Inspection Reports for
True Care Living

565 General Ave., Springfield, MI, 49037

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10 Reports

2021–2026

Inspection Report — Mar 19, 2026

Complaint Investigation
Date: Mar 19, 2026

Visit Reason
Investigation of a complaint received on 2026-03-17 about staff conduct, resident care, and facility conditions.

Complaint Details
Staff smoke marijuana and smell like it when working at the facility: not established. Staff working third shift leave residents sitting in urine saturated or soiled briefs: not established. The common area bathrooms do not have hand soap supplies and other supplies, so hand washing procedures are not being completed: not established. Additional findings: medication security and hazardous materials storage violations established.
Findings
No violations were established for the complaint allegations regarding staff smoking marijuana, leaving residents in soiled briefs, and lack of hand soap supplies. Two additional violations were established related to medication security and hazardous materials storage.

Deficiencies (2)
325.1932 Resident’s medications: medications were observed unattended on a medication cart in the common area, easily accessible to anyone in the facility.
325.1979 General maintenance and storage: hazardous and toxic chemicals were stored in an unlocked cabinet in bathrooms on the first and second floors, accessible to anyone in the facility.
Report Facts
Corrective action plan due: 15

Inspection Report — Oct 28, 2024

Renewal
Date: Oct 28, 2024

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

Findings
The facility was found to be in non-compliance with 10 rules; a written corrective action plan was required before the license is renewed.

Deficiencies (9)
R 325.1924 Reporting of incidents, accidents, elopement: incident reports were incomplete or not completed in accordance with rule, missing information and corrective measures.
R 325.1931 Employees; general provisions: multiple days were found with an inadequate number of staff working in the facility.
R 325.1931 Employees; general provisions: one staff member did not have annual training records for 2024.
R 325.1932 Resident medications: Employee A did not properly or safely complete medication administration to Resident A.
R 325.1976 Kitchen and dietary: surfaces of refrigerators and freezer doors were not clean or kept in a sanitary condition.
R 325.1976 Kitchen and dietary: dishwasher sanitization logs were incomplete or blank, preventing determination of proper sanitization.
R 325.1976 Kitchen and dietary: multiple food items were found unlabeled without appropriate open dates, risking safety for human consumption.
R 325.1979 General maintenance and storage: ceiling tiles in the common spa room were in disrepair and mold was found in multiple common areas.
R 325.1979 General maintenance and storage: hazardous and toxic materials were stored in cabinets and common spa rooms accessible to anyone, posing a risk to residents.
Report Facts
Corrective action plan due: 15

Inspection Report — Oct 3, 2024

Complaint Investigation
Date: Oct 3, 2024

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Investigation of a complaint received on 2024-10-03 about Resident A's fall and medication administration.

Complaint Details
Resident A found unattended in lobby during fall: established. Resident A given Lorazepam not on medication list: established. Medication administration record incomplete for Lorazepam: established. Incident report not documented: established.
Findings
Four rule violations were established related to supervision during a resident fall, medication list discrepancies, incomplete medication administration records, and failure to document incidents.

Deficiencies (4)
R 325.1921 Governing bodies, administrators, and supervisors: the facility failed to maintain documentation supporting staff statements that Resident A was not left unattended during a fall and EMS arrival.
R 325.1932 Resident medications: discrepancies existed between the medication list provided to emergency services and Resident A’s medication administration record, as Lorazepam was not listed on the medication list.
R 325.1932 Resident’s medications: staff did not comply with documenting Resident A’s administration of Lorazepam on 10/2/2024 in the medication administration record.
R 325.1924 Reporting of incidents, quality review program: staff failed to document the incident report pertaining to Resident A’s fall with injury and subsequent hospital evaluation.
Report Facts
Corrective action plan due: 15

Inspection Report — Mar 28, 2024

Complaint Investigation
Date: Mar 28, 2024

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Investigation of a complaint received on 2024-03-25 about safety concerns at the facility.

Complaint Details
Safety concerns at the facility: established. Additional findings: cold shower water temperature — established.
Findings
Two rule violations were established related to resident safety during drywall replacement and inadequate hot water temperature.

Deficiencies (2)
R 325.1921 Governing bodies, administrators, and supervisors: residents were not shielded or relocated during drywall replacement to ensure their safety and protection from exposure.
R 325.1970 Water supply systems: the water temperature in the shower room only reached 82 degrees Fahrenheit, below the required 105 to 120 degrees Fahrenheit.
Report Facts
Corrective action plan due: 15

Inspection Report — Sep 12, 2023

Renewal
Date: Sep 12, 2023

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, Resident B, and Resident C did not have tuberculosis screening performed within 12 months before admission as required.
R 325.1923 Employee's health: Two employees did not have tuberculosis screenings located within 10 days of hire and before occupational exposure.
Report Facts
Corrective action plan due: 15

Inspection Report — Aug 4, 2022

Date: Aug 4, 2022

Visit Reason
Increase capacity from 91 to 108 licensed beds for the home for the aged.

Findings
The Health Facilities Engineering Section room sheets were reviewed and it was determined that the rooms support an increase of 17 licensed beds. The license capacity is recommended to increase to 108 licensed beds.

Report Facts

Inspection Report — Apr 25, 2022

Date: Apr 25, 2022

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Increase capacity from 69 to 91 licensed beds for the home for the aged.

Findings
The facility was found to have adequate room size and day/dining space to support the increase of 22 licensed beds.

Report Facts
Room size: 138 Room size: 160

Inspection Report — Oct 26, 2021

Date: Oct 26, 2021

Visit Reason
Increase capacity from 55 to 69 licensed beds for the home for the aged.

Findings
Rooms numbered 103 S, 103 N, 106 N, 110 N, 108 S, 113 N, 105 N, and 109 N are two licensed beds with adequate space and shared bathrooms. Day/dining space is adequate to support this increase of 14 licensed beds.

Report Facts

Inspection Report — Jul 13, 2021

Date: Jul 13, 2021

Visit Reason
Increase capacity from 54 to 55 licensed beds for the home for the aged.

Findings
The Health Facilities Engineering Section room sheets were reviewed and it was determined that rooms numbered 113 through 123 support an increase of 16 licensed beds. Day/dining space is adequate to support this increase.

Report Facts
Additional licensed beds: 16 Room size: 138 Room size: 160

Inspection Report — Mar 22, 2021

Original Licensing
Date: Mar 22, 2021

Visit Reason
Original license application for a home for the aged facility.

Findings
The facility is in substantial compliance with home for the aged public health code and administrative rules.

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