Inspection Reports for StoryPoint Saline

The visit was conducted as a renewal licensing study to evaluate compliance with state regulations and determine if the facility's license should be renewed.

The facility was found to be non-compliant with several rules including medication administration errors, incomplete meal census documentation, inadequate ventilation in certain rooms, and missing dishwasher temperature logs. Some violations were repeat findings from previous inspections.

The inspection was conducted in response to a complaint alleging improper use of a Hoyer lift sling on Resident A and failure of staff to wash hands or wear gloves when providing care to Resident A.

The allegation that staff improperly used the Hoyer lift sling was not substantiated based on staff attestations and training records. However, the allegation that staff did not wash their hands nor wear gloves when providing care was substantiated based on photographic evidence and review of infection control policies and training.

The complaint alleged that on 6/17/2025, staff improperly used a Hoyer lift sling on Resident A, including abruptly pulling the sling from her unclothed body and not washing the sling. It also alleged staff failed to wash hands and wear gloves during care on multiple dates, potentially causing a urinary tract infection. Photographic evidence confirmed staff changed Resident A's brief without gloves. The Hoyer lift misuse allegation was not substantiated; the hand hygiene and glove use allegation was substantiated.

The inspection was conducted in response to a complaint alleging that staff mocked and treated Resident A poorly, left Resident A on the toilet for an hour, Resident A was not getting showers, and staff did not feed Resident A for 23 hours.

The investigation substantiated that staff mocked and treated Resident A poorly and that Resident A was left on the toilet for an hour. The allegations that Resident A was not getting showers and was not fed for 23 hours were not substantiated.

The complaint alleged that staff mocked and treated Resident A poorly, left Resident A on the toilet for an hour, Resident A was not getting showers, and staff did not feed Resident A for 23 hours. The claims of mocking and leaving Resident A on the toilet were substantiated, while the claims regarding showers and feeding were not substantiated.

The inspection was conducted in response to a complaint alleging that Resident A lacked protection and that the facility was short staffed.

The investigation substantiated that Resident A lacked protection due to a failure in the emergency call pendant system, resulting in a delayed response time of 44 minutes. The allegation of short staffing was not substantiated based on staff attestations, observations, and review of facility documentation.

The complaint alleged that Resident A was found on the bathroom floor with a non-functioning emergency pendant and that the facility was short staffed. The investigation confirmed the pendant system failure and delayed response but did not substantiate short staffing.

The inspection was conducted in response to a complaint alleging Resident A's toes were amputated due to the facility's foot doctor, lack of care consistent with her service plan, unclean apartment, and unsafe medication administration including insulin.

The investigation substantiated violations including lack of an updated service plan reflecting Resident A's personal care needs, incomplete medication administration records with some medications not administered as prescribed, and missing medical records. Observations found the facility and resident apartments clean. Staff were trained to administer medications, but some medication administration documentation was incomplete.

The complaint alleged Resident A's toes were amputated due to the facility's foot doctor, Resident A lacked care consistent with her service plan, her apartment was unclean, and medications were not administered safely with staff not knowing how to administer insulin. The investigation substantiated these allegations except the toes amputation due to treatment could not be substantiated.

The purpose of the visit was to process an addendum to the original licensing study report to change the facility's name from StoryPoint of Ann Arbor to StoryPoint Saline.

The review of the BCAL 5055 form and BCAL 1600 form confirmed the request to change the facility name was consistent with the original application and forms submitted. The recommendation was to approve the name change to StoryPoint Saline.

The inspection was conducted in response to a complaint alleging inadequate resident care including incontinence care, skin care, hydration, hand hygiene violations by employees, and medication administration errors.

The investigation found no violation regarding resident care and medication administration but established a violation related to employees not washing their hands before and after providing care, increasing infection risk.

Complaint alleged residents did not receive appropriate care including incontinence care, skin care, and hydration; employees failed to wash hands before and after care; and medications were not always passed according to prescriber orders. The hand hygiene violation was substantiated; other allegations were not.

The inspection was conducted as a renewal licensing study for StoryPoint of Ann Arbor to assess compliance with state regulations and determine if the facility's license should be renewed.

The facility was found to be non-compliant with several rules including lack of an organized protective program for residents using assistive devices, incomplete tuberculosis risk assessments, medication administration errors, and deficiencies in kitchen sanitation and food safety practices.

The inspection was conducted in response to an anonymous complaint alleging mistreatment of Resident A due to his skin color.

The investigation found no substantiation for the mistreatment allegation related to racial discrimination. However, a violation was established for failure to update Resident A's service plan following significant changes in care needs, including hospitalization for behaviors.

The complaint alleged that Resident A was mistreated by Employee #1 due to his skin color. The allegation was not substantiated based on staff attestations and review of documentation.

The inspection was conducted in response to complaints alleging that Resident A lacked proper care prior to passing away and that Resident A's medications were not administered as prescribed.

The investigation substantiated violations including inadequate care consistent with Resident A's service plan, failure to administer prescribed and as-needed medications, failure to maintain proper documentation, and failure to report Resident A's death to licensing staff. Additional findings included issues with medication administration and facility reporting.

The complaint alleged that Resident A lacked care prior to passing away, including improper management of compression socks, neck elevation during flu, diabetes care, and influenza and urinary tract symptoms. It also alleged medications were not administered as prescribed. The allegations were substantiated.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for StoryPoint of Ann Arbor, a home for the aged facility.

The study determined substantial compliance with licensing statutes and administrative rules. The facility was recommended for a temporary license with a maximum capacity of 40 residents, including an Aged/Alzheimer's program.