Inspection Reports for Sunrise of Bloomfield Hills

MI, 48301

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Deficiencies per Year

8 6 4 2 0
2019
2023
2024
Unclassified
Inspection Report Complaint Investigation Capacity: 132 Deficiencies: 6 Mar 27, 2024
Visit Reason
The inspection was conducted following a complaint alleging that Resident A was poisoned by drinking dish detergent at the facility.
Findings
The investigation found that Resident A was not adequately protected from harm as he was found unsupervised with an open bottle of dish detergent. Multiple violations were established including failure to secure hazardous materials, failure to follow the resident's service plan for protection, and inadequate record keeping related to the incident.
Complaint Details
Complaint alleging suspected poisoning of Resident A by ingestion of dish detergent was substantiated. Resident A passed away following the incident. Toxicology results were pending at the time of the report.
Deficiencies (6)
Description
Resident A was found unsupervised with an open bottle of Ecolab dish detergent in the kitchen.
Hazardous materials were not secured as required by Resident A's service plan.
The lock on the cabinet containing hazardous materials was broken and accessible without a key.
Resident A's medical record did not contain sufficient documentation of the poisoning incident.
Incident report related to the poisoning was not available at the facility and evidence of its existence was not produced.
Resident records, accident records, incident reports, and employee records were not maintained and available as required.
Report Facts
Facility capacity: 132 Resident age: 91 Complaint receipt date: Mar 7, 2024 Investigation initiation date: Mar 7, 2024 Inspection date: Mar 27, 2024
Employees Mentioned
NameTitleContext
Vera GjolajAdministrator and Authorized RepresentativeProvided information about the incident and facility policies
Elizabeth Gregory-WeilLicensing StaffConducted investigation and authored the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 132 Deficiencies: 1 Jan 11, 2024
Visit Reason
The inspection was conducted in response to complaints alleging failure to order COVID-19 medications for residents, medication errors, expired medications left on carts, unsecured medication cart keys, and improper disposal of old narcotics.
Findings
The investigation found that medication orders for COVID-19 were generally in place and administered except for two residents who lacked insurance coverage for the medication. Resident A initially lacked medication orders but staff obtained new orders promptly. Staff were trained to manage dementia. Medication errors were substantiated due to inconsistent documentation and some missed doses. No expired medications were found on carts and medication cart keys were secured on staff. Old narcotics were properly disposed of according to policy.
Complaint Details
The complaint investigation was initiated due to allegations that the facility failed to order COVID-19 medications, Resident A went three days without insulin resulting in hospitalization, staff were not trained to manage Resident A, medication errors occurred, expired medications were left on carts, medication cart keys were unsecured, and old narcotics were not disposed of. The allegation regarding medication errors was substantiated; others were not.
Deficiencies (1)
Description
Medications were not always administered per the orders of the licensed healthcare professional due to inconsistent documentation and some missed doses.
Report Facts
Facility capacity: 132 Complaint receipt date: Jan 10, 2024 Investigation initiation date: Jan 11, 2024 Report due date: Mar 9, 2024
Employees Mentioned
NameTitleContext
Vera GjolajAdministrator and Authorized RepresentativeInterviewed regarding Resident A's medication orders and facility COVID-19 outbreak
Jessica RogersLicensing StaffAuthor of the Special Investigation Report
Inspection Report Renewal Census: 41 Capacity: 132 Deficiencies: 5 Jun 6, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Sunrise Assisted Living Of Bloomfield Hills to assess compliance with applicable administrative rules and regulations.
Findings
The facility was found to be non-compliant with several administrative rules including medication management, menu posting, laundry and linen storage, and kitchen food safety practices. Multiple residents missed scheduled medication doses due to documentation errors and delayed medication deliveries. Additionally, issues with undated menus, improper linen storage, and missing thermometers in refrigerators were noted.
Deficiencies (5)
Description
Resident medications were not administered as prescribed, with multiple missed doses and documentation errors.
Menus posted around the facility were not dated for the current week.
Facility did not utilize separate clean and soiled linen storage areas, with soiled items observed on the floor increasing risk of cross contamination.
Perishable food items in the kitchen lacked proper labeling, dating, and sealing.
Thermometers were missing from the memory care kitchen refrigerator and freezer and from the refrigerator and freezer in resident room 221.
Report Facts
Number of residents interviewed and/or observed: 41 Facility capacity: 132 Number of staff interviewed and/or observed: 19 Number of excluded employees followed up: 6
Employees Mentioned
NameTitleContext
Elizabeth Gregory-WeilLicensing ConsultantAuthor of the inspection report and recommendation
Vera GjolajAuthorized Representative and AdministratorFacility representative named in the report
Employee 1Staff member providing statements regarding medication administration and reordering
Inspection Report Complaint Investigation Capacity: 132 Deficiencies: 1 Mar 1, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A eloped from the facility twice.
Findings
The investigation confirmed that Resident A eloped twice from the secured memory care unit, with staff providing inadequate supervision placing the resident at significant risk of harm. Corrective actions were recommended and a violation was established.
Complaint Details
Resident A eloped from the facility twice. The violation was established based on two incident reports documenting the elopements and inadequate supervision.
Deficiencies (1)
Description
Facility staff provided inadequate supervision to Resident A, placing her at significant risk of harm when unattended outside the facility.
Report Facts
Capacity: 132
Inspection Report Original Licensing Capacity: 132 Deficiencies: 0 Oct 9, 2019
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Sunrise Assisted Living of Bloomfield Hills.
Findings
The facility was found to be in substantial compliance with licensing statutes and administrative rules. The applicant was found compliant with the licensing act and applicable administrative rules, resulting in the issuance of a temporary license with a maximum capacity of 132 beds.
Report Facts
Capacity: 132
Employees Mentioned
NameTitleContext
Brender HowardLicensing StaffAuthor of the licensing study report and recommendation
Russell B. MisiakArea ManagerApproved the licensing study report
Lance DavisAuthorized Representative/Administrator of the facility

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