Shangri-La Assisted Living, a 16-bed facility in Columbiana, AL, in operation for 19 years, was to close by May 31 after being cited for multiple deficiencies during a December survey by the Alabama Department of Public Health.

The deficiencies, according to the 74-page inspection report, “resulted in actual harm to four residents and placed all 11 residents at significant risk for harm.” Three residents acquired wounds, and two antibiotic treatments for aspiration pneumonia were necessary when thickened liquids were given without an order for them, according to the report. The owner, a registered nurse, also reportedly told inspectors that she gave medication to residents that had been prescribed for other residents.

The facility retained residents for whom care exceeded its capabilities, used physical restraints, did not properly train staff, did not follow physician orders and displayed other issues, according to the report.

The bureau and medical director of the ADPH Bureau of Health Provider Standards, Walter T. Geary Jr., M.D., told the Shelby County Reporter that after the inspection, the facility’s owner opted to try to find another operator but was unsuccessful. Residents were given 30 days’ notice of the closure, and the facility was tasked with helping them find new places to live.

Meanwhile, in Michigan…

Meanwhile, family members of up to 80 residents of Ashley Court, a Livonia, MI, assisted living community specializing in memory care, were given six hours to pack up belongings and find new places to live for their loved ones after the state indefinitely closed two of the facility’s four buildings, citing several safety and quality of care issues. Families were told that the state would assume control for anyone remaining.

The family members, along with state lawmakers and local government officials, have complained about the short notice, which state officials said was necessary because residents were not protected and the buildings were not maintained, according to the Detroit News. A resident hit her head on a table after being dropped, for instance, another resident’s fall wasn’t discovered for six hours, residents’ undergarments were not changed promptly when soiled, and employees falsified documents to indicate that they had checked on residents when they had not done so, according to the order to close.