Kith Haven

In the surveyor’s words

From the most serious findings on record at Kith Haven, in the surveyor’s own words.

• Immediate jeopardy, isolatedF602Nov 7, 2022

  This Citation pertains to Intake Numbers: MI00124709, MI00131782, MI00132014 Based on observation, interview, and record review the facility was placed in Immediate Jeopardy due to the facility's systemic failure to account for narcotics and controlled substances on a daily basis and resolve discrepancies from [DATE] through [DATE], resulting in the diversion of at least 75 Norco tablets. There was likelihood for serious adverse outcomes, including harm and untreated pain, when residents did not receive necessary pain medications due to drug diversion. […]

• Actual harm, isolatedF600Apr 29, 2026

  This Citation Pertains to Intake# 2985732Based on observation, interview and record review, the facility failed to protect the resident's (Resident #101) right to be free from abuse by Resident #102 of 3 residents reviewed for abuse, resulting in resident #101 needing hospital treatment for assault, facial contusion and closed head injury.Findings Include:Review of Resident #101's medical record revealed Resident #101 was initially admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses: history of a stroke, Dementia, diabetes, history of seizures, cognitive communication deficit, anxiety, and hypertension. […]

• Actual harm, isolatedF600Feb 7, 2024

  This Citation Pertains to Intake Number MI00138869. Based on interview and record review, the facility failed to ensure adequate supervision to prevent physical abuse and ensure appropriate reporting and comprehensive investigations of abuse allegations for one resident (Resident #76) of two residents reviewed. This deficient practice resulted in Resident #76 suffering three separate incidents of physical abuse perpetrated by two separate residents (Resident #71 and Resident #376), the need for emergency medical treatment, and the likelihood for psychosocial distress utilizing the reasonable person concept. Findings include: Review of intake documentation detailed concerns that the facility was not providing adequate supervision to ensure Resident #76's safety. […]

• Actual harm, isolatedF684Nov 7, 2022

  This Citation pertains to Intake Number MI00132105 Based on observation, interview and record review, the facility failed to timely and accurately assess and respond to a change in condition for one resident (Resident #149) of three residents reviewed, resulting in a lack of assessment, interventions, and monitoring for change in condition, deterioration in health status, hospitalization with intensive care treatments, and subsequent further physical decline for Resident #149. Findings include: Resident #149: On 11/01/22 at 10:55 AM Resident #149 was observed lying in bed, scooted to the left, head pressing onto the bed rail. Right heal protection boot was off the resident's foot and on the floor. Tube feeding pump was beeping. […]

• Actual harm, isolatedF686Nov 7, 2022

  This Citation Pertains to Intake Number MI00126659. Based on interview and record review, the facility failed to operationalize policies and procedures to ensure comprehensive care and accurate documentation of pressure ulcers (wounds caused by pressure) including implementation of interventions, ongoing monitoring, and completion of treatments as ordered by the Healthcare Provider for one resident (Resident #125) of five residents reviewed resulting in Resident #125 developing two unstageable (full thickness tissue loss with unknown depth) and two Stage II (open wound with partial thickness tissue loss) pressure ulcers, unnecessary pain, and a decline in overall health status. […]