The Manor of Farmington Hills

In the surveyor’s words

From the most serious findings on record at The Manor of Farmington Hills, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 22, 2024

  This citation pertains to intake #'s MI00138702 and MI00144605. Based on observations, interviews and record review, the facility failed to protect the Resident's (R611) right to be free from neglect, including the provision of medical assistance, activities of daily living (ADL) assistance, medication administration and nursing supervision/monitoring for one of three reviewed for neglect, resulting in the resident to have been abandoned at a chemotherapy appointment, waiting approximately five hours for family to pick them up and having to pay for an overnight motel room until the resident was able to go to the hospital for medical care. […]

• Actual harm, isolatedF689Oct 30, 2025

  This citation pertains to Complaint #2649369Based on interview and record review the facility failed to provide 1:1 feeding assistance per the resident's assessment and plan of care and thoroughly conduct a Root Cause analysis investigation for one (R701) out of one resident reviewed for accidents/choking, resulting in R701 choking on corned beef and expired shortly thereafter. Findings include:A complaint was filed with the State Agency (SA) alleged on 10/16/25 during lunch, R701 choked on corned beef while eating in the dining room and died from choking. The complainant reported R701 required 1:1 feeding assistance but believed that nobody was sitting with the resident and/or watching them eat during lunch. […]

• Actual harm, isolatedF684Aug 6, 2025

  This citation pertains to intake #2573641Based on interview and record review the facility failed to timely assess, treat, notify the physician, and facilitate a transfer to the emergency room after an acute change of condition for one resident (R905), of three residents reviewed for change of condition, resulting in a transfer to the emergency room with a diagnosis of a heart attack requiring surgical intervention. Findings include: On [DATE] at 9:45 AM, a phone call was placed to the complainant, and they reported the facility failed to appropriately treat R905 for signs and symptoms of a heart attack. They said R905 requested to go to the hospital when they experienced chest pain, but the facility did not send them in a timely manner. […]

• Actual harm, isolatedF684May 16, 2025

  This citation pertains to intake# MI00152482 Based on observation, interview and record review, the facility failed to prevent new wounds from developing, provide wound care and complete/accurately document new skin impairments for two residents (R302 and R303) of three residents reviewed for wounds, resulting in R303's wound care not being completed per Physician's orders and R302's wounds including their right lateral hip, right heel, right toe, right lateral ankle and right lateral foot not being identified and treated in a timely manner. Findings include: On 5/15/25 a concern submitted to the State Agency was reviewed which alleged R302's wounds were not appropriately cared for and nobody knew about them. […]

• Actual harm, isolatedF684Oct 1, 2024

  This citation pertains to intake: MI00146970. Based on interview and record review, the facility failed to continuously ensure orders were implemented for supplemental oxygen and for a CPAP (continuous positive airway pressure) machine, failed to implement care plans for chronic hypoxic and hypercapnic respiratory failure, failed to implement interventions for supplemental oxygen and the use of a CPAP machine, failed to provide the correct settings for the non-invasive ventilation as ordered by the Pulmonologist, failed to administer antibiotics as prescribed, and failed to provide the necessary CPAP/BiPAP (bilevel positive airway pressure) ventilation as needed for one R707 of two residents reviewed for falls, resulting in multiple incidents of respiratory distress and a change of… […]