Corewell Health Rehabilitation & Nursing Center -

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the standards of infection control for Kangaroo pumps (a portable, electronic medical device used for enteral feeding), and IV poles cleaning for five residents (R1, R2, R25, R47, and R105) of 5 residents reviewed for tube feeding, and oxygen concentrator cleaning for one resident (R118) of 1 resident reviewed for receiving oxygen, resulting in the potential for cross-contamination and the spread of disease to a vulnerable population.

Inspectors wroteThis citation pertains to intake # 2603853Based on observation, interview and record review, the facility failed to ensure all residents maintained their right to self-determination for 1 (Resident #74) of 1 resident reviewed for choices, resulting in Resident #74 not receiving feeding assistance while others ate around him, missed opportunities to experience joy while eating, and a loss of autonomy.

Inspectors wroteThis citation pertains to Intake MI00152599. Based on interview and record review, the facility failed to ensure residents were treated with dignity and respect in 2 (Resident #100, Resident #101) of 4 residents reviewed for abuse, resulting in feelings of diminished self-worth and frustration.

Inspectors wroteBased on interview and record review, the facility failed to implement policies and procedures for immediate reporting to the State Agency for 1 (Residents #100) of 4 residents reviewed for abuse reporting, resulting in the potential for further instances of abuse going undetected, unreported, or without thorough investigation.

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain proper infection control practices as evidenced by failure to 1. Ensure proper hand hygiene was completed during incontinence care for 1 (Resident #14); and 2. Ensure proper PPE (personal protective equipment) for enhanced barrier precautions was used during personal cares for 1 (Resident #14) of 15 total sampled residents reviewed for infection control practices resulting in the potential for the introduction of infection, cross-contamination, and/or disease transmission.

Inspectors wroteThis citation pertains to Intake # MI00146599 & MI00146889. Based on observation, interview, and record review, the facility failed to ensure call lights were in reach for 2 (Resident #101 and #102) of 3 residents reviewed for accommodation of needs, resulting in the inability to call for staff assistance and the potential for unmet care needs.

Inspectors wroteThis citation pertains to Intake # MI00146599. Based on observation, interview, and record review, the facility failed to ensure showers were provided per resident preference and plan of care for 1 (Resident #101) of 3 resident reviewed for Activities of Daily Living (ADL) care, resulting in inadequate personal hygiene, missed showers, and dissatisfaction with care and hygiene concerns.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were assessed for self-administration of medications for 3 (Resident #84, 44 and 74) of 5 residents reviewed for self administration of medication, resulting in unsupervised administration of medications and the potential for mismanagement of medication and potential for adverse side effects.

Inspectors wroteBased on interview and record review, the facility failed to accurately assess, monitor, treat, and implement interventions for a residents with pressure ulcers for 1 (Resident #27) of 3 residents reviewed for pressure ulcers resulting in the worsening condition of a pressure ulcer.

Inspectors wroteBased on interview and record review, the facility failed to ensure that residents with a history of trauma received trauma informed care for 1 (Resident #99) from a total sample of 28 residents, resulting in the potential for exposure to trauma triggers and re-traumatization.

Inspectors wroteBased on observation, interview, and record review the facility failed to properly implement enhanced barrier precautions for 2 (Resident #35 and Resident #72) of 2 residents sampled for infection control, resulting in the potential for cross contamination and spread of infection.

Inspectors wroteBased on interview and record review, the facility failed to provide adequate assistance based on therapy recommendations to prevent an accident for 1 of 4 residents (Resident #106) reviewed at risk for falls, resulting in a fall with fracture of left olecranon (elbow) and the potential for a decline in overall health and wellness.

Inspectors wroteThis citation pertains to intake MI00138935. Based on interview and record review, the facility failed to promote resident dignity in 1 (Resident #101) of 3 residents reviewed for dignity, resulting in feelings of diminished self worth and the potential for residents to not meet their highest practicable physical, mental, and psychosocial well being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Ensure frozen food items were stored under sanitary conditions, and 3. Discard out-of-date and expired resident food items. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected all residents who consume food from the kitchen/pantries.

Inspectors wroteResident #74 Review of a Minimum Data Set (MDS) assessment for Resident #74, with a reference date of 5/12/23 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which indicated Resident #74 was cognitively intact. In an interview on 07/10/23 at 03:23 PM, Resident #74 reported waiting 1-2 hours at times for cares to be provided, after turning on the call light and stated, .I had to pee myself .good thing they give us briefs . Resident #74 reported that at times the nursing staff refuse to assist the aides to answer call lights. In a confidential resident group meeting on 7/11/23 at 3:00 PM, 12 of 13 residents reported that they wait an extended period of time for care needs to be met when turning on their call light. The residents reported that staff turn the call lights off, say they are busy and promise to come back, but they do not. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to honor resident choice for dining location for 1 resident (Resident #16), of 1 resident reviewed for choices, resulting in the potential for this resident to not meet her highest practicable physical, mental, and psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement care planned interventions for 1 (Resident #105) of 25 sampled residents resulting in the potential for increased pain, swelling, and contractures (A condition of shortening and hardening of muscles, tendons, or other tissues that often leads to deformity of joints).

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide appropriate Activities of Daily Living (ADL) care, specifically assistance with getting out of bed and incontinence care for 1 resident (Resident #94) of 5 residents reviewed for ADL care, resulting in the potential for avoidable negative physical and psychosocial outcomes for residents who are dependent on staff for assistance.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident safety with bed mobilty, mechanical-lift transfers and eating for 1 resident (Resident #94) of 2 residents reviewed for accident hazards, resulting in the potential for accidents and serious injury.

Inspectors wroteBased on observation, interview, and record review the facility failed ensure post dialysis assessment and monitoring for 1 resident (Resident #75) of 1 resident reviewed for dialysis care, resulting in the potential for the resident to not meet her highest practicable physical, mental, and psychosocial well-being.

Inspectors wroteBased on observation, interview, and record review, the facility failed to 1). clearly identify grievance procedures with the use of signage for residents throughout the facility, 2). inform 13 of 13 residents, who participated in a confidential group meeting, of how to file a written grievance form or that filing a grievance was an option, and 3). implement the facility policy/procedure for grievances, resulting in the potential for care concerns to go unreported and not investigated.