Marvin & Betty Danto Health Care Center

In the surveyor’s words

From the most serious findings on record at Marvin & Betty Danto Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF684Dec 14, 2023

  This citation pertains to intake #MI00134966 and MI00141309. This citation has two deficient practices. Deficient Practice #1 Based on interviews and record reviews the facility failed to implement an order to obtain daily blood sugar (BS) levels upon admission, failed to identify and report to the physician abnormal lab results, and failed to timely report to the physician a change of condition for one (R104) of one resident reviewed for an expired closed record sample, resulting in a delay of care and services and the prompt intervention to transfer the resident to a higher level of care. Findings include: Review of the medical record revealed R104 was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE] and expired fifteen days later. […]

• Actual harm, isolatedF686Dec 14, 2023

  This citation pertains to intake #'s MI00138332 and MI00135446. Based on observations, interviews and record reviews the facility failed to implement adequate preventive interventions to prevent the development of pressure ulcers, failed to complete accurate skin assessments, failed to ensure implemented preventive interventions were consistently completed and treatment orders were consistently completed as ordered by the physician for two residents, (R's 44 & 27) of three residents reviewed for pressure ulcers, resulting in the development of a facility acquired unstageable pressure ulcer with slough identified to the right heel of R44 within five weeks after being admitted to the facility. Findings include: On 12/12/23 at 9:31 AM, R44 was observed lying on their back in bed. […]

• Actual harm, isolatedF689Dec 14, 2023

  This citation has two deficient practices. Deficient Practice #1 This citation pertains to intake #MI00141309 Based on observation, interview, and record review the facility failed to ensure proper amount of staff were utilized for bed mobility for one resident (R75), of one resident reviewed for bed mobility, resulting in a fall with multiple fractures requiring a transfer to the emergency room . Findings include: On 12/12/23 at approximately 10:15 AM, R75 was observed in their bed with a sling on their right arm. They were asked about the sling but refused to answer any questions and said, I am tired of being asked about it, I don't want to talk about that!. A review of R75's clinical record revealed they admitted to the facility on [DATE] and readmitted on [DATE]. […]

• Actual harm, isolatedF600Jan 12, 2023

  This citation pertains to Intake Number: MI00131453. Based on interviews and record review, the facility failed to protect one (R256) of five residents reviewed for abuse, from sexual abuse by another resident (R255), resulting in psychosocial harm of R256 using the reasonable person concept due to R256 being unable to consent to being touched sexually by R255. Findings include: Review of a Facility Reported Incident (FRI) submitted to the State Agency revealed R255 groped (R256) between the legs and on breasts and it was witnessed by staff. An unannounced, onsite investigation was conducted on 1/12/23 to investigate the allegation. […]

• Actual harm, isolatedF689Jan 12, 2023

  This citation pertains to Intake Number(s): MI00131690, MI00131961, and MI00131453. Based on observation, interview, and record review, the facility failed to ensure three (R42, R355, and R71) of 10 residents reviewed for accidents, were positioned, transferred, and supervised in a manner consistent with their plan of care, resulting in a fracture to R42's foot, a fracture to R355's left humerus (long bone in the arm that runs from the elbow to the shoulder), and loss of consciousness and vomiting of R71. […]