Inspection Reports for
The Meadows at Silver Maples
200 Silver Maples Drive, Chelsea, MI, 48118
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Inspection Report — Feb 19, 2025
Renewal State
Date: Feb 19, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to assess compliance with licensing requirements and to determine if the facility meets standards for license renewal.
Findings
The facility was found to be non-compliant with several rules including employee tuberculosis screening timing, incomplete narcotic count logs, and undocumented dishwasher sanitation checks in the kitchen. A repeat violation was noted for kitchen sanitation documentation.
Deficiencies (3)
Employee tuberculosis test was administered before hire date, not in compliance with screening requirements.
Narcotic count logs were incomplete for multiple dates in January and February 2025.
Dishwasher sanitation checks were not documented as required, constituting a repeat violation.
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 28
Dates of incomplete narcotic counts: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Named in tuberculosis screening deficiency | |
| Employee #2 | Interviewed regarding kitchen sanitation procedures and documentation |
Notice — Jan 12, 2024
State
Date: Jan 12, 2024
Visit Reason
The document serves as a notification of license renewal for the Home for the Aged facility following an administrative review of licensing activity over the past year.
Findings
The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities.
Inspection Report — Jan 24, 2023
Renewal State
Date: Jan 24, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility's license should be renewed.
Findings
The facility was found to be in non-compliance with several rules including lack of an organized protective program for residents, insufficient medication instructions, incomplete meal and food records, improper sanitization logs, and undated food items in the kitchen refrigerator. Violations were established in multiple areas.
Deficiencies (5)
Lack of an organized program to ensure resident protection and safety related to the use of a bedside assistive device without proper physician orders or maintenance documentation.
Medication administration records lacked sufficient instructions for the use of multiple PRN medications for pain management.
Meal and food records did not include the amount of food used for approximately one month.
Incomplete chemical sanitization logs for multi-use utensils in the kitchen for January 2023.
Refrigerator contained undated food items including soy sauce and sweet and sour dressing.
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Megan Wojton | Administrator/Licensee Designee | Provided information regarding bedside assistive device and medication administration |
| Jessica Rogers | Licensing Consultant | Author of the inspection report and renewal licensing study letter |
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