Inspection Reports for
Straits Area Senior Living Community

255 S. Airport Rd., St. Ignace, MI, 49781

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3 Reports

2023–2024

Inspection Report — Oct 16, 2024

Complaint Investigation
Date: Oct 16, 2024

Visit Reason
Investigation of a complaint received on 2024-10-15 about Resident A not receiving timely medical attention.

Complaint Details
Resident A did not receive timely medical attention: established. Additional Findings: not established.
Findings
One rule violation was established regarding the facility's failure to provide timely medical attention to Resident A.

Deficiencies (1)
R 325.1921 Governing bodies, administrators, and supervisors: the facility did not act in a timely manner to ensure the protection and safety of Resident A who exhibited increased behaviors and redness noted as early as 09/14/2024.
Report Facts
Corrective action plan due: 15

Inspection Report — Oct 24, 2023

Renewal
Date: Oct 24, 2023

Visit Reason
Renewal inspection of the adult foster care family home license.

Findings
The home was found in non-compliance with 9 rules; a written corrective action plan was required before the license is renewed.

Deficiencies (10)
R 325.1922 Admission and retention of residents: the admission agreement was signed by Relative A1 and not Resident A, making it invalid.
R 325.1922 Admission and retention of residents: the admission agreement did not specify the admission and discharge policy and Resident Rights and Responsibilities.
R 325.1922 Admission and retention of residents: Resident A’s service plan was not updated to reflect involvement with hospice.
R 325.1922 Admission and retention of residents: Resident A did not have a tuberculosis test within 12 months of admission.
R 325.1931 Employees; general provisions: staff person 1 did not complete the staff training program.
R 325.1931 Employees; general provisions: the facility administrator or designee did not evaluate staff person 1’s competencies.
R 325.1932 Resident medications: Resident A was administered Acetaminophen daily though the order was for as needed administration.
R 325.1953 Menus: the weekly menu was not posted.
R 325.1954 Meal and food records: the facility did not keep a meal census.
R 325.1976 Kitchen and dietary: the walk-in refrigerator, freezer and dry storage contained opened, unsealed, and undated food items including cheese, ham, pepperoni, and ice cream.
Report Facts
Corrective action plan due: 15

Inspection Report — Apr 11, 2023

Original Licensing
Date: Apr 11, 2023

Visit Reason
Original license application for a home for the aged with a program for serving aged residents.

Findings
The facility was found to be substantially compliant with applicable licensing statutes and administrative rules, except for physical plant deficiencies related to janitor closets, soiled linen room, and exhaust ventilation. A plan and timetable for correction was submitted and accepted.

Deficiencies (4)
R325.1967(8) Installation of a janitor closet on the resident occupied floor was not present.
R325.1976(16) Installation of a janitor closet convenient to the kitchen was not present.
R325.1975(1)(a) Installation of a soiled linen room was not present.
R325.1964(9) Continuously functioning exhaust ventilation was not installed and functioning in all required rooms such as bathing rooms, beauty shops, toilet rooms, soiled linen rooms, janitor closets and trash holding rooms.
Report Facts
License length: 6

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