Arden Courts (livonia)

Medication administration records (MAR) showed multiple 'holes'/missed documentation for several residents; Resident B did not receive Lexapro for an entire month prior to being discontinued; Controlled substance shift to shift count sheet not signed off by oncoming/outgoing med tech on multiple carts.

Multiple perishable food items in the commercial kitchen's refrigerator and freezer were left uncovered and without proper labels; multiple items were noted to be expired (feta cheese, chopped garlic, whipping cream, and pound cake).

Employee health file did not contain evidence that initial TB testing was completed.

Meal census records are not being maintained by the facility.

Inadequate medical attention for Resident A: Resident A was found to have seven fractured ribs and a punctured lung following an incident where they had been complaining of pain and was observed crawling on the floor.

Inadequate supervision: Resident B attacked Resident A in her room with a plastic garbage can, causing bleeding and swelling.