Inspection Reports for StoryPoint Northville
44600 Five Mile Rd, Township of Northville, MI 48168, United States, MI, 48168
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 2
Jan 16, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging lack of adequate care for Resident A, specifically regarding oxygen assistance and emergency response on 12/18/2024.
Findings
The investigation found that Resident A, who required oxygen assistance, was not adequately cared for on 12/18/2024, with delays in emergency response and confusion about oxygen equipment location. Medication administration allegations were not supported, but a record-keeping violation regarding allergy documentation was established.
Complaint Details
Complaint alleged lack of adequate care for Resident A on 12/18/2024, including failure to provide oxygen and delayed EMS contact. Improper medication administration was also alleged but not substantiated.
Deficiencies (2)
| Description |
|---|
| Lack of adequate care for Resident A related to oxygen assistance and emergency response. |
| Resident record did not include allergy to albuterol, which was relevant to emergency care. |
Report Facts
Capacity: 103
Medication administration times: 63
Complaint receipt date: Jan 15, 2025
Investigation initiation date: Jan 15, 2025
Report due date: Mar 16, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staci Tripolsky | Administrator | Interviewed regarding Resident A's care and staff reports |
| Katelyn Fuerstenberg | Authorized Representative | Facility representative receiving report |
| Aaron Clum | Licensing Staff | Author of the inspection report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the inspection report |
| Staff 1 | Interviewed; reported Resident A's breathing difficulties to staff 2 | |
| Staff 2 | Interviewed; responsible for medication administration and oxygen checks | |
| Staff 3 | Interviewed; assisted with Resident A and oxygen equipment | |
| Staff 4 | Interviewed; assisted with Resident A and oxygen equipment | |
| Staff 5 | Interviewed; assisted Resident A and reported breathing difficulties | |
| Staff 6 | Interviewed; assisted with oxygen equipment |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Oct 3, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A had frequent falls and was not checked on every two hours, and that medication was not given properly.
Findings
The investigation established a violation regarding Resident A not being treated with dignity and not being checked on every two hours as required by the service plan, with video evidence showing Resident A on the floor for extended periods. The allegation of improper medication administration was not substantiated as medication refusals were documented and handled according to policy.
Complaint Details
The complaint alleged that Resident A had frequent falls and was not checked on every two hours, was left on the floor for over four hours, and that medication was not given properly. The violation regarding falls and checks was established, while the medication allegation was not.
Deficiencies (1)
| Description |
|---|
| Resident A was not treated with dignity and was not checked on every two hours as required by the service plan, resulting in frequent falls and prolonged time on the floor. |
Report Facts
Capacity: 103
Complaint Receipt Date: Oct 2, 2024
Investigation Initiation Date: Oct 3, 2024
Report Due Date: Dec 1, 2024
Time Resident A was on floor: 155
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staci Tripolsky | Administrator | Interviewed regarding Resident A's care and medication administration |
| Brender Howard | Licensing Staff | Author of the Special Investigation Report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the Special Investigation Report |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Feb 2, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A had a wound on the top of his head infested with maggots.
Findings
The investigation substantiated the complaint, confirming that Resident A had maggots in a head wound. The resident had a diagnosis of squamous cell carcinoma and was receiving hospice care after hospitalization. The facility was found to have violated regulations related to resident care and monitoring.
Complaint Details
The complaint was substantiated by Adult Protective Services (APS) for neglect. Resident A was admitted to the hospital with maggots in his wound and was COVID positive. The case was closed after the resident expired.
Deficiencies (1)
| Description |
|---|
| Failure to monitor and report changes in Resident A's wound as required by the service plan, resulting in maggot infestation. |
Report Facts
Capacity: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Lumberg | Administrator | Interviewed regarding Resident A's care and documentation |
| Brender Howard | Licensing Staff | Author of the Special Investigation Report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Renewal
Census: 51
Capacity: 103
Deficiencies: 11
Jan 11, 2024
Visit Reason
The inspection was conducted as a renewal licensing study for the facility to assess compliance with regulatory requirements and to determine if the license renewal should be granted.
Findings
The facility was found to be in non-compliance with multiple public health code statutes and administrative rules, including issues with employee criminal background checks, resident admission contracts, tuberculosis screening, medication administration, linen supply, menu posting, kitchen safety, and hazardous material storage. Numerous repeat violations were noted.
Deficiencies (11)
| Description |
|---|
| Employee hired without timely criminal background check; background check dated more than two years after hire. |
| Residents A and B have admission contracts with an organization that does not hold the license, rendering contracts invalid. |
| Resident C lacked evidence of tuberculosis screening within 12 months prior to admission. |
| Employee 1's initial tuberculosis screening was not conducted within 10 days of hire and was dated more than two years after hire. |
| Resident D did not receive prescribed medications at the prescribed frequencies; medication administration records were inaccurate. |
| Resident E missed prescribed evening doses of medication; staff falsely documented medication administration. |
| Facility does not maintain an extra supply of clean linens and towels. |
| Posted menu was not for the current week, only for the current day. |
| Memory care kitchenette refrigerator was missing a reliable thermometer. |
| Mold-like substance observed inside the ice machine in the commercial kitchen; additional ice machine was non-operational. |
| Hazardous and toxic materials were found unsecured in the memory care kitchenette and movie theater, posing ingestion and poisoning risks. |
Report Facts
Number of staff interviewed and/or observed: 19
Number of residents interviewed and/or observed: 51
Facility capacity: 103
Number of excluded employees followed up: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Lumberg | Administrator | Reported on employee background check discrepancy |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and recommendation |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 2
Jul 28, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that a resident did not receive necessary assistance at bedtime, resulting in a fall and prolonged time on the floor, and that the facility allowed shifts to be short-staffed, especially in the memory care unit.
Findings
The investigation established violations for inadequate supervision of a resident who fell and remained on the floor for over 5 hours, and for insufficient staffing levels in the memory care unit, where scheduled caregivers were fewer than stated by the administrator.
Complaint Details
The complaint alleged that the Resident of Concern was not assisted to the toilet at bedtime, fell out of bed, and was left on the floor for over 6 hours before being found. It also alleged that the memory care unit was often short-staffed due to caregivers not showing up for work. Both allegations were substantiated.
Deficiencies (2)
| Description |
|---|
| Resident of Concern did not receive necessary assistance at bedtime, resulting in a fall and lying on the floor for more than 5 hours before being found. |
| Facility allowed shifts to be short-staffed, especially in the memory care unit, with fewer caregivers scheduled and present than required. |
Report Facts
Capacity: 103
Residents in Memory Care Unit: 22
Caregivers scheduled: 2
Caregivers present: 1
Time resident on floor: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Lumburg | Administrator | Interviewed during onsite visit and referenced in staffing discussion |
| Barbara P. Zabitz | Health Care Surveyor | Author of the Special Investigation Report |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 2
Feb 24, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that an employee did not follow the service plan when providing care to a resident, resulting in injury. Additional allegations included failure to follow-up on injuries and unsafe equipment maintenance.
Findings
The investigation established a violation that an employee did not follow the resident's service plan, resulting in injury. No violation was found regarding follow-up after the fall or equipment maintenance. Additional findings revealed incomplete documentation of the resident's condition post-fall.
Complaint Details
The complaint alleged that an employee failed to follow the service plan, resulting in a fall and injury to the resident. Family members reported concerns about lack of proper positioning, missing wheelchair components, and delayed emergency response. The complaint was substantiated in part.
Deficiencies (2)
| Description |
|---|
| An employee did not follow the service plan when providing care for the Resident of Concern (ROC), resulting in an injury. |
| Omissions in the resident's charting notes and fall assessment document, lacking a full and complete record of observations made. |
Report Facts
Capacity: 103
Complaint Receipt Date: Nov 14, 2022
Investigation Initiation Date: Nov 15, 2022
Report Due Date: Jan 14, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara P. Zabitz | Health Care Surveyor | Author of the Special Investigation Report |
| Nicole Lumberg | Administrator | Facility administrator interviewed during investigation |
| Michele Locricchio | Authorized Representative | Facility authorized representative |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 2
Feb 2, 2023
Visit Reason
The inspection was conducted in response to a complaint received on 2023-01-09 alleging various concerns about Resident A's care, medication management, missed meals, missing clothing, and broken facility items.
Findings
The investigation substantiated violations related to unattended medications and lack of updated service plan for Resident A's increased care needs. Other allegations including lack of care, missed meals, missing clothing, and broken facility items were not substantiated.
Complaint Details
The complaint alleged Resident A lacked care, medications were left unattended, missed five meals, was missing clothing, and had broken patio door, refrigerator, and cable. The medication allegation was substantiated; others were not.
Deficiencies (2)
| Description |
|---|
| Resident A’s medications were left unattended by staff. |
| Resident A’s service plan lacked specific care and instruction for additional assistance after a fall with injury. |
Report Facts
Capacity: 103
Complaint Receipt Date: Jan 9, 2023
Investigation Initiation Date: Jan 9, 2023
Report Due Date: Mar 8, 2023
Incident Date: Jan 23, 2023
Medication Administration Dates: 2
Meal Census Dates: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Author of the Special Investigation Report |
| Nicole Lumberg | Administrator | Interviewed regarding facility operations and Resident A's care |
| Michele Locricchio | Authorized Representative | Facility representative involved in exit conference and correspondence |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Jul 19, 2022
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A sustained a shoulder fracture after a staff attempted to transfer her, was not properly evaluated, and was not sent to the ER for assessment.
Findings
The investigation substantiated the allegation that Resident A sustained a shoulder fracture due to improper transfer by staff. Although two staff were present, only one physically transferred Resident A, contrary to the service plan requiring two-person transfers. Vitals were taken at the time of the fall, and the resident was not sent to the ER immediately. A violation was established.
Complaint Details
Resident A sustained a shoulder fracture after a staff attempted to transfer her, did not get evaluated properly, and was not sent to ER for assessment. The allegation was substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to follow Resident A's service plan requiring two-person transfers, resulting in a shoulder fracture. |
Report Facts
Capacity: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Locricchio | Authorized Representative | Participated in exit conference and is the authorized representative of the facility |
| Nicole Lumberg | Administrator | Facility administrator at time of investigation |
| Charisse Woodward | Director of Wellness | Interviewed regarding the incident involving Resident A |
| Tamber Townsend | Nurse Practitioner | Advised facility to use two-person transfers and Hoyer lift for Resident A |
Inspection Report
Original Licensing
Capacity: 103
Deficiencies: 0
Aug 4, 2020
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Anthology of Northville.
Findings
The study determined substantial compliance with the home for the aged public health code and applicable administrative rules. A temporary 6-month license with a maximum capacity of 103 beds was recommended for issuance.
Report Facts
Licensed beds: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Maleche | Administrator | Authorized representative and administrator mentioned in relation to the licensing study and compliance. |
| Andrea Krausmann | Licensing Staff | Licensing staff who authored the report and recommended the license issuance. |
| Russell B. Misiak | Area Manager | Approved the licensing study report. |
| Larry DeWachter | Bureau of Fire Services fire marshal | Approved the whole-home fire suppression system. |
| Barbara Zabitz | Licensing staff | Approved facility’s admission contract, policies, procedures, training program, and disaster plan. |
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