Burcham Hills Retirement Center

In the surveyor’s words

From the most serious findings on record at Burcham Hills Retirement Center, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 24, 2026

  This citation pertains to Intake 2987836. Based on interview and record review, the facility failed to monitor and address a significant weight gain and increased edema in one (R1) of three reviewed resulting in unrecognized worsening of edema, significant weight gain, loss of consciousness, and hospitalization. Findings include:In a telephone interview on 4/23/26 at 12:13 PM, R1's Significant Other (SO) I reported earlier in the week, prior to R1 transferring to the hospital, they noticed R1 had increased edema in his legs and reported R1 mentioned an increased difficulty in breathing. SO I reported they believed the increased edema was not being addressed. SO I reported R1 remained in the hospital as of 4/23/26. […]

• Actual harm, isolatedF689Aug 8, 2024

  This citation pertains to intake: MI00146060 Based on observation, interview, and record review the facility failed to prevent accidents (falls) by not following the plan of care, for two Resident (#2, #3) out of three Residents reviewed for accidents and hazards resulting in actual harm, fractured bones resulting in decline in Activities of Daily living for Resident #3 and potential for injury for Resident #2. Findings Included: Resident #3(R3) Review of the medical record revealed R3 was admitted [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD), type 2 diabetes, lung cancer, unstageable sacral pressure ulcer, fibromyalgia (widespread and long term body pain), epilepsy, anemia (low red blood cells), gastro-esophageal reflux disease, hypomagnesemia (low… […]

• Actual harm, isolatedF686May 24, 2024

  Based on observation, interview, and record review the facility failed to prevent the development and worsening of a pressure ulcer for three (Resident #13, 24, and 45) of seven reviewed, resulting in multiple facility acquired pressure ulcers and the potential for infection and increased pain. Findings Include: Resident #13 Review of the medical record revealed Resident #13 (R13) was admitted to the facility on [DATE] with diagnoses that included hypertension, anxiety, and depression. Review of the Quarterly Minimum Data Set (MDS) dated [DATE] revealed R13 was cognitively intact, did not have a pressure ulcer, and was at risk for pressure ulcer development. […]

• Actual harm, isolatedF689May 24, 2024

  Based on observation, interview and record review, the facility failed to implement timely interventions, provide appropriate supervision and ensure that staff assisted with transfers to prevent recurrent falls for two resident (Resident #70 and #547) of three reviewed for falls, resulting in a head laceration requiring emergency care and staples. Finding include: Resident #70(R70) Review of the Face Sheet and Minimum Data Set (MDS) dated [DATE], reflected R70 was a [AGE] year old male admitted to the facility on [DATE], with diagnoses that included Parkinson's Disease, polyosteoarthritis, wedge compression lumbar fracture, spinal stenosis, radiculopathy, disc degeneration, low back pain, unsteadiness on feet, reduced mobility, repeat falls, assistance with personal care and anxiety. […]

• Actual harm, isolatedF678Oct 24, 2023

  This citation pertains to intake MI00139554 Based on interview and record review, the facility failed to provide timely cardiopulmonary resuscitation (CPR) per the standards of practice and according to facility policy for one (Resident #2) of two reviewed for emergency resuscitation, when Resident #2 was found unresponsive without pulse or respiration with a 1 hour 58-minute delay prior to the initiation of CPR with the deficient practice resulting in death for Resident #2. Findings include: Review of the medical record revealed that Resident #2 (R2) was admitted to facility [DATE] with diagnoses including secondary malignant neoplasm of prostate, severe protein-calorie malnutrition, paranoid schizophrenia, and anemia. […]