Inspection Reports for Provision Senior Living at Livonia

The inspection was conducted as a special investigation following a complaint received on 04/22/2025 regarding inadequate supervision and protection for Resident A, a person with dementia and high fall risk.

The investigation found that Resident A experienced multiple falls, including a significant fall on 03/09/2025 resulting in a hip injury and subsequent death. The facility's service plan was not adequately updated to reflect Resident A's increased fall risk and poor safety awareness, indicating noncompliance with applicable rules.

Complaint alleged inadequate supervision and protection for Resident A, a high fall risk resident with dementia. The allegation was substantiated as a violation was established.

The visit was conducted as a renewal licensing inspection to evaluate compliance with state regulations and to determine if the facility meets the requirements for license renewal.

The facility was found to be in non-compliance with multiple state rules including inadequate protective measures for residents using bedside assistive devices, incomplete tuberculosis screening for employees, unclear designation of shift supervisors, incomplete staff training records, medication administration discrepancies, incomplete meal production records, and issues with kitchen sanitation and food safety. Repeat violations were noted in several areas.

The inspection was conducted in response to an anonymous complaint alleging that residents often miss their scheduled shower days.

The investigation found that facility staff failed to follow service plan instructions regarding the frequency of bathing residents, resulting in violations of rules requiring residents to bathe at least weekly and with dignity.

The complaint alleged that residents often miss their shower days. The violation was substantiated based on review of bathing documentation and service plans for selected residents.

The inspection was conducted in response to a complaint alleging misadministration of medications, unclean kitchen and improper food storage, and unclean resident bathrooms at Provision Living at Livonia.

The investigation substantiated the allegation of misadministration of medications due to communication issues between the physician and pharmacy affecting 36 residents. The allegations regarding the kitchen cleanliness, food storage, and resident bathroom cleanliness were not substantiated based on observations and interviews.

The complaint alleged assisted living residents were receiving medications late or not at all. Attempts to contact the complainant were unsuccessful. The allegation was substantiated based on review of medication administration reports and interviews.

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 investigation was initiated due to a complaint alleging that Resident A lacked protection after an incident involving Employee #1 on 04/28/2023.

The allegation that Resident A lacked protection was not substantiated; however, violations were established related to Employee #1's lack of training records and missing criminal background check documentation.

The complaint alleged that Employee #1 was forceful with Resident A, including swatting her hands and grabbing her wrists. Resident A did not require medical care and had no marks or bruises initially, but bruising was noted on reassessment. Employee #1 was suspended and later terminated. The allegation of lack of protection was not substantiated.

The purpose of the visit was to process an addendum to the original licensing study report to change the facility's name from Provision Living of Livonia to Provision Living at Livonia.

There was no change in the licensee, so the facility name on the license may be changed. The status of the license will remain unchanged.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Provision Living of Livonia.

The facility was found to be in substantial compliance with licensing requirements, including physical plant, program description, and safety inspections. A temporary license with a maximum capacity of 58 beds was recommended and issued.