Inspection Reports for
Pineview Cottage
3498 Harbor-Petoskey Rd, Harbor Springs, MI, 49740
Back to Facility Profile5 Reports
Inspection Report — Jun 1, 2026
Complaint Investigation
Date: Jun 1, 2026
Visit Reason
Investigation of a complaint received on 2026-05-29 about inadequate staffing and medication administration.
Complaint Details
Inadequate staffing: established. Additional findings: medication administration failures — established.
Findings
Two rule violations were established related to inadequate staffing and failure to administer prescribed medications as ordered.
Deficiencies (2)
R 325.1931 Employees; general provisions: the home did not have adequate and sufficient staff on duty at all times, including hours without a medication technician and use of housekeeping and front office staff to support care staff.
R 325.1932 Resident’s medications: prescribed medications were not administered as ordered, with multiple instances of undocumented medication administrations for Residents A and B.
Report Facts
Corrective action plan due: 15
Inspection Report — May 11, 2026
Complaint Investigation
Date: May 11, 2026
Visit Reason
Investigation of a complaint received on 2026-05-08 about alleged physical abuse by staff.
Complaint Details
Physical abuse allegation: not established. Additional finding: service plan not updated to reflect current care needs — established.
Findings
One rule violation was established regarding the facility's failure to update Resident A's service plan to reflect her current care needs. The allegation of staff kicking Resident A was not established, but an additional finding was made.
Deficiencies (1)
R 325.1931 Employees; general provisions: the facility's service plan for Resident A was not updated to reflect her current care needs including the use of a hoyer lift and assistance requirements.
Report Facts
Corrective action plan due: 15
Inspection Report — Mar 5, 2024
Renewal
Date: Mar 5, 2024
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 325.1922 Admission and retention of residents: Resident A’s tuberculosis screening was completed after admittance to the facility, not within 12 months before admission.
R 325.1923 Employee's health: Employee A did not have evidence of tuberculosis screening completed within 10 days of hire and prior to occupational exposure.
Report Facts
Corrective action plan due: 15
Inspection Report — Jul 20, 2023
Complaint Investigation
Date: Jul 20, 2023
Visit Reason
Investigation of a complaint received on 07/20/2023 about facility's ability to manage Resident B and use of restraints.
Complaint Details
Facility unable to manage Resident B: not established. Facility restrained Resident B: established. Additional findings: established.
Findings
Four violations were established related to improper use of restraints, invalid admission agreement, failure to involve resident in service plan development, lack of tuberculosis screening, and improper discharge of residents.
Deficiencies (6)
MCL 333.20201 Policy describing rights and responsibilities of patients or residents: Resident B was placed in a wheelchair with a seatbelt without a physician order specifying reasoning and timeframe for use.
MCL 333.20201 Policy describing rights and responsibilities of patients or residents: Resident C was restrained with gloves or mitts without a physician order specifying reasoning and timeframe for use.
R 325.1922 Admission and retention of residents: The admission agreement for Resident B was not valid as it was signed by Relative B1 without activated durable power of attorney and not by Resident B.
R 325.1922 Admission and retention of residents: Resident B was discharged improperly as the facility refused to accept him back after hospital stay, leaving him in the emergency room.
R 325.1922 Admission and retention of residents: Resident B's service plan was not appropriately developed with his participation due to lack of activated durable power of attorney.
R 325.1922 Admission and retention of residents: Resident B had no evidence of tuberculosis screening on record as required within 12 months before admission.
Report Facts
Corrective action plan due: 15
Inspection Report — Jul 26, 2018
Original Licensing
Date: Jul 26, 2018
Visit Reason
Original license application for a Home for the Aged facility.
Findings
The facility was found in compliance of licensing rules during the onsite inspection on July 26, 2018.
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