Deficiencies per Year
8
6
4
2
0
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
| Name | Title | Context |
|---|---|---|
| Vera Gjolaj | Administrator and Authorized Representative | Provided information about the incident and facility policies |
| Elizabeth Gregory-Weil | Licensing Staff | Conducted investigation and authored the report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved 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
| Name | Title | Context |
|---|---|---|
| Vera Gjolaj | Administrator and Authorized Representative | Interviewed regarding Resident A's medication orders and facility COVID-19 outbreak |
| Jessica Rogers | Licensing Staff | Author 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
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and recommendation |
| Vera Gjolaj | Authorized Representative and Administrator | Facility representative named in the report |
| Employee 1 | Staff 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
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Author of the licensing study report and recommendation |
| Russell B. Misiak | Area Manager | Approved the licensing study report |
| Lance Davis | Authorized Representative/Administrator of the facility |
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