Inspection Reports for
Oakland Heights Senior Living

The visit found that the Bed Bug Addendum was included in the residents' admission agreements as required, with no deficiencies cited during the visit.

The complaint investigation was unsubstantiated. Allegations included failure to ensure a resident's pendent was working and failure to answer calls for assistance timely. The resident's pendent was found to be nonfunctional due to a dead battery not reported by the resident. Staff responded promptly when alerted by another resident. There was insufficient evidence to substantiate the allegations.

The investigation found that the resident's pendent was not functioning due to a dead battery which the resident did not report or have staff inspect, and that staff responded promptly once alerted by another resident. Both allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that facility staff were not properly addressing pests. The investigation included interviews with staff and affected residents and review of public health reports. The complaint was found unsubstantiated due to lack of preponderance of evidence.

The investigation found that the complaint was unsubstantiated. Although there was an outbreak of scabies among residents, all affected residents received treatment from their physicians and the facility followed prescribed treatment plans including isolation.

No deficiencies were cited during the visit. The Licensing Program Analysts requested documentation from the administrator regarding pest control treatments.

The complaint involved an allegation of illegal eviction. The investigation included interviews with staff and review of payment issues related to a resident's move-in. The complaint was determined to be unsubstantiated.

The investigation found that the complaint was unsubstantiated due to insufficient evidence to prove the alleged violation occurred. The facility issued a 30-day Notice to Quit per company policy after the resident's payment was not authorized by Kaiser.

No deficiencies or violations were explicitly stated in the report. The Licensing Program Analyst requested invoices related to bug bed treatment. An exit interview was conducted and a copy of the report was provided.

The complaint alleged that staff did not keep the facility free from pests, specifically bed bugs in a resident's apartment. The complaint was found unsubstantiated due to lack of preponderance of evidence.

The investigation found that the facility has a routine pest management contract and maintenance staff to address pest issues. The complaint was unsubstantiated as there was insufficient evidence to prove the alleged violations.

The facility was toured and inspected, including resident apartments and common areas. All safety equipment and emergency plans were current and operational. Resident and staff records were complete. No deficiencies were cited during the visit.

The complaint alleging staff do not keep the facility free of rodents was investigated and found unsubstantiated. Although the allegation may have happened or is valid, there was not enough evidence to prove the violation occurred.

The investigation found no evidence of rodents during the visit, and the complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff were allowing residents to smoke in the facility. Interviews and observations did not find evidence of smoking violations. The complaint was unsubstantiated.

The investigation found no preponderance of evidence to prove the alleged violation occurred. The complaint was determined to be unsubstantiated.

The complaint alleged wrongful eviction due to a resident's financial situation change. The investigation found communication attempts by staff with the resident's family and guardian, but no additional eviction notices were sent. The complaint was amended to substantiated on 07/24/2025.

The complaint was initially unsubstantiated but later amended to substantiated. The investigation included interviews with staff, witnesses, and a resident, as well as review of records. No deficiencies were issued during the visit.

The complaint investigation was triggered by information that on March 17, 2025, incorrect information was provided to a provider regarding Provider Information Notice Summary 24-13 about residents receiving SSI after admission. The complaint was reviewed and addressed during the visit.

No deficiencies were issued during the visit. The Licensing Program Analyst reviewed relevant regulations with the facility representative to clarify the issue.

The complaint investigation was unsubstantiated. Allegations included unlawful eviction, uncomfortable temperature, and staff retaliation. The Licensing Program Analyst found no evidence supporting these claims.

The investigation found no preponderance of evidence to substantiate the allegations. The facility maintained proper temperature levels, and no evidence of staff retaliation or unlawful eviction was found.

The complaint alleged that staff did not keep the facility free from cigarette odor. The investigation found the complaint unsubstantiated as there was insufficient evidence to prove the violation did or did not occur.

The investigation included interviews with staff and residents and a tour of the independent living building. The complaint was found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The complaint alleging staff stealing resident's valuables was investigated and found unsubstantiated due to lack of sufficient evidence.

The investigation found no preponderance of evidence to prove the alleged violation occurred. The complaint was determined to be unsubstantiated after interviews and review of the situation involving a resident's walker.

The complaint alleging the facility has pests was investigated and found unsubstantiated due to lack of preponderance of evidence.

The investigation found no evidence of pests during the visit. The facility has a routine pest management contract and maintenance staff to address issues. The complaint was determined to be unsubstantiated.

The complaint alleging that staff did not ensure the facility walkways were not in disrepair was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.

The investigation found that the sidewalks were in good repair and the complaint was determined to be unfounded.

The complaint alleged that staff unlawfully evicted a resident. The investigation included interviews and document reviews. The complaint was found to be unfounded.

The investigation found the complaint to be unfounded, determining that the allegation was false, could not have happened, and/or was without a reasonable basis. The eviction process and related documentation were reviewed and found compliant with regulations.

The complaint alleged neglect of physical care. The investigation was unannounced and conducted by Licensing Program Analyst Gregory Clark. The allegation was found unsubstantiated as there was no preponderance of evidence to prove the violation occurred.

The investigation found the complaint to be unsubstantiated due to insufficient evidence to prove the alleged neglect. Interviews and file reviews indicated the resident was compliant with medication and staff managed care challenges effectively.

The complaint involved allegations that a resident sustained unexplained bruises from suspected abuse, facility staff neglected the resident resulting in severe dehydration, lack of supervision caused multiple fractures, and staff did not observe change of condition. The investigation included interviews with staff, residents, and the resident's conservator, as well as medical record review. The complaint was found unsubstantiated due to insufficient evidence.

The investigation found no preponderance of evidence to substantiate the allegations of unexplained bruises, severe dehydration due to neglect, multiple fractures from lack of supervision, or failure to observe change of condition. The complaint was determined to be unsubstantiated.

The complaint investigation was unsubstantiated for elevator disrepair and pest control issues, and unfounded for failure to provide a refundable agreement. The allegations were either false or lacked sufficient evidence.

The investigation found the complaints regarding the facility elevator disrepair and pest control to be unsubstantiated due to lack of preponderance of evidence. The complaint about not providing a refundable agreement was found to be unfounded based on review of the facility's admission agreement.

The complaint alleged illegal eviction. The investigation was unsubstantiated as there was not a preponderance of evidence to prove the violation did or did not occur.

The investigation found that the complaint of illegal eviction was unsubstantiated due to insufficient evidence to prove the alleged violation occurred. The facility was working with the public guardian to arrange payment of back rent, and the eviction notice was on hold.

The complaint alleged lack of supervision resulting in resident-on-resident altercations. The investigation found the complaint unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred.

The investigation included interviews with residents and staff schedule review. No incidents were observed during lunch service, and most residents reported no altercations. The complaint was found to be unsubstantiated due to insufficient evidence.

The complaint alleged that staff did not prevent residents' rooms from bed bugs. The investigation included interviews, a unit tour, and review of pest control treatments. The complaint was found unsubstantiated.

The investigation found that the complaint was unsubstantiated. Although the allegation may have occurred or be valid, there was not a preponderance of evidence to prove the violation did or did not occur.

The complaint was unsubstantiated based on interviews with staff and residents, inspections of plumbing and cleanliness, and review of care practices. No violations were found.

The investigation found no evidence to substantiate the allegations. Faucets and toilets were inspected with no drainage issues observed, staff and residents confirmed proper diaper changing and room cleaning practices, and no deficiencies were cited.

The complaint investigation was unsubstantiated. Allegations included failure to timely change residents' diapers, failure to reposition a resident, unexplained weight loss, inoperable elevator, and a resident fall resulting in a bruise. Evidence did not prove violations occurred.

The investigation found no preponderance of evidence to substantiate the allegations. Staff were observed feeding a resident and following care routines, the elevator was repaired and back in service, and no recent falls were documented. The allegations were determined to be unsubstantiated.

The Licensing Program Analyst toured the facility, interviewed residents and staff, and found no deficiencies during the visit. The facility met safety and care standards including adequate lighting, temperature control, and secure medication storage.

The complaint alleged the facility had pests (bed bugs) in Unit 115. The complaint was investigated and found unsubstantiated. The resident reported no current bites and the unit showed no evidence of bed bugs at the time of inspection.

The investigation found no evidence of bed bugs during the visit. The complaint was determined to be unsubstantiated as there was insufficient evidence to prove the alleged violation occurred.

The complaint alleged that staff did not ensure the facility garage gate and front gate were operational and that a resident's original residence had not been fixed since flooding over six months ago. The investigation found these allegations unsubstantiated.

The investigation found that the garage gate and front gate were operational at the time of the visit. The resident's original apartment had been flooded over six months ago, with repairs and remodeling underway. The allegations were determined to be unsubstantiated due to insufficient evidence.

No deficiencies were cited during the visit. The Licensing Program Analyst reviewed staff and resident records and conducted an exit interview with the facility administrator.

The visit was triggered by a priority 1 complaint. No deficiencies were found, indicating the complaint was not substantiated.

The facility was toured including bedrooms, bathrooms, common areas, kitchen, and outdoor areas. No deficiencies were cited during the visit, and all safety measures such as hot water temperature, food supplies, medication storage, smoke detectors, and fire extinguishers were found to be in compliance.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

The investigation found the allegations of mold and unsafe, uncomfortable environment to be unsubstantiated due to lack of preponderance of evidence. The facility was toured and interviews were conducted with staff and residents.

The complaint investigation was unsubstantiated. Allegations included questionable death, medication errors, personal rights violations, failure to notify responsible party, communication barriers, and lack of supervision. The investigation found no conclusive evidence to prove violations occurred.

The investigation found no evidence to substantiate the allegations. Medication was not administered by facility staff without physician orders, no inappropriate staff behavior was observed, responsible parties were kept informed, and no documentation supported claims of unwitnessed falls. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility was not addressing rodent issues in the kitchen and that staff did not maintain clean, safe, and sanitary kitchen conditions. The allegations were found to be unsubstantiated after investigation.

The investigation found no evidence to substantiate the allegations of rodent presence or unsanitary kitchen conditions. Interviews with staff and review of pest control records supported that the facility maintains a monthly pest control contract and the kitchen was observed clean.

The visit found that the transition of one resident from Grand Lake Gardens was smooth, and the resident feels safe and comfortable. Supplies were adequate, staffing was stable, and there were no imminent health or safety concerns on the date of the visit.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The investigation found that the facility had a proactive bed bug treatment plan and was actively treating affected rooms. Shower logs and care documents indicated residents received agreed care, staff wore gloves, and pendent calls were managed appropriately. However, there was insufficient evidence to substantiate the allegations, so they were deemed unsubstantiated.

The complaint alleged that facility staff was not aware of resident DNR status. The complaint was investigated and found to be unfounded.

The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis. Interviews confirmed that the facility nurse was aware of the resident's DNR status and paramedics pronounced the resident deceased after performing CPR.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.

The investigation found that the resident's ledger was in order and the facility communicated with the POA as needed. The POA had instructed the facility to block communication with the resident's family to prevent upsetting the resident. The complaint was determined to be unfounded.

The visit was triggered by a priority 1 complaint. No deficiencies were found, indicating the complaint was not substantiated.

The facility was toured including bedrooms, bathrooms, common areas, kitchen, dining room, and outdoor area. No deficiencies were cited during the visit.

The complaint alleged that the facility was not assisting a resident with ADLs. The allegation was found to be unsubstantiated after investigation.

The investigation found that the resident's condition had declined and required a higher level of care. The resident refused pureed foods and had little appetite, and the facility provided finely chopped food. The resident moved out to a skilled nursing facility. The allegation was unsubstantiated due to lack of preponderance of evidence.

The facility was found to have adequate infection control measures including proper PPE use, sufficient food and medication supplies, and posted visitor policies. No deficiencies were cited during the inspection.

The complaint alleged the facility was not following COVID-19 protocols. The allegation was unsubstantiated due to lack of preponderance of evidence.

The investigation found that the facility was following COVID-19 protocols, including signage, staff mask use, symptom checks, and cleaning procedures. COVID antigen tests administered during the visit were negative, and the allegation was unsubstantiated.

The complaint alleged that a resident sustained multiple pressure injuries while in care. The investigation found no evidence of neglect by the facility and the allegation was unsubstantiated.

The investigation included interviews and document reviews. The department was unable to prove neglect by the facility. Although the resident sustained multiple wounds, wound care was provided and home health was aware. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility did not have a certified administrator. The investigation found this allegation to be unfounded, meaning it was false and without reasonable basis.

The allegation that the facility did not have a certified administrator was found to be unfounded. The interim administrator, Cynthia Morris, is certified and the facility is in the process of hiring a permanent administrator.

The complaint alleged failure to follow COVID-19 protocols and facility disrepair. The investigation concluded the allegations were unsubstantiated based on observations and interviews.

The investigation found no substantiated violations. The facility was observed to be following COVID-19 protocols with residents and staff wearing masks and maintaining distancing. The alleged disrepair of the front gate was due to a temporary power outage and was resolved prior to the visit.

The complaint alleging the facility does not have heat was investigated and found unsubstantiated.

The Licensing Program Analyst observed the facility thermostat set to 80 degrees Fahrenheit and residents provided with small heaters and extra blankets. The allegation was unsubstantiated due to lack of preponderance of evidence, and no deficiencies were cited.

The complaint investigation was unannounced and based on allegations of failure to assess residents prior to admission, presence of bed bugs and pests, and elevator disrepair. All allegations were found to be unsubstantiated due to lack of sufficient evidence.

The investigation found no preponderance of evidence to substantiate the allegations. The facility was observed to have completed resident assessments prior to admission, pest control measures were in place though no pests were observed, and the elevator was in disrepair but operational with a sound of water due to a sump pump.

The facility was found to have proper infection control measures including screening, PPE use, and sufficient supplies. No deficiencies were cited during the visit.

No specific findings or deficiencies are reported in this document. The report documents the delivery of amended reports and an exit interview.