12 Reports
Inspection Report — Jun 25, 2026
Renewal
Date: Jun 25, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found in non-compliance with 2 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (2)
R 325.1932 Resident’s medications: Resident A had multiple missed doses of Risperidone and Mirtazapine on afternoon shift during May 2026, and Resident B had missed doses of Tylenol and Albuterol in June 2026.
R 325.1976 Kitchen and dietary: Multiple perishable food items in the commercial kitchen were not properly labeled, dated or sealed, refrigerators were warmer than recommended temperatures, and resident personal refrigerators lacked thermometers.
Report Facts
Corrective action plan due: 15
Inspection Report — Dec 23, 2025
Complaint Investigation
Date: Dec 23, 2025
Visit Reason
Investigation of a complaint received on 2025-12-19 about physical abuse, understaffing, and medication administration.
Complaint Details
Physical abuse: not established. Verbal abuse toward Resident A: established. Facility understaffed: established. Medication administration violations: established. Additional findings: none.
Findings
Two rule violations were established related to understaffing and medication administration. Verbal abuse was substantiated but physical abuse was not.
Deficiencies (2)
R 325.1931 Employees; general provisions: on December 19 and 20, 2025, only two staff members were on duty, which was insufficient to meet residents' needs requiring two-person assistance.
R 325.1921 Governing bodies, administrators, and supervisors: three expired narcotic medications were found in the first-floor medication cart, indicating failure to follow medication policies.
Report Facts
Corrective action plan due: 15
Inspection Report — Nov 11, 2025
Complaint Investigation
Date: Nov 11, 2025
Visit Reason
Investigation of a complaint received on 2025-11-06 about staff education, resident showers, therapeutic diets, meal quality, and menu posting.
Complaint Details
Staff are not educated monthly or ongoing: established. Residents are not getting showers: established. The home is not offering therapeutic diets: not established. The home serves cold, unhealthy meals: not established. The home doesn’t post the menu: not established.
Findings
Two rule violations were established regarding staff education and resident showers; other allegations were not substantiated.
Deficiencies (2)
R 325.1931 Employees; general provisions: the home did not provide consistent, ongoing staff training or updates on best practices and policy changes.
R 325.1933 Personal care of residents: documentation was inconsistent and it was undetermined how often residents received showers.
Report Facts
Corrective action plan due: 15
Inspection Report — Oct 16, 2025
Complaint Investigation
Date: Oct 16, 2025
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Investigation of a complaint received on 2025-10-13 about care needs, staffing, and resident rights.
Complaint Details
Facility management team openly talks about residents violating their rights: not established. Resident A care needs were not met: established. The facility is short-staffed: not established.
Findings
One rule violation was established related to Resident A's care needs and failure to follow incident reporting policies. Two other allegations were not substantiated.
Deficiencies (1)
R 325.1921 Governing bodies, administrators, and supervisors: the facility did not follow policy and procedure related to incident reporting for Resident A's hospitalization and medication administration was not as ordered.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 29, 2025
Complaint Investigation
Date: Sep 29, 2025
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Investigation of a complaint received on 2025-09-26 about resident monitoring and staffing.
Complaint Details
Resident A care was not being monitored: established. Facility became understaffed on 9/26/2025 on afternoon shift: not established. Additional findings: none.
Findings
One rule violation was established related to failure to follow incident and accident policy for Resident A. The allegation of understaffing was not established.
Deficiencies (1)
MCL 333.20175(1) Maintaining Records: facility did not follow incident and accident policy and procedure and was unable to provide documentation related to Resident A’s change in condition and transfer to the hospital completed by a facility staff member.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 9, 2025
Complaint Investigation
Date: Sep 9, 2025
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Investigation of a complaint received on 2025-09-05 about injury during a one-person transfer.
Complaint Details
Resident A was injured during a one-person transfer: established. Additional findings: failure to notify department of administrator change — established.
Findings
Two rule violations were established related to resident safety during transfer and failure to notify the department of administrator change.
Deficiencies (2)
R 325.1931 Employees; general provisions: Resident A was transferred by one person instead of two as required by the service plan, resulting in a leg injury.
R 325.1913 Licenses and permits; general provisions: The facility did not notify the department within 5 business days of the change in administrator.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 5, 2024
Complaint Investigation
Date: Sep 5, 2024
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Investigation of a complaint received on 2024-09-04 about improper admission, supervision, and additional findings.
Complaint Details
Resident A was improperly admitted to the facility: established. Resident A was improperly supervised: established. Additional findings: service plan not developed timely — established.
Findings
Three violations were established: improper admission without legal authority, insufficient supervision allowing Resident A to elope, and failure to develop a timely service plan.
Deficiencies (3)
R 325.1922 Admission and retention of residents: Resident A’s admission contract did not contain the proper signatory; the licensee admitted Resident A without legal authority such as guardianship or power of attorney.
R 325.1921 Governing bodies, administrators, and supervisors: Resident A lacked sufficient supervision, evidenced by his ability to exit the facility through a second story window and remain unattended for roughly an hour.
R 325.1922 Admission and retention of residents: Resident A’s service plan was not developed in a timely manner after admission.
Report Facts
Corrective action plan due: 15
Inspection Report — Nov 21, 2023
Renewal
Date: Nov 21, 2023
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 8 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (8)
R 325.1917 Compliance with other laws, codes, and ordinances: the facility was unable to provide documented evidence of completed quarterly fire safety drills.
R 325.1922 Admission and retention of residents: service plans for Residents A, B and C did not include adequate information to identify the specific care and maintenance required.
R 325.1922 Admission and retention of residents: Resident C's tuberculosis screening was completed one day after admission and the facility lacked an annual tuberculosis risk assessment.
R 325.1923 Employee's health: Associate 1 started working prior to completion of tuberculosis screening and the facility lacked an annual tuberculosis risk assessment.
R 325.1924 Reporting of incidents, accidents, elopement: the facility was unable to provide documentation demonstrating maintenance and implementation of a quality review program.
R 325.1954 Meal and food records: kitchen staff did not keep a record of the kind and amount of food used.
R 325.1970 Water supply systems: the facility was unable to provide water temperature tracking documentation to demonstrate regulation of resident hot water and plumbing fixtures.
R 325.1979 General maintenance and storage: two oxygen tanks were improperly stored in the memory care resident storage room.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tracey Ryckman | Administrator | Named in tuberculosis risk assessment findings |
| Catie Kungel | Business office manager | Named in oxygen tank storage finding |
Inspection Report — Nov 9, 2021
Date: Nov 9, 2021
Visit Reason
Decrease in licensed capacity from 92 to 69 beds to convert part of the facility into a licensed hospice residence.
Findings
The facility's request to decrease capacity from 92 to 69 beds poses no conflicts with statute or rule.
Report Facts
Inspection Report — Apr 8, 2020
Date: Apr 8, 2020
Visit Reason
Home for the aged licensed bed capacity reduction in order to convert space to support emergency nursing home beds.
Findings
The department approves the occupancy decrease and conversion of space to emergency nursing home care. The status of the homes for the aged license will remain unchanged.
Inspection Report — Dec 7, 2018
Date: Dec 7, 2018
Visit Reason
Addendum purpose: facility name change from Windemere Park of Oakland to Belmar Oakland effective 11/1/2018.
Findings
The department approves of the facility name change. The status of the license will remain unchanged.
Inspection Report — Apr 27, 2016
Original Licensing
Date: Apr 27, 2016
Visit Reason
Original license application for a Home for the Aged facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules.
Report Facts
License term length: 6
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