The investigation found no violation regarding the mishandling of the catheter that caused emergency medical care, but did establish a violation related to the facility's failure to document observations related to the resident's urinary catheter care.

The complaint alleged that the facility mishandled the indwelling urinary catheter of the Resident of Concern (ROC), leading to a drastic health decline and death. The complaint included claims of improper catheter care, tubing being run over by a wheelchair, and delayed hospital transfer. The allegation was not substantiated, but additional findings were noted.

The inspection was conducted in response to anonymous allegations submitted on 2023-09-13 regarding resident abuse, lack of care, staff intoxication, forged documentation, medication errors, and unsanitary conditions at Oakleigh of Macomb.

The investigation substantiated a violation related to inconsistent narcotic count documentation and lack of organized program to ensure compliance with medication administration policies. Other allegations including mental abuse, lack of care, feces on walls, ants on residents, and staff intoxication were not substantiated based on staff interviews, observations, and documentation review.

The complaint was anonymous and alleged mental abuse, lack of care, resident injury by staff, staff intoxication and drug use, forged documentation, medication errors, and unsanitary conditions. Some allegations were substantiated (medication errors related to narcotic counts), while others were not substantiated due to insufficient evidence or observations.

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.

The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.

The inspection was conducted in response to a complaint alleging understaffing and failure to perform blood sugar checks at the facility.

The investigation found no violation regarding understaffing, as staffing levels were sufficient and documented. However, a violation was established for failure to properly document and administer blood sugar checks and insulin doses for three residents.

Complaint alleged the facility was understaffed and that blood sugar checks were not being done, causing residents to get sick. The understaffing allegation was not substantiated. The blood sugar check allegation was substantiated with documentation showing missed or undocumented insulin doses and blood sugar readings for three residents.

The inspection was conducted as a renewal licensing study for Oakleigh of Macomb to assess compliance with regulatory requirements and determine eligibility for license renewal.

The facility was found to be non-compliant with several rules related to solid waste management and kitchen/dietary practices, including uncovered garbage cans and improperly stored food items without lids or opened dates.

The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Oakleigh of Macomb.

The study determined substantial compliance with applicable licensing statutes and administrative rules. The facility is newly constructed with a licensed capacity of 101 beds and is designed to serve aged individuals and those with Alzheimer's or related dementia.