Inspection Reports for Sunrise of West Bloomfield

MI, 48323

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Inspection Report Complaint Investigation Capacity: 70 Deficiencies: 2 Aug 21, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging emotional abuse of residents by staff at Sunrise Of West Bloomfield.
Findings
The investigation confirmed that residents were emotionally abused by staff, including teasing and antagonizing Resident A and an incident involving Employee 7 and Resident B. Additionally, the facility failed to complete an incident report related to the emotional abuse incident.
Complaint Details
The complaint alleged that Resident A was teased by staff and Resident B was emotionally abused by the administrator on 7/8/24. The complaint was substantiated with violations established.
Deficiencies (2)
Description
Facility staff failed to treat Resident A with dignity and respect consistent with public health code by antagonizing her, causing emotional distress on 4/20/24.
The licensee could not demonstrate that an incident report was completed on the 4/20/24 incident involving Resident A, and corrective measures could not be confirmed or evaluated.
Report Facts
Capacity: 70 Complaint Receipt Date: Aug 6, 2024 Investigation Initiation Date: Aug 7, 2024 Inspection Date: Aug 21, 2024
Employees Mentioned
NameTitleContext
Karen PleaughAdministrator and Authorized RepresentativeInterviewed regarding allegations and incidents involving Resident A and Resident B
Inspection Report Complaint Investigation Census: 31 Capacity: 70 Deficiencies: 2 Aug 21, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging neglect of Resident C, contributing to his death, and concerns about understaffing at the facility.
Findings
The investigation confirmed neglect of Resident C, as his service plan was not followed leading to a fall and injury contributing to his death. The allegation of understaffing was not substantiated, but the facility was found to have violations related to inaccurate staff schedules.
Complaint Details
Complaint alleged neglect of Resident C contributing to his death due to staff negligence and insufficient monitoring. The complaint also alleged understaffing but lacked specific examples or dates. Neglect violation was established; understaffing violation was not.
Deficiencies (2)
Description
Resident C’s service plan was not followed on 7/9/24, resulting in a fall with injury.
Facility schedules were not updated on three occasions to accurately reflect care and med passing staff present.
Report Facts
Residents present: 31 Total licensed capacity: 70 Falls documented: 2 Staffing levels: 4 Staffing levels: 3 Dates with inaccurate schedules: 3
Employees Mentioned
NameTitleContext
Karen PleaughAdministrator and Authorized RepresentativeInterviewed onsite regarding Resident C and staffing; provided documentation and staffing information
Elizabeth Gregory-WeilLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 70 Deficiencies: 2 Feb 14, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A sustained injuries from a fall that was not documented or reported, resulting in delayed medical attention and subsequent death.
Findings
The investigation found that Resident A, who required two-person assistance for transfers, sustained a broken femur that was not reported or documented as a fall. Staff interviews and record reviews revealed no knowledge of the fall, and the service plan lacked adequate information regarding the use of a Hoyer lift for transfers. Violations were established related to failure to protect the resident and inadequate service planning.
Complaint Details
Complaint alleged Resident A sustained injuries from a fall on 2/6/2024 that was not documented or reported, resulting in delayed medical attention and death on 2/8/2024. The complaint was substantiated with violations established.
Deficiencies (2)
Description
Failure to protect Resident A from harm while under facility care as a fall was not reported or documented.
Service plan did not adequately reflect the resident's needs for two-person assistance and use of a Hoyer lift for transfers.
Report Facts
Facility capacity: 70 Complaint receipt date: Feb 12, 2024 Investigation initiation date: Feb 13, 2024
Employees Mentioned
NameTitleContext
Amber JamesFormer AdministratorInterviewed during onsite inspection regarding Resident A's fall and investigation
Kristy BrittonAdministrator/Authorized RepresentativeNewly appointed administrator as of report date
Inspection Report Complaint Investigation Capacity: 70 Deficiencies: 1 Nov 8, 2023
Visit Reason
The investigation was initiated due to allegations that two staff assaulted and stole money from Resident A at Sunrise Of West Bloomfield.
Findings
The investigation found that the allegations were unsubstantiated and considered hearsay. Resident A's funds were properly documented and managed, but the facility was found to be holding resident funds without a surety bond approved by the department, which is a violation.
Complaint Details
The complaint alleged that two staff assaulted and stole $180 from Resident A. The complainant was not identified and later stated the allegations were hearsay. Interviews with staff, witnesses, and family members did not substantiate the allegations.
Deficiencies (1)
Description
Facility is currently holding resident funds without a surety bond approved by the department.
Report Facts
Resident funds amount: 180 Facility capacity: 70 Corrective action plan due days: 15
Employees Mentioned
NameTitleContext
Amber JamesAuthorized Representative/AdministratorInterviewed regarding the complaint and facility operations.
Patrick PantloniActivity DirectorProvided documentation and information during the investigation.
Andrea KrausmannLicensing StaffAuthor of the Special Investigation Report.
Inspection Report Complaint Investigation Capacity: 70 Deficiencies: 3 Nov 8, 2023
Visit Reason
The investigation was initiated due to complaints that visitors and police were unable to enter the facility and reach staff by telephone, and that an elderly male resident was undressed on the balcony without staff assistance.
Findings
The investigation found that the facility's phone and doorbell system routed calls to a single memory care staff who was often busy, resulting in delayed responses. Staff failed to immediately assist a resident who was undressed on the balcony, and Resident A's service plan was not updated to address repeated calls to staff and emergency services.
Complaint Details
The complaint was substantiated. Violations were established regarding staff unavailability to respond to visitors and police, failure to assist a resident on the balcony, and failure to update a resident's service plan.
Deficiencies (3)
Description
Failure to maintain an organized program of protection, supervision, and assistance for residents after concierge leaves and phone calls are routed to a single busy staff member.
Failure to treat a resident with dignity and attend to personal needs, including protection and safety, when a resident was undressed on the balcony and staff did not immediately assist.
Failure to update Resident A's service plan to address repeated phone calls to staff, police, and EMS.
Report Facts
Capacity: 70 Complaint Receipt Date: Nov 6, 2023 Investigation Initiation Date: Nov 6, 2023 Report Due Date: Jan 6, 2024
Employees Mentioned
NameTitleContext
Amber JamesAdministrator and Authorized RepresentativeInterviewed multiple times and involved in investigation and exit conference
Patrick PantloniActivity DirectorFilled in for administrator during inspection
Inspection Report Renewal Census: 21 Capacity: 70 Deficiencies: 4 May 10, 2023
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 should be renewed.
Findings
The facility was found to be non-compliant with several administrative rules including failure to notify residents of a change in ownership, multiple medication administration errors and documentation issues, and deficiencies in kitchen and dietary practices such as improper labeling of food items and missing thermometers in refrigerators and freezers.
Deficiencies (4)
Description
Failure to notify residents of change in ownership affecting resident admission contracts.
Multiple medication administration errors including missed doses, documentation errors, and lack of physician notification for refused medications.
Perishable food items in kitchen lacked proper labeling, dating, and sealing.
Missing reliable thermometers in refrigerators and freezers in occupied apartments #118, 123, 218, and 222.
Report Facts
Number of staff interviewed and/or observed: 17 Number of residents interviewed and/or observed: 21 Facility capacity: 70 Number of occupied apartments missing thermometers: 4
Employees Mentioned
NameTitleContext
Amber JamesAuthorized Representative and AdministratorReported on medication administration documentation errors and facility ownership change
Elizabeth Gregory-WeilLicensing ConsultantAuthor of the inspection report and recommendation

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