The Orchards at Harper Woods

In the surveyor’s words

From the most serious findings on record at The Orchards at Harper Woods, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 7, 2021

  This citation pertains to intake #'s MI 865 and MI 858 Based on interview and record review, the facility failed to complete preventative routine skin assessments and complete and/or document wound care treatments for one resident (Resident #709) of two residents reviewed for pressure ulcer (a wound caused by prolonged pressure on the skin over a bony prominence) care, resulting in the development and worsening of a stage 3 pressure ulcer and hospitalization . Findings include: A record review of the Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #709 was admitted to the facility on [DATE] with the diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF600May 12, 2021

  This citation pertains to intakes MI 691, MI 993, MI 037, MI 637. Deficient Practice Statement 1 of 2: Based on observation, interview, and record review, the facility failed to prevent neglect for two sampled residents (R909 and R910) of three reviewed for care concerns, resulting in the potential for as well as actual unmet care needs, worsening of a pressure ulcer, skin breakdown, burning pain, resident frustration, feelings of despair, humiliation and loss of dignity. Findings include: A review of intake MI 637 revealed the following: .This facility is more concerned about getting paid .instead of .quality of care various statements that have been verbalized .[to my family member from staff, such as] Sometimes we are short staffed so we are unable to change [R909] right away, . […]

• Actual harm, isolatedF684May 12, 2021

  This citation pertains to intake MI 993. Deficient Practice Statement 1 of 1: Based on interview and record review, the facility failed to adequately monitor fluid/nutritional status, document information related to [CONDITION(S)], and document follow-up after notification of a physician related to noted changes in condition for one sampled resident (R907) of three reviewed for change in condition, resulting in incomplete monitoring and documentation of resident health status, potentially delayed treatment and hospitalization . […]

• Actual harm, isolatedF692May 12, 2021

  This citation pertains to intake: MI 077. Based on interview and record review, the facility failed to appropriately monitor and address a significant weight loss for one sampled resident (R902) of two residents reviewed for nutrition resulting in, a significant weight loss not being identified or addressed. Findings include: A review of Intake MI 077 revealed the following, [R902] was admitted to [Nursing Facility] for respite care [DATE] .When admitted to the facility [R902] was walking with assistance, transferring with assistance, eating, drinking, and conversing. […]

• Actual harm, isolatedF686Jan 27, 2021

  This citation pertains to intakes 6 and 2. Based on interview and record review, the facility failed to provide wound care treatments per order and document implementation of pressure ulcer interventions for prevention/treatment of [REDACTED]. Findings include: A review of R901's Minimum Data Set (MDS) assessments dated 10/23/2020 and 11/5/2020 revealed that the resident was originally admitted into the facility on [DATE] and most recently re-admitted on [DATE] with medical [DIAGNOSES REDACTED]. Further review revealed the resident was severely cognitively impaired and required extensive to total assistance from staff for bed mobility, transfers, dressing, eating, and hygiene/bathing. […]