6 Reports
Inspection Report — Apr 7, 2026
Complaint Investigation
Date: Apr 7, 2026
Visit Reason
Investigation of a complaint received on 2026-04-06 about staffing, medication administration, narcotic logs, food service, vital signs, medication training, resident falls, and additional care concerns.
Complaint Details
Short staffing: established. Medications administered late and not per physician orders: established. Narcotic count logs incomplete and narcotics improperly handled: established. Staff lack medication training: established. Resident L falls and incident reports: not established. Additional findings of inconsistent care to Resident J: established.
Findings
Six rule violations were established related to staffing levels, medication administration, narcotic logs, medication training, narcotic handling, and resident care consistent with service plans. One allegation about falls and incident reports was not substantiated.
Deficiencies (5)
R 325.1931 Employees; general provisions: there was insufficient staffing to meet residents’ care needs due to discrepancies in staff schedules and omissions of staff who reportedly worked.
R 325.1932 Resident’s medications: systemic issues with medication administration practices, documentation accuracy, medication availability, and compliance with established policies were found.
R 325.1921 Governing bodies, administrators, and supervisors: narcotic count logs were incomplete and there was evidence suggesting improper handling of controlled substances.
R 325.1931 Employees; general provisions: Employee #4 operated a medication cart for months without completing required training or competency check-offs.
R 325.1931 Employees; general provisions: staff did not always provide care consistent with Resident J’s service plan, including failure to conduct routine checks and provide water.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #4 | Medication technician | Operated medication cart without required training or competency check-offs |
Inspection Report — Apr 8, 2025
Renewal
Date: Apr 8, 2025
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 5 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (5)
R 325.1921 Governing bodies, administrators, and supervisors: the facility did not adhere to its bedside assist device policy and lacked necessary documentation for Resident A's bedside assist devices.
R 325.1931 Employees; general provisions: the shift supervisor was not identified on the schedule from 3/30/2025 to 4/12/2025.
R 325.1954 Meal and food records: the home maintained records identifying residents served but did not track the kind and amount of food provided.
R 325.1976 Kitchen and dietary: the temperature log for the dish machine was incomplete for multiple dates in February and March 2025. Repeat violation.
R 325.1976 Kitchen and dietary: several items in the dining room refrigerator were not dated, including applesauce, sandwiches, and mandarin oranges.
Report Facts
Corrective action plan due: 15
Inspection Report — Mar 18, 2024
Renewal
Date: Mar 18, 2024
Visit Reason
License renewal notice; no inspection report attached. Administrative review without an on-site visit.
Findings
The license was renewed following an administrative review that revealed substantial compliance with applicable rules.
Inspection Report — Jun 15, 2015
Date: Jun 15, 2015
Visit Reason
Addendum purpose: facility name change from Grand Court Adrian to Brookdale Adrian.
Findings
The facility name was changed from Grand Court Adrian to Brookdale Adrian as a result of a simple rebranding project; there was no change in ownership, operations, or location.
Inspection Report — Jul 16, 2009
Date: Jul 16, 2009
Visit Reason
Amendment to the original licensing study to change the licensee name per a request received on June 10, 2009.
Findings
The licensee name was verified and it is recommended to amend the licensee name to Grand Court Adrian.
Inspection Report — Apr 20, 2004
Original Licensing
Date: Apr 20, 2004
Visit Reason
Original license application.
Findings
Multiple rule violations were found and a written corrective action plan was required before a temporary license could be issued.
Deficiencies (14)
MCL 20175 Maintaining record for each patient; wrongfully altering or destroying records: six residents’ records were reviewed and in two records medications administered as needed (PRN) were not documented as required.
MCL 333.20173 Nursing home, county medical care facility, or home for the aged; criminal history check of employment applicants: seven personnel files reviewed failed to include a criminal history check as required by law.
MCL 333.20201 Policy describing rights and responsibilities of patients or residents: medication cart was not locked when staff left the area to administer medication on April 21 and 22, 2004.
MCL 333.21311 License required; use of home for aged or similar term or abbreviation; minimum: facility failed to obtain a waiver for a resident under age 60 years.
MCL 333.21333 Smoking policy: facility failed to post no smoking signs at each entrance and did not post designated smoking area signs.
R 325.1833 Admission and retention of residents; physician certificate: two of six residents’ records lacked a physician’s certificate indicating freedom from communicable disease.
R 325.1833 Admission and retention of residents; chest x-ray: two of six residents’ records lacked a chest x-ray performed within three months prior to admission.
R 325.1835 Employees' health: one of seven employee files lacked a preemployment physical examination.
R 325.1836 Illnesses and accidents: twenty of thirty-three incident reports did not notify the physician as required after accidents or sudden changes in condition.
R 325.1857 Accident records and incident reports: twenty of thirty-three incident reports did not notify the physician as required and eight did not include corrective measures to avoid repetition.
R 325.1880 Water supply systems: hot water temperature exceeded 110 degrees Fahrenheit in nine of thirteen plumbing fixtures tested.
R 325.1886 Kitchen and dietary; protection against contamination: food served in the assisted living dining room was not protected from dust and other sources.
R 325.1886 Kitchen and dietary; thermometer: freezers section of refrigerators did not have a reliable thermometer in place.
R 325.1891 Disaster plans; personnel training: six of seven employee files did not document training to perform assigned tasks as specified in disaster plans.
Report Facts
Corrective action plan due: 15
Viewing
Loading inspection reports...
