Optalis Health & Rehabilitation of Bloomfield Hill

In the surveyor’s words

From the most serious findings on record at Optalis Health & Rehabilitation of Bloomfield Hill, in the surveyor’s own words.

• Actual harm, patternF686Dec 16, 2021

  This citation pertains to intake #'s: MI 073, MI 279 & MI 624 Based on observation, interview, and record review, the facility failed to: consistently perform skin assessments, implement and perform pressure ulcer prevention interventions, ensure wound care consults were placed, ensure appropriate wound care treatments were ordered, and ensure attending physician/physician extenders were aware of their resident's skin status for four residents (R#'s 502, 504, 509, and 510), of six residents reviewed for pressure ulcers, resulting in the development of unstageable pressure ulcers and transfers to acute care facilities. […]

• Actual harm, isolatedF686Aug 24, 2026

  This citation pertains to intake 3137447.Based on interviews and record reviews the facility failed to ensure timely implementation of preventative wound interventions, failed to accurately implement wound treatment orders as noted by the Wound practitioner for one (R300) of three residents reviewed for wounds, resulting in a change in condition from a wound infection that required a transfer to a higher level of care and admission into the Intensive Care Unit (ICU) requiring multiple intravenous antibiotics and surgical wound debridement.Findings include:A review of a complaint submitted to the State Agency (SA) reported neglect regarding the care provided to R300.A review of the medical record revealed R300 admitted to the facility on [DATE] with diagnoses that included: cerebral… […]

• Actual harm, isolatedF684Oct 2, 2024

  This citation pertains to Intake #MI00147295. Based on observation, interview, and record review the facility failed to administer an erythropoietin stimulating agent (ESA-medication that stimulates the bone marrow to produce more red blood cells) as ordered by physician(s) for one (R104) of one Resident reviewed for quality of care resulting resulted in avoidable hospitalization s (due to critically low hemoglobin levels), blood transfusions, with feelings of frustration, helplessness, and diminished quality of life. Findings include: A complaint received by the State Agency revealed that R104 did not receive a medication that was ordered by the physician to be administered regularly resulting in hospitalization s due to low hemoglobin. […]

• Actual harm, isolatedF600May 8, 2024

  This citation pertains to Intake Number(s): MI00142885, MI00142866, MI00142560, and MI00142461. Based on observation, interview, and record review, the facility failed to protect three (R810, R808, and R809) residents' rights to be free from physical and verbal abuse by staff and residents. Findings include: A review of a complaint submitted to the State Agency revealed an allegation that a staff member (Certified Nursing Assistant - CNA 'E') slapped R810, it was observed by facility, and on camera. A review of a second complaint submitted to the State Agency revealed that R810 was assaulted by CNA 'E' while seated in a wheelchair. […]

• Actual harm, isolatedF686May 8, 2024

  This citation pertains to intake: MI00143440. Based on observation, interviews, and record reviews the facility failed to ensure the facility staff consistently identified worsening of pressure wounds, accurately assessed/identified pressure wounds, and timely/accurately implemented treatment for pressure wounds for one (R803) of one resident reviewed for wound care, resulting in an infection to the left heel wound that required intravenous (IV) antibiotics. Findings include: Review of a complaint submitted to the State Agency (SA) documented concerns of proper wound care for R803. On 5/8/24 at approximately 2:30 PM, R803 was observed lying on their back in bed sleeping. R803 was observed to have a pink tie-dyed shirt with a green comforter covering their lower body. […]