Inspection Reports for
Landings of Genesee Valley

R 325.1932 Resident medications: the facility did not ensure Resident A received medications as prescribed due to delays in medication delivery from an out-of-town pharmacy.

R 325.1931 Employees; general provisions: staff did not respond timely to Resident A's call light for incontinent care, with average response times exceeding the expected 10 minutes.

R 325.1973 Heating: the dining room temperature was measured at 58 degrees on the weekend, below the required 72 degrees, causing residents to wear jackets during meals.

R 325.1932 Resident medications: Resident A missed prescribed medications on at least two different days.

R 325.1952 Meals and special diets: Resident A was not provided meals at dinner on multiple dates in June 2025.

R 325.1932 Resident medications: Resident A missed several scheduled doses of his hydrocodone and staff incorrectly documented on the medication administration record that the medication was not administered when it had been.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to maintain an organized program to provide room and board, protection, supervision, assistance, and supervised personal care for its residents, including long call light response times, cluttered room with fall hazards, and improper storage of oxygen tanks.

R 325.1954 Meal and food records: the facility did not maintain a meal census log and Resident A did not receive dinner on 5/18/2025 as required.

R 325.1954 Meal and food records: the facility failed to maintain a record of the meal census, including residents, personnel, and visitors, and a record of the kind and amount of food used for the preceding 3-month period.

R 325.1921 Governing bodies, administrators, and supervisors: the facility was unable to provide progress notes for Resident A and information related to Resident A falling and being sent to the hospital. Resident A's room had clutter on the floor, balled up clothes on chair and dresser, significant dust on bed frame, call light out of reach, and air mattress set to 350lbs while resident weighs approximately 150lbs.

R 325.1979 General maintenance and storage: multiple stains were noted on carpet, carpet was tattered in multiple doorway entrances, and foul urine odor was present within the 1200 hallway.

R 325.1921 Governing bodies, administrators, and supervisors: the facility lacked an organized program to ensure care was provided consistent with resident service plans as staff were unfamiliar with Resident A’s service plan and not trained to regularly review service plans.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: staff provided Resident A’s service plan to visiting service providers without verifying identification or guardian permission, violating confidentiality requirements.

R 325.1922 Admission and retention of residents: the facility failed to update Resident A’s service plan with specific identifying information regarding necessary care.

R 325.1922 Admission and retention of residents: service plans for Residents B, C, and D were outdated, dated 6/22/2023, 6/14/2021, and 12/26/2023 respectively.

R 325.1921 Governing bodies, administrators, and supervisors: the home failed to maintain an organized program to provide supervision and assistance for Resident A, whose service plan was not updated to address her safety needs despite her high fall risk.

R 325.1931 Employees; general provisions: staff 1 and 2 did not treat Resident A with dignity, making disparaging comments and leaving her on the floor while changing her brief.

R 325.1921 Governing bodies, administrators, and supervisors: the facility did not assure the availability of emergency medical care when Resident A fell in the bathroom and was not immediately taken to the hospital despite complaining of pain.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to maintain a key to resident rooms on-site, resulting in inadequate protection of Resident A after a fall when staff on break did not have access.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to update Resident A’s service plan to reflect hospice involvement and did not implement additional safety measures despite multiple falls and high fall risk.

R 325.1921 Governing bodies, administrators, and supervisors: the bed and chair alarms for Resident A were not working properly due to dead or incorrectly installed batteries, and no measures were in place to ensure equipment functionality.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to maintain an organized program to provide supervision and protection for Resident A, as evidenced by inadequate fall prevention measures after multiple falls.

R 325.1922 Admission and retention of residents: the facility did not update Resident A's service plan to include recent safety measures such as the bed alarm and repositioning foam after falls.

R 325.1921 Governing bodies, administrators, and supervisors: the facility did not maintain an organized program to ensure adherence to Resident A's DNR order, resulting in CPR being performed despite the DNR.

R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to maintain an organized program to provide proper supervision and care related to medication administration and storage.

R 325.1932 Resident medications: Resident A was not administered a prescribed dose of morphine and the medication was not stored properly, with staff providing a false account of the medication left in the medication cart.

MCL 333.20201 Policy describing rights and responsibilities of patients or residents: Associate 1 physically abused Resident A and Associates 1, 2, and 3 took snack items from Resident A’s room, constituting violations of residents' rights and protections.

R 325.1922 Admission and retention of residents: the facility was unable to provide evidence of tuberculosis screening on record for residents as required by annual risk assessment guidelines.

R 325.1923 Employee's health: the facility was unable to provide evidence of initial tuberculosis screening and annual risk assessment for employees as required.

R 325.1976 Kitchen and dietary: a package of bread in the dry storage area was observed to be moldy during the onsite inspection.

R 325.1953 Menus: the facility did not maintain and post therapeutic and special diet menus for the current week.

R 325.1954 Meal and food records: the facility did not maintain a meal census to include residents, personnel, and visitors served.