A list of the most recent deficiencies for Notting Hill of West Bloomfield. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-01-12 | N |
| 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 | 2023-12-14 | 2024-01-12 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-14 | 2024-01-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-14 | 2024-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-14 | 2024-01-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-14 | 2024-01-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-14 | 2024-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-12 | 2024-01-12 | 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 | 2023-12-12 | 2024-01-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-12 | 2024-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-12 | 2024-01-12 | N |
| 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 | 2023-09-07 | 2023-10-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-07 | 2023-10-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-07 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-03-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-26 | 2023-02-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-26 | 2023-02-14 | 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 | 2023-01-26 | 2023-02-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-08 | 2023-01-31 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-10-12 | 2022-11-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-12 | 2022-11-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-12 | 2022-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-12 | 2022-11-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-12 | 2022-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-11-11 | N |
| 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 | 2022-10-12 | 2022-11-11 | 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 | 2022-10-12 | 2022-11-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-12 | 2022-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-12 | 2022-11-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-12 | 2022-11-11 | N |
| 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 | 2022-10-12 | 2022-11-11 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-12 | 2022-11-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-12 | 2022-11-11 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-07 | 2022-04-27 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-07 | 2022-04-27 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-17 | 2022-03-21 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-17 | 2022-03-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-17 | 2022-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-03-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-17 | 2022-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-17 | 2022-03-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-22 | 2021-10-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-01 | 2021-09-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-22 | 2021-09-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-22 | 2021-08-20 | 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 | 2021-07-22 | 2021-08-20 | N |
| 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 | 2021-07-22 | 2021-08-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-22 | 2021-08-20 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-07-22 | 2021-08-20 | N |
| Provide or obtain dental services for each resident. | Health | 2021-07-22 | 2021-08-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-22 | 2021-08-20 | 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 | 2021-07-22 | 2021-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-22 | 2021-08-20 | Y |
