Inspection Reports for
The Avalon of Commerce Township

2500 Martin Parkway, Commerce Township, MI, 48390

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5 Reports

All state 2022–2024

Inspection Report — Apr 29, 2024

Renewal State
Date: Apr 29, 2024

Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.

Findings
The review revealed substantial compliance, resulting in the renewal of the Home for the Aged license effective from 03/31/2024 to 07/31/2024.

Report Facts
License effective period start: Mar 31, 2024 License effective period end: Jul 31, 2024

Employees mentioned
NameTitleContext
Kimberly HorstLicensing StaffSigned the renewal letter

Inspection Report — Nov 28, 2023

Complaint Investigation State
Date: Nov 28, 2023

Visit Reason
The inspection was conducted in response to a complaint alleging improper food storage and that dishes were not being washed properly at The Avalon of Commerce Township.

Complaint Details
The complaint alleged improper food storage with perishable items left uncovered and that dishes were not washed properly. Both allegations were substantiated during the investigation.
Findings
The investigation confirmed violations including uncovered perishable food items left in the kitchen, unlabeled and undated prepared foods, and failure to follow dish sanitizing protocols as evidenced by blank sanitation logs and unsanitized scoops in food containers.

Deficiencies (2)
Perishable food items were not properly labeled, dated, or sealed.
Dish sanitizing protocol was not being followed as evidenced by lack of temperature testing documentation and unsanitized scoops.
Report Facts

Employees mentioned
NameTitleContext
Tasheona BeardAdministrator and Authorized RepresentativeAccompanied inspector during onsite inspection and provided information regarding dish sanitizing procedures.
Elizabeth Gregory-WeilLicensing StaffConducted the inspection and authored the report.
Andrea MooreArea ManagerApproved the report.

Inspection Report — Mar 17, 2023

Renewal State
Date: Mar 17, 2023

Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and to determine if the facility license should be renewed.

Findings
The facility was found to be in non-compliance with several rules including inadequate documentation and supervision related to assistive devices, unclear medication administration instructions, lack of detailed service plans for medication use, failure to maintain a meal census, and improper food storage practices in the kitchen.

Deficiencies (5)
Resident A’s service plan lacked information about the Halo Assistive Device related to purpose of use, staff responsibilities, and maintenance schedules.
Resident B’s medication administration record lacked clear instructions on administration of Acetamin and Morphine Sul Sol, risking improper medication administration.
Resident C’s service plan lacked detailed information on anxiety/agitation behaviors and medication administration criteria.
Facility does not maintain a meal census including residents, personnel, and visitors.
Multiple food items in the kitchen were opened, unsealed, and not dated, risking food safety.
Report Facts
Staff interviewed/observed: 5 Residents interviewed/observed: 10

Employees mentioned
NameTitleContext
Amanda GermainAuthorized Representative/AdministratorNamed as the facility's authorized representative and administrator
Kimberly HorstLicensing StaffLicensing consultant who signed the report

Inspection Report — Nov 1, 2022

Original Licensing State
Date: Nov 1, 2022

Visit Reason
The facility requested to add one licensed bed, increasing their licensed beds from 157 to 158.

Findings
The review found that apartment 303 was not listed on the room sheets but meets size requirements with a window. The recommendation was to increase licensed bed capacity to 158.

Report Facts

Employees mentioned
NameTitleContext
Kimberly HorstLicensing StaffConducted the licensing study and made the recommendation
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the licensing study addendum

Inspection Report — Sep 26, 2022

Original Licensing State
Date: Sep 26, 2022

Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for The Avalon of Commerce Township facility.

Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. A temporary license with a maximum capacity of 157 beds was recommended for issuance.

Report Facts

Employees mentioned
NameTitleContext
Kimberly HorstLicensing StaffAuthor of the licensing study report and signatory recommending license issuance.
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the licensing study report.

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