Inspection Reports for
Royal Oak House
1900 N Washington Ave., Royal Oak, MI 48073, MI, 48073
Back to Facility Profile4 Reports
Inspection Report — May 7, 2026
Renewal
Date: May 7, 2026
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 7 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (7)
R 325.1921 Governing bodies, administrators, and supervisors: the facility lacked an organized program pertaining to the documentation and use of controlled substances with inaccurate medication counts and incomplete record keeping.
R 325.1932 Resident’s medications: Resident B’s service plan stated she was unable to self-administer medications but her medication record indicated she self-administers bimatoprost eye drops.
R 325.1932 Resident’s medications: multiple instances where prescribed medications were not administered or documented properly, including missed insulin and acetaminophen doses without documented reasons or glucose levels.
R 325.1954 Meal and food records: the home did not consistently maintain meal census records and could not provide records for the preceding three months.
R 325.1976 Kitchen and dietary: multiple perishable food items in the commercial kitchen’s walk-in refrigerator and freezer were not properly labeled, dated, or sealed.
R 325.1976 Kitchen and dietary: Styrofoam cups were used repeatedly as scooping utensils inside containers of sugar, salt, and flour without being sanitized or replaced.
R 325.1979 General maintenance and storage: hazardous and toxic materials were found unsecured in multiple areas posing ingestion and poisoning risks to residents lacking safety awareness.
Report Facts
Corrective action plan due: 15
Inspection Report — Jul 10, 2025
Complaint Investigation
Date: Jul 10, 2025
Visit Reason
Investigation of a complaint received on 2025-07-07 about resident care and facility conditions.
Complaint Details
Residents not getting changed: not established. Residents not getting showered as scheduled: established. Resident laundry not completed timely and lost: not established. Facility not clean and smelled: not established. Residents requiring feeding assistance not assisted timely: not established. Additional findings: none.
Findings
One rule violation was established regarding personal care of residents not receiving showers as scheduled; other allegations were not substantiated.
Deficiencies (1)
R 325.1933 Personal care of residents: the facility was unable to provide documentation that residents were receiving showers twice per week as scheduled.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 5, 2023
Renewal
Date: Sep 5, 2023
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with multiple public health code statutes and administrative rules; a written corrective action plan was required before the license is renewed.
Deficiencies (15)
MCL 333.20201 Policy describing rights and responsibilities of patients or residents: medication records were left open on a computer atop a medication cart in the memory care unit, exposing protected health information of all memory care residents.
R 325.1921 Governing bodies, administrators, and supervisors: the home lacked a reasonably organized program of protection related to bed rails, placing residents at risk of entrapment or entanglement injury or death.
R 325.1922 Admission and retention of residents: resident service plans were not updated to accurately reflect residents’ use of assistive devices and receipt of hospice services.
R 325.1922 Admission and retention of residents: residents did not have evidence of tuberculosis screening on record prior to admission as required; the facility’s TB policy did not require TB testing prior to move in.
R 325.1923 Employee's health: the facility did not require staff to complete TB testing upon hire and employee files reviewed lacked evidence of TB testing as required.
R 325.1931 Resident medications: multiple residents missed scheduled medication doses without documented reasons; repeat violation established.
R 325.1932 Resident medications: service plans for some residents did not specify if medications were managed by the home or self-administered; over-the-counter medications were unsecured and not monitored, risking unsafe medication use.
R 325.1954 Meal and food records: the home lacked consistent and dated meal census documentation.
R 325.1972 Solid wastes: multiple garbage cans throughout the facility, including the commercial kitchen, were observed without lids.
R 325.1974 Laundry and linen: soiled linens were stored in an uncovered bin in a memory care unit hallway with inadequate ventilation and no prevention of cross contamination.
R 325.1976 Kitchen and dietary: multiple perishable food items in the commercial kitchen’s walk-in refrigerator and freezer were not properly labeled, dated, or sealed.
R 325.1976 Kitchen and dietary: facility staff were not regularly monitoring or recording refrigerator and freezer temperatures in the commercial kitchen.
R 325.1976 Kitchen and dietary: the facility was unable to produce temperature logs to demonstrate that the dishwashing machine water temperature was sufficient to sanitize dishes.
R 325.1979 General maintenance and storage: a broken handrail with a sharp exposed edge was observed in the assisted living 120s hallway.
R 325.1979 General maintenance and storage: hazardous and toxic materials were stored unsecured in multiple locations, including a janitor’s closet propped open and areas accessible to residents lacking safety awareness.
Report Facts
Corrective action plan due: 15
Inspection Report — Feb 23, 2018
Original Licensing
Date: Feb 23, 2018
Visit Reason
Original license application for an adult foster care facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules.
Report Facts
License length: 6
Viewing
Loading inspection reports...
