Four Seasons Nursing Center of Westland

In the surveyor’s words

From the most serious findings on record at Four Seasons Nursing Center of Westland, in the surveyor’s own words.

• Actual harm, isolatedF684Jan 10, 2025

  This citation pertains to Intake Number MI00149416. Based on interview and record review, the facility failed to address a change in condition in a timely manner for one (R801) of two residents reviewed for changes in condition, resulting in the resident being transferred to the hospital where they were found to have a blood sugar of 1200 (normal range 60-120 mg/dl - milligrams per deciliter), fever, and difficulty breathing requiring mechanical ventilation. Findings include: A review of a complaint submitted to the State Agency (SA) revealed an allegation that R801's family member noticed R801 had swelling in his arms, legs and belly starting around 12/11/24. […]

• Actual harm, isolatedF689Oct 9, 2023

  Based on observation, interview, and record review the facility failed to provide activities of daily living care in a safe manner, for one resident (R701), resulting in a fall from bed with injury of a fractured vertebrae. Findings include: This citation pertains to Intake MI00139950. A review of the Intake noted, Allegations: Details: It was alleged the resident fell off the bed while receiving care and sustained a fractured vertebrae. On 10/9/23 at 2:45 PM, R701 was observed at the nurses station, sitting in a wheelchair, with a neck brace on. […]

• Actual harm, isolatedF689Sep 22, 2022

  Based on observation, interview, and record review the facility failed to maintain safety during a bed bath, for one of seven residents (R44) reviewed for falls, resulting in a fall from bed and a fracture femur. Findings include: On 9/20/22 at 1:40 PM, R44 was observed lying in bed with their right leg observed with a healing surgical cut. R44 was asked what had happen to their leg and stated, I fell from the bed to the floor about seven weeks ago. R44 was asked how it happened and stated, A CNA was giving me a bed bath. R44 continued and explained that they broke their femur and had surgery to repair the break. On 9/22/22 at 12:04 PM, CNA E was called for a phone interview, a voice message was left, CNA E did not return the call by the end of this survey. […]

• Actual harm, isolatedF686Jun 16, 2022

  This citation pertains to intake MI 492 Based on observation, interview, and record review, the facility failed to prevent the development of pressure injuries, turn and reposition in a timely manner for one sampled Resident (R700) out of one reviewed for skin, resulting in the potential for pain, the worsening of existing pressure injuries, and the development of a new pressure injuries. Findings include: A review of intake MI 492 noted the following, .[R700] has wounds all over her body. It appears she is not being turned in bed properly. There are bilateral right and left stage four pressure ulcers on her heels with (sic) are turning into necrotic wounds. There is also stage 3 pressure ulcer on her tail bone. […]

• No harm, potential for more than minimal, widespreadF645Apr 9, 2026

  Based on observation, interview and record review, the facility failed to timely complete annual PASARR (Pre-admission Screening and Annual Resident Review - Level I) assessments and review to the appropriate State - appointed authority for six residents (Resident #5, #6, #11, #14, #59 and #117) of six reviewed for PASARR Level I assessments. The Pre-admission Screening/Annual Resident Review (PASARR) in Michigan is a two-step screening and evaluation process. The purpose of the PASARR process is to encourage community care by supporting the placement of individuals with Mental Illness (MI) or those with Intellectual/Developmental Disabilities (ID/DD) in a nursing facility only when their medical needs clearly indicates that the resident requires the level of care provided by a nursing… […]