Inspection Reports for
Graceland Residential

MCL 400.734b Employing or contracting with certain individuals providing direct services to residents; prohibitions; criminal history check; exemptions; written consent and identification; conditional employment; use of criminal history record information; disclosure; determination of existence of national criminal history; failure to conduct criminal history check; automated fingerprint identification system database; electronic web-based system; costs; definitions: All staff were not fingerprinted through the Workforce Background Check System.

R 400.619 Emergency Preparedness Plan: The emergency preparedness plan, including the fire safety plan, was not practiced from 11:00pm-7:00am (sleeping hours) during each quarter.

R 400.629 Direct care staff; qualifications and training: Direct care worker Nkenglefac Fomenky did not have verification that First Aid/CPR training was up to date; the certification on file expired in October 2025.

R 400.631 Health screenings: There was no annual health review on file for direct care worker Nkenglefac Fomenky that was completed in 2024 or 2025.

R 400.631 Health screenings: Direct care worker B. Mambo did not have documentation of a baseline screening for communicable diseases; the TB test was administered but results and date were not indicated.

R 400.637 Handling of resident funds and valuables: Resident J’s funds transaction form was not completed to show cost of care payments from July 2025 to January 2026.

R 400.645 Environmental Health: There was no hot water in the home; water temperature was measured at 77°F in the bathrooms and kitchen.

R 400.673 Use of assistive devices, therapeutic support: There was no physician authorization on file for Resident J’s cane.

R 400.675 Resident medications: Multiple medication administration deficiencies were found including medications not documented as changed to PRN, medications not available in the home but initialed as given, lack of documentation for discontinuation or changes, improper storage of insulin not locked and unlabeled, missing documentation of over-the-counter medication authorization, and failure to document reasons for PRN medication administration.