Page 9 of Best Hospice Care in Michigan

Overview of Residential Home Health & Residential Hospice – Mi

Situated in Troy, Michigan, Residential Home Health is an acclaimed national provider of home care services, encompassing nursing and therapy, including physical, occupational, and speech therapies. Their team is comprised of hospice and palliative care-certified physicians, nurse practitioners, social workers, and spiritual care counselors. 

At the highest level of care, Residential Hospice provides expert medical care, specialized pain and symptom management, and unwavering support to patients during their end-of-life journeys. They are dedicated to assisting patients with care management and compliance. In addition to their services, Residential Palliative offers comprehensive pain and symptom management for individuals seeking curative or rehabilitative treatments. 

Cranberry Park of Milford is a 61-bed assisted living and memory care facility at 801 Whitlow Drive, Milford, Oakland County, MI, ranked 245th of 437 Michigan communities by bed count. Cranberry Park Milford LLC owns and operates the facility. The community is very walkable with a walk score of 70, ranked 73rd of 702 Michigan communities.

The facility provides 24-hour staffing with professional nursing staff, offering assisted living, memory care, short-term rehabilitation, and skilled nursing services, with respite care available. Amenities include private apartments and suites, beautiful courtyards with walking paths, housekeeping and linen service, a well-appointed dining room with restaurant-style meals, transportation, health and wellness monitoring, emergency call systems, physical occupational and speech therapy, and podiatry, dental, optometry, and psychological services. The facility does not accept Medicare or Medicaid.

From April 2018 through April 2024, Cranberry Park of Milford documented 4 deficiencies, 50 percent below Michigan’s average of 8. The facility averaged 0.5 deficiencies annually, 50 percent fewer than the state average of 1 per year.

A May 2023 renewal inspection found substantial compliance with zero deficiencies. However, a September 2022 complaint investigation identified 3 substantiated deficiencies: unresponsive care staff resulting in delays in care and protection violations, failure to ensure resident personal needs and protection consistent with service plan, and failure to notify family and physician of hospital transfer within required timeframe. A December 2023 complaint investigation found 1 deficiency related to failure to ensure ongoing competency evaluation of medication technicians after training, though an alleged medication error was not substantiated.

The most recent April 2024 renewal inspection found substantial compliance with zero deficiencies.

No fines or enforcement actions are documented.

Cranberry Park of Milford is a moderately sized assisted living and memory care community in a very walkable location, with recent improved compliance following earlier deficiencies in staff responsiveness and family communication.

The Orchards at Samaritan is a leading nursing home in Detroit, MI, dedicated to delivering excellent skilled nursing care and rehabilitation services. They provide a healing environment for those living with illnesses or recovering from hospitalization with 24/7 supervision from licensed care professionals and access to 24-hour physician services. Physical, speech, and occupational therapy services are also available on-site to ensure residents have access to the services they need to maintain or recover their strength and skills.

The community also features a wide array of fun activities, social events, and exercise programs to nurture residents’ overall well-being and keep them connected. Meals are served fresh and healthy with accommodations to special diets, making it easy to maintain proper nutrition. The community also features an abundance of convenient services and amenities like a salon and computer station to elevate residents’ living experience. From care to comfort and fun, The Orchards at Samaritan has it all for a healing and nurturing environment.

Overview of Pomeroy Living Northville Assisted & Memory Care

Pomeroy Living Northville Assisted & Memory Care is a 109-bed community at 40033 West Eight Mile in Northville, Wayne County, Michigan, operating under Beacon Square Northville. The facility provides assisted living, memory care, outpatient rehabilitation, short-term rehabilitation and recovery, hospice and palliative care, and respite care. Administrator Sandra Salvati and Authorized Representative Manda Ayoub lead operations. Walk score is 83, very walkable and ranked 24th statewide.

The facility opened in 2016 with substantial compliance. The inspection record from 2016 was clean.

However, September 2023 identified four deficiencies with 21 residents on-site. Resident A’s tuberculosis screening chest x-ray was completed after move-in rather than prior to admission as required; resident B missed scheduled doses of Tramadol on August 18, August 30, and August 31 with no documented reason for non-administration; resident C did not receive prescribed Ketoconazole shampoo applications from September 2 through September 6 as ordered every other day. The menu posted in the dining room listed meals for a prior week instead of the current week.

The September 2024 complaint investigation reveals a more substantive gap. Resident A experienced four falls during his stay due to inadequate supervision. The facility used a tilt back wheelchair seat as a restraint method, which the investigation determined to be inappropriate. A resident in the facility’s care fell repeatedly while staff supervision was insufficient to prevent injury.

The pattern across both inspection periods centers on administrative and direct-care compliance. Medication administration documentation gaps, screening timing gaps, and prescribed care delivery gaps appeared in 2023. A substantiated supervision failure appeared in 2024. The facility has matched the Michigan average for deficiency rate over ten years, which means its performance is unremarkable in a statistical sense. Yet the specific content of those deficiencies involves core care functions. For residents requiring close oversight or those with fall risk, the supervision failure documented in September 2024 is material.

Families should ask about the progression from clean compliance, to recent deficiencies in medication administration and substantiated supervision failure leading to resident falls.

Overview of Belmar Oakland

Operated by Windemere Park of Troy Operations LLC, Belmar Oakland is an assisted living community in Troy, Michigan, providing assisted living, rehabilitation, and respite care. For 13 years, it has supported older adults with 24-hour staffing from licensed nurses and certified nursing assistants while offering studio and one-bedroom accommodations.

Chef-prepared meals, weekly physician visits, a full-service salon and spa, live entertainment, group activities, pet services, and a welcoming family room are among the services and amenities provided. Coordinated care, home health partnerships, and individualized care planning further support residents with a range of health and personal needs. Moreover, the surrounding neighborhood has a Walk Score of 3, making it highly car-dependent, so most errands and appointments require transportation.

State inspections conducted for over 10 years have also identified opportunities to improve documentation, care coordination, and supervision practices. The community has worked with regulators to implement corrective actions and address those findings.

Overview of The Orchards Michigan – Wayne

Set in the peaceful neighborhood of Wayne, MI, the Orchard Michigan – Wayne is an enticing senior living community offering assisted living and memory care services. This community adheres to a person-centered care philosophy towards its residents. Here, residents can choose from a wide array of accommodations tailored to their needs and preferences. With a trained and compassionate team, this community renders round-the-clock care and assistance matched with on-the-go physician services with medical director oversight.

Offering above-and-beyond amenities and services, residents can enjoy restaurant-style menu and dining, housekeeping and laundry, and medication management. Meet new friends through its diverse socialization and life enrichment programs such as art classes, card games, and community service activities. At the Orchard Michigan – Wayne, seniors can enjoy a wondrous living experience.

Overview of Island City Assisted Living

Island City Assisted Living is a 53-bed community at 1507 Kyle Ave, Eaton Rapids, Eaton County, MI, operated by Eaton Rapids Medical Properties Group, LLC and licensed as a Home for the Aged. Originally opened in 2010, the facility has undergone multiple capacity expansions and facility improvements. The neighborhood is moderately walkable, scoring 65 on accessibility metrics and ranking 100th of 702 Michigan communities in this category.

The community serves residents through assisted living, specialized memory care for Alzheimer’s disease and dementia, hospice care, and rehabilitation services with physical and occupational therapy on-site. Twenty-four-hour staffing is available, respite care accommodates temporary stays, and the facility accepts Medicaid. Amenities include full dining service, movie theater, soda bar, craft room, bird aviary, beauty salon, and music programming. Meals are prepared on-site by experienced cooks with accommodations for special diets.

The facility has earned recognition through quality awards: 2015 MCAL Sapphire, 2018 MCAL Emerald, and 2020 Bronze Award from the National Center for Assisted Living.

For 14 years spanning 2010 through 2023, Island City maintained a compliance record with zero deficiencies across renewal inspections. A September 18, 2023 renewal confirmed substantial regulatory compliance.

The September 5, 2024 renewal inspection marked a significant change, identifying five deficiencies. Staff lacked training in Alzheimer’s disease and related conditions; resident service plans omitted detailed medication administration protocols and behavioral management strategies; some employees had inadequate training in personal care and medication administration; service plans failed to document medication administrators; and the spa room and janitor closet lacked continuous exhaust ventilation. These issues represent emerging concerns in staff training, care planning documentation, and facility maintenance rather than direct care quality failures.

No complaint investigations or enforcement actions appear in available records.

Island City Assisted Living provides assisted living and memory care with integrated rehabilitation and hospice services. A shift in compliance emerged in the 2024 inspection, documenting gaps in staff training and care planning.

Overview of Baldwin House Hazel Park

Welcome to Baldwin House Hazel Park, an assisted living community that provides independent living, assisted living, respite care, and hospice care. Strategically positioned at the southeast intersection of I-75 and I-696, Baldwin House Hazel Park offers not only convenient access to various retail outlets and dining establishments, but also the tranquility of a secluded neighborhood dedicated to the well-being of seniors. Experience the perfect blend of convenience and serenity at Baldwin House Hazel Park, where a supportive community awaits to cater to your unique needs and provide a comfortable living environment. 

Pineview Cottage is a 40-bed assisted living and memory care community at 3498 Harbor-Petoskey Road in Harbor Springs, Emmet County, Michigan, operated by Pineview Cottage, LLC. Dean Bonesteel is Administrator. Walk score is 65, moderately walkable. BBB rating is A+.

The facility opened in 2018 with substantial compliance. The February 2023 renewal found zero deficiencies. This record collapsed in July 2023. Within 15 days, two separate Adult Protective Services complaint investigations identified 7 deficiencies spanning resident care, legal documentation, and discharge practices.

July 5, 2023, investigation found a discharge letter that omitted the resident’s right to file a complaint and improperly specified hospital as a discharge location, which is not an approved discharge setting. The investigation cleared allegations about incorrect discharge notice, disrespectful treatment, insufficient staffing, and medication non-administration.

July 20, 2023, investigation documented restraint violations and systemic documentation failures: resident B was restrained in a wheelchair with a seatbelt without a physician order specifying reasoning or timeframe; resident C was restrained with gloves or mitts on hands without physician order; resident B’s admission agreement was invalid because it was signed by a relative without activated durable power of attorney rather than by the resident.

The facility failed to develop an appropriate service plan for Resident B due to the same lack of activated durable power of attorney. No tuberculosis screening was on record for Resident B within 12 months before admission. The facility refused to accept Residents B and C back after hospital discharge, constituting improper discharge practice.

March 2024 renewal found continued problems. Resident A’s tuberculosis screening was completed after admission, not before. Employee A lacked evidence of tuberculosis screening within 10 days of hire.

The July 2023 deficiencies involved use of restraints without clinical authorization, acceptance of legally invalid admission documents, and refusal of appropriate hospital discharge placements. These are structural failures in how the facility manages resident rights and care decisions. The facility corrected neither the restraint practice nor the tuberculosis screening practice by March 2024. Occupancy increased from 45 percent to 58 percent during this period, suggesting the facility continued admitting residents despite unresolved deficiencies in restraint protocols and admission documentation.

Families should verify restraint authorization protocols, admission agreement procedures, and discharge acceptance practices with the facility directly before placement, given July 2023 deficiencies.