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15000 GRATIOT AVENUE DETROIT, MI 48205 | Proprietary

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Oct 20, 2022	3	0	0	3	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE
Apr 13, 2022	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Sep 21, 2021	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Aug 4, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: GRIEVANCES
Feb 9, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: LEADERSHIP RESPONSIBILITIES
Nov 19, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF GRIEVANCE DECISION
Jun 11, 2019	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Jun 15, 2017	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING NURSING CARE PLAN
Feb 19, 2015 Follow-up to inspection on 2014-11-14*	5	0	0	5	Read full report
Deficiencies cited in this report: INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS
Dec 8, 2014 Follow-up to inspection on 2014-11-13*	1	0	0	1	Read full report
Deficiencies cited in this report: NURSING SERVICES
Nov 14, 2014	31	0	0	31	Read full report
Deficiencies cited in this report: MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS: CARE IN SAFE SETTING QAPI EXECUTIVE RESPONSIBILITIES NURSING SERVICES NURSING CARE PLAN PATIENT CARE ASSIGNMENTS ADMINISTRATION OF DRUGS MEDICAL RECORD SERVICES CONTENT OF RECORD: FINAL DIAGNOSIS PHARMACY DRUG RECORDS UNUSABLE DRUGS NOT USED PHARMACY: REPORTING ADVERSE EVENTS PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM SPECIAL MEDICAL RECORD REQUIREMENTS SOCIAL SERVICES RECORDS PROVIDE ASSESSMENT OF HOME PLANS EVALUATION ESTIMATES INTELLECTUAL/MEMORY FUNCTIONING INDIVIDUAL COMPREHENSIVE TREATMENT PLAN PLAN BASED ON INVENTORY OF STRENGTHS/DISABILITIES PLAN INCLUDES SHORT TERM/LONG RANGE GOALS PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED PLAN INCLUDES RESPONSIBILITIES OF TREATMENT TEAM TREATMENT DOCUMENTED TO ASSURE ACTIVE THERAPEUTIC EFFORTS RECORDS OF DISCHARGED PATIENTS INCLUDE DISCHARGE SUMMARY MONITOR/EVALUATE QUALITY/APPROPRIATENESS OF SERVICES QUALIFICATIONS OF DIRECTOR OF PSYCH NURSING SERVICES PARTICIPATES IN FORMULATION OF TREATMENT PLANS SOCIAL SERVICES ACTIVITIES PROGRAM APPROPRIATE TO NEEDS/INTERESTS
Nov 13, 2014	0	9	0	9	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Nov 13, 2014	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT NURSING SERVICES RN SUPERVISION OF NURSING CARE
Aug 26, 2014	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION
Sep 26, 2012 Follow-up to inspection on 2010-04-29*	0	2	0	2	Read full report
Deficiencies cited in this report: No Description Available No Description Available
Mar 19, 2012	1	0	0	1	Read full report
Deficiencies cited in this report: No Description Available
Feb 2, 2012	5	0	0	5	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION
Oct 25, 2011 Follow-up to inspection on 2011-03-09*	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: CARE IN SAFE SETTING
Sep 13, 2011	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED CONSENT PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Sep 1, 2011	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: RESTRAINT OR SECLUSION
Mar 9, 2011	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Feb 11, 2011 Follow-up to inspection on 2010-05-03*	2	0	0	2	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE
Dec 15, 2010	9	0	0	9	Read full report
Deficiencies cited in this report: No Description Available NURSING SERVICES ORGANIZATION OF NURSING SERVICES RN SUPERVISION OF NURSING CARE NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF VERBAL ORDERS FOR DRUGS CONTENT OF RECORD: ORDERS DATED & SIGNED CONTENT OF RECORD: DISCHARGE SUMMARY
Nov 5, 2010 Follow-up to inspection on 2010-04-29*	0	2	0	2	Read full report
Deficiencies cited in this report: No Description Available No Description Available
Oct 7, 2010 Follow-up to inspection on 2010-05-03*	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: TIMELY REFERRAL OF GRIEVANCES PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE
May 3, 2010	38	0	0	38	Read full report
Deficiencies cited in this report: GOVERNING BODY MEDICAL STAFF - APPOINTMENTS MEDICAL STAFF - BYLAWS AND RULES MEDICAL STAFF - ACCOUNTABILITY PATIENT RIGHTS PATIENT RIGHTS: NOTICE OF RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: REVIEW OF GRIEVANCES PATIENT RIGHTS: TIMELY REFERRAL OF GRIEVANCES PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: ADMISSION STATUS NOTIFICATION PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: INTERNAL DEATH REPORTING LOG No Description Available MEDICAL STAFF MEDICAL STAFF PERIODIC APPRAISALS MEDICAL STAFF BYLAWS APPROVAL OF MEDICAL STAFF BYLAWS MEDICAL STAFF RESPONSIBILITIES - H&P MEDICAL STAFF RESPONSIBILITIES - UPDATE NURSING SERVICES NURSING CARE PLAN CONTENT OF RECORD: FINAL DIAGNOSIS SECURE STORAGE UNUSABLE DRUGS NOT USED PHARMACY: REPORTING ADVERSE EVENTS DIRECTOR OF DIETARY SERVICES PHYSICAL ENVIRONMENT MAINTENANCE OF PHYSICAL PLANT LIFE SAFETY FROM FIRE FACILITIES VENTILATION, LIGHT, TEMPERATURE CONTROLS
Apr 29, 2010	0	16	0	16	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available Building Construction Type and Height
Jan 7, 2010	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: ADMISSION STATUS NOTIFICATION PATIENT RIGHTS: CARE IN SAFE SETTING NURSING SERVICES STAFFING AND DELIVERY OF CARE NURSING CARE PLAN SUPERVISION OF CONTRACT STAFF

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts