Corewell Health Grand Rapids Hospitals Rehabilitat

In the surveyor’s words

From the most serious findings on record at Corewell Health Grand Rapids Hospitals Rehabilitat, in the surveyor’s own words.

• Actual harm, isolatedF760May 5, 2021

  This citation pertains to Intake # MI 374. Based on interview and record review, the facility failed to keep resident free from significant medication errors in 1 of 4 residents (Resident #100) reviewed for medication administration, resulting in adverse effects and hospitalization . Findings include: According to the Fundamentals of Nursing, 6th edition (Mosby, Patricia A. Potter, Anne G. Perry, 2005 page 419) the physician should write all orders, and the nurse must make sure that they are transcribed correctly. […]

• No harm, potential for more than minimal, patternF550Nov 16, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents were treated with dignity and respect in 5 (Residents #30, #477, #480, #25, and #54) of 7 residents reviewed for dignity, resulting in staff not respecting privacy for Resident #30, long call light wait time following incontinence episode for Resident #477, staff speaking disrespectfully about Resident #480 in his presence during incontinence care as well as long call light wait time following incontinence episode, and staff not promoting dignity and self-determination for Resident #25 and Resident #54. […]

• No harm, potential for more than minimal, patternF803Nov 16, 2023

  Based on observation, interview, and record review, the facility failed to obtain and/or honor meal preferences for 4 (Residents #4, #106, #123, and #73) of 29 sampled residents reviewed for meal services, resulting in resident dissatisfaction with their meal experience, feelings of frustration related to meals, and the potential for inadequate food/fluid intake and weight loss. Findings include: Resident #4 Review of an Admission Record revealed Resident #4 was a male, with pertinent diagnoses which included: type 2 diabetes mellitus (a condition where the body is not able to properly use sugar from the blood) with hyperglycemia, with long-term current use of insulin; hypertension (high blood pressure) associated with diabetes; and weight loss. […]

• No harm, potential for more than minimal, patternF679Dec 20, 2022

  Based on interviews, observations, and record review, the facility failed to provide sufficient, daily, meaningful activities of choice, for 1 (Resident #14) of 28 sampled residents and 8 of 13 residents in attendance at a confidential group meeting, resulting in feelings of boredom, loneliness, and a potential for increased anxiety. Findings include: Resident #14 A review of a Face Sheet revealed Resident #14 was a male, originally admitted to the facility on [DATE], with pertinent diagnoses which included: alcohol induced dementia (a type of alcohol-related brain damage), bipolar disorder (a mental condition marked by alternating periods of elation and depression), and generalized anxiety disorder (severe, ongoing anxiety that interferes with daily activities). […]

• No harm, potential for more than minimal, patternF921Dec 20, 2022

  Based on observation and interview, the facility failed to maintain a sanitary environment and ensure proper cleaning and sanitizing of commonly used shared resident equipment was performed, resulting in the potential for cross-contamination and the development and worsening spread of infection to a vulnerable population. Findings include: In an observation on 12/14/22 at 10:19 AM., noted a sit to stand lift outside of room [ROOM NUMBER]. The base of the lift (where residents plant their feet) was noted to be visibly soiled with dust, debris, and food crumbs. Noted the hand grips were heavily soiled with stuck on grime. The knee padded (black padded area where knee/shins are stabilized) was noted to be visibly soiled with a dried, crusted stuck on substance. […]