The Manor of Novi

In the surveyor’s words

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

• Immediate jeopardy, patternF712Mar 18, 2021

  This citation pertains to Intake #MI 878. Based on observation, interview and record review, the facility failed to ensure that the attending physician conducted required visits (minimum of every sixty days) for 12 Residents currently residing in the facility (#701, #703, #705, #706, #707, #708, #709, #710, #711, #712, #713, #714) out of 14 reviewed for physician visits. This resulted in Immediate Jeopardy (IJ) when R#714 had gone more than 4 months without being seen by a physician or a Non-physician practitioner and R#701 who experienced a significant change in status that included severe weight loss, a facility acquired pressure ulcer that required surgical debridement, and hospitalization , had not received visitation by their attending physician (Dr. […]

• Immediate jeopardy, isolatedF600Jan 13, 2022

  This citation pertains to intake: MI 440. Based on observation, interview and record review the facility failed implement a care plan/interventions identifying sexual behaviors towards residents and prevent sexual abuse occuring to three (R702, R706 and R707) of 4 residents reviewed for abuse resulting in Immediate Jeopardy when R702 breasts and vagina was fondled by R705, R705 held the wrist of R706 (a vulnerable resident) down into the front of their (R705's) brief, and R707 being asked to perform oral sex by R705. This deficient practice placed the residents residing at the facility at risk for continued abuse, serious harm or injury. Findings include: The Immediate Jeopardy (IJ) started on 12/13/21. The IJ was identified on 1/11/22 at 11:36 AM. […]

• Actual harm, isolatedF686Apr 8, 2026

  This citation pertains to Intake 2588311.Based on observation, interview and record review, the facility failed to identify upon admission and provide treatment and services for a Stage Three pressure ulcer (having full-thickness skin loss, not involving underlying fibrous tissue) for one resident (R4) of four residents reviewed for pressure wounds resulting in a delay of treatment, pain and worsening of a sacral pressure wound. Findings include: Clinical record review revealed R4 was admitted to the facility on [DATE] for osteomyelitis (infection in the bone) of the left foot requiring amputation of the toes and required administration of intravenous (IV) antibiotics via PICC (Peripheral Inserted Central Catheter) line, had Acute Kidney Injury (AKI) due to kidney failure and required… […]

• Actual harm, isolatedF689Apr 8, 2026

  Based on observation, interview, and record review, the facility failed to prevent avoidable falls for three residents (R#'s 5, 60, and 50) of five residents reviewed for falls resulting in R5 sustaining a fracture to their left shoulder causing pain and hospital care, and provide supervision for wandering residents for two residents (R#'s 18 and 81) of two residents reviewed for supervision. Findings include: On 4/6/26 at approximately 12:19 PM, R5 was observed lying in bed. Their left arm was in a sling and assist bars were observed on both sides of the bed. R5 was alert and able to answer all questions asked. R5 reported that they were admitted to the facility on [DATE], primarily to receive in-house Dialysis care. […]

• Actual harm, isolatedF684Dec 21, 2023

  This citation has two deficient practices. DPS #1 This citation pertains to Intake #MI00140460. Based on observation, interview and record review the facility failed to ensure a resident with Type 1 diabetes was timely assessed for low blood sugar for one (R84) of three residents reviewed for change in condition/hospitalization resulting in R84's being found unconscious and hyperventilating with a blood sugar level of 34 causing a transfer to the emergency room and a six day stay at the hospital. Findings include: A Complaint was filed with the State Agency (SA) that alleged the facility failed to ensure R84's low blood sugar was timely addressed causing the resident to become unconscious and in need of hospitalization . […]