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Source: MI Dept. of Licensing & Regulatory Affairs
Key Findings
The facility has had several serious findings related to medication management, including failure to administer insulin and Parkinson's medications as prescribed. Additionally, there have been lapses in required monthly weight monitoring and inconsistent fire drill documentation.
Failure to complete fire drills during daytime, evening, and sleeping hours for the quarter containing 4/23 and 5/23; also, fire drill documentation for 12/18/24, 01/24, 01/17/2025, and 02/25/2025 did not specify AM or PM.
Failure to record monthly weights for Resident A (months: 12/23, 2/24, 3/24, 5/24, 9/24, 10/24, 11/24) and Resident B (months: 12/24, 5/24, 6/24, 8/24, 9/24, 10/24, 11/24, 12/24).
Staff failed to administer Resident A's insulin as prescribed because the order was written as 'as needed' and did not alert staff to check blood sugar; additionally, unknown prescription medications were sent to a resident's day program in an unlabeled baggie.
Resident A's Parkinson's medications (Carbidopa/Levodopa) were not being administered at the prescribed times, causing tremors and illness; medication administration signatures were sporadic and incomplete.
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