Autumnwood of Deckerville

In the surveyor’s words

From the most serious findings on record at Autumnwood of Deckerville, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 7, 2025

  This Citation Pertains to Intake Number 1316000. Based on observation, interview and record review, the facility failed to provide adequate supervision, ensure comprehensive investigations of falls, and implement meaningful interventions to prevent falls for two residents (# 701 and #702) of three residents reviewed, resulting in falls with injury including nasal bone fractures, the necessity for emergency medical treatment, and unnecessary pain. Findings include: Resident #701:On 8/6/25 at 12:30 PM, Resident #701 was observed in their room in bed with their eyes closed in the locked dementia unit of the facility. […]

• Actual harm, isolatedF600Jul 22, 2024

  This Citation pertains to Intake Number MI00145606. Based on observations, interviews and record review, the facility failed to protect Resident #2's right to be free from sexual abuse by Resident #1 for one resident (Resident #2) of four residents reviewed for abuse, resulting in Resident #1 being observed to make non-consensual contact with Resident #2's perineal area, with a finger in Resident #2's brief, while Resident #2 was lying in bed, resulting in psychosocial harm, trauma and/or fear using the reasonable person concept and the potential for injury. […]

• Actual harm, isolatedF689Mar 20, 2024

  This Citation Pertains to Intake Number MI00137710. This Citation has two Deficient Practice Statements (DPS). DPS #1: Based on observation, interview and record review, the facility failed to ensure that appropriate interventions were in place to secure a resident in a van during a transport to prevent a fall with serious injury for one resident (Resident #8) of 5 residents reviewed for falls and accidents, resulting in Resident #8 falling out of a wheelchair in a facility van and sustaining two right leg fractures. […]

• Actual harm, isolatedF686Feb 16, 2023

  Based on observation, interview and record review, the facility failed to prevent the development of facility-acquired pressure ulcer injuries for two residents (Resident #3, Resident #66), resulting in facility-acquired (in-house) development of pressure ulcers, pain, discomfort, and the likelihood for prolonged illness or hospitalization . Findings include: Record review of the facility 'Skin Management' policy dated 12/15/2022, revealed it is the policy that the facility should identify and implement interventions to prevent development of clinically unavoidable pressure injuries. […]

• Actual harm, isolatedF689Feb 16, 2023

  This Citation Pertains to Intake Numbers MI00127323, MI00127700, MI00127808, MI00133739, and MI00134334. Based on observation, interview and record review, the facility failed to implement and operationalize policies and procedures to ensure adequate supervision and implementation of planned, timely, and meaningful interventions to prevent falls and monitoring following falls for six residents (Resident #54, Resident #59, Resident #69, Resident #275, Resident #281, and Resident #282) of nine residents reviewed. […]