Rose of Sharon Senior Living Detroit House

A revisit survey was completed on 6/5/25 for previous deficiencies cited on 4/15/25. The agency is in compliance with all regulations surveyed. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure and change of ownership survey was completed on 4/15/25. A deficiency was citedA change of ownership occurred on 1/6/25 Based on interview and record review, the residence failed to, on a quarterly basis, audit the accuracy and completeness of medication administration records (MARs), affecting five current residents. Findings include:1. Record reviewOn 4/15/25 at approximately 7:30 a.m., the last two quarterly medication audits were requested from the administrator.The medication audits were not completed by both the administrator and the qualified medication administration supervisor, they were completed by the administrator alone on 1/2/25 and 3/31.The last two quarterly audit forms revealed the form focused on the following areas of the medication program: completed MARs, holes or errors on MAR, expiration dates of medications verified, completed controlled substance document, accuracy of controlled substance count, medication disposal, names of resident on all bottles-over the counter, appropriate medication storage, self-administration of medication (reflect N/A if not applicable), and any needs for reporting will be identified on care plan.The audit tools provided revealed no evidence of an audit completed to ensure the accuracy of the MARs in regards to the written practitioner' s orders in relation to what was transcribed on the MARs and when the medications were administered. 2. InterviewsOn 4/15/25 at approximately 11:40 a.m., the administrator stated .. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.21.1 All interior areas including attics, basements, and garages shall be free from accumulations ofextraneous material such as refuse, unused or discarded furniture, and potential combustible materials.