A list of the most recent deficiencies for Skld Bloomfield Hills. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2024-01-05 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-12 | 2023-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-12 | 2023-11-06 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-10-12 | 2023-11-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-12 | 2023-11-06 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-10-12 | 2023-11-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-12 | 2023-11-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-12 | 2023-11-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-12 | 2023-11-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-11-06 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-10-12 | 2023-11-06 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-10-12 | 2023-11-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-12 | 2023-11-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-12 | 2023-10-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-12 | 2023-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-12 | 2023-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-12 | 2023-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-12 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-04-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-04 | 2022-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-10-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-02 | 2022-08-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-02 | 2022-08-29 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-02 | 2022-08-29 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-08-02 | 2022-08-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-02 | 2022-08-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-08-02 | 2022-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-02 | 2022-08-29 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-02 | 2022-08-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-02 | 2022-08-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-02 | 2022-08-29 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-02 | 2022-08-29 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-02 | 2022-08-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-02 | 2022-08-29 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-08-02 | 2022-08-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-02 | 2022-08-29 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-08-02 | 2022-08-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-02 | 2022-08-29 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-08-02 | 2022-08-29 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-02 | 2022-08-29 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-08-02 | 2022-08-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-02 | 2022-08-29 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-02 | 2022-08-29 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-02 | 2022-08-29 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-02 | 2022-08-29 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-26 | 2022-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-04-27 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-04-06 | 2022-04-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-06 | 2022-04-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-06 | 2022-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-06 | 2022-04-27 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-04-06 | 2022-04-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-06 | 2022-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-03-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-03-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-16 | 2022-03-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-04 | 2022-03-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-04 | 2022-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2022-03-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-09 | 2022-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-09 | 2022-02-28 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-02-09 | 2022-02-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-09 | 2022-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-09 | 2022-02-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-09 | 2022-02-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-16 | 2022-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2022-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-04 | 2022-01-11 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-04 | 2021-12-06 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-11-04 | 2021-12-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-04 | 2021-12-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-04 | 2021-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-04 | 2021-12-06 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-11-04 | 2021-12-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-04 | 2021-12-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-23 | 2021-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-23 | 2021-06-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-23 | 2021-05-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-23 | 2021-05-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-04-23 | 2021-05-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-23 | 2021-05-24 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-23 | 2021-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-23 | 2021-05-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-23 | 2021-05-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-23 | 2021-05-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-23 | 2021-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2021-04-23 | 2021-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-05-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-23 | 2021-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-23 | 2021-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-23 | 2021-05-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-23 | 2021-05-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-23 | 2021-05-24 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-23 | 2021-05-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-23 | 2021-05-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-23 | 2021-05-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-23 | 2021-05-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-23 | 2021-05-24 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-04-23 | 2021-05-24 | N |
