7 Reports
Inspection Report — Mar 2, 2026
Complaint Investigation
Date: Mar 2, 2026
Visit Reason
Investigation of a complaint received on 2026-02-25 about employee misconduct, falls reporting, supplies, medication carts, and resident laundry.
Complaint Details
Employees smoke and drink while working: not established. Falls are not reported: not established. Facility does not have supplies: not established. Medication carts are not correct: not established. Resident laundry is not completed: established. Additional findings: laundry room deficiencies — established.
Findings
Two rule violations were established related to resident laundry and laundry room facilities; other allegations were not substantiated.
Deficiencies (2)
R 325.1935 Bedding, linens, and clothing: the facility was not completing resident laundry in a timely manner.
R 325.1975 Laundry and linen requirements: the laundry room was used as the soiled linen, clean linen, and processing room, which is not compliant.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 22, 2025
Complaint Investigation
Date: Sep 22, 2025
Visit Reason
Investigation of a complaint received on 2025-09-17 about insufficient staff.
Complaint Details
The facility has insufficient staff: established. Additional findings: no.
Findings
One rule violation was established for insufficient staffing levels.
Deficiencies (1)
R 325.1931 Employees; general provisions: the facility had insufficient staff on duty at times, with only two caregivers present when at least two residents required two staff persons to assist, leaving other residents without adequate supervision or assistance.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 8, 2025
Complaint Investigation
Date: Sep 8, 2025
Visit Reason
Investigation of a complaint received on 2025-09-05 about Resident A being soaked with urine on multiple occasions.
Complaint Details
Resident A soaked with urine on multiple occasions: established. Facility short-staffed: not established.
Findings
One rule violation was established related to staff not documenting incontinence care and assistance consistent with the resident's service plan. No violation was found regarding staffing levels.
Deficiencies (1)
R 325.1931 Employees; general provisions: staff did not document incontinence care or assistance to Resident A consistent with the resident's service plan, constituting a violation.
Report Facts
Corrective action plan due: 15
Inspection Report — Sep 19, 2024
Complaint Investigation
Date: Sep 19, 2024
Visit Reason
Investigation of a complaint received on 2024-09-18 about medication administration, staffing, fire safety, door security, heating/cooling, and medication storage.
Complaint Details
Facility fire suppression system and fire drills: not established. Doors not locked: not established. Medications not secured: not established. Insufficient staff on second and third shift: not established. Medications administered incorrectly: established. Heating and cooling units not working: not established. Additional findings: medication logs not initialed — established.
Findings
Two rule violations were established related to medication administration and medication log completion; other allegations were not substantiated.
Deficiencies (2)
R 325.1932 Resident medications: Resident B, Resident C, and Resident D did not receive prescribed medications as ordered by the licensed health care professional.
R 325.1932 Resident Medications: staff did not consistently initial medication administration logs for Residents A, B, and C, making it difficult to verify medication administration. Repeat violation.
Report Facts
Corrective action plan due: 15
Inspection Report — Aug 8, 2024
Complaint Investigation
Date: Aug 8, 2024
Visit Reason
Investigation of a complaint received on 2024-08-07 about bruising and incident reporting.
Complaint Details
Bruising on Resident C: not established. Incident report and notification failure: established.
Findings
One rule violation was established regarding failure to complete an incident report and notify the responsible person after bruising was observed on Resident C on 8/5/24. Another allegation of physical abuse was not established.
Deficiencies (1)
R 325.1924 Reporting of incidents, quality review program: an incident report was not completed and Resident C’s responsible person was not notified after bruising was observed on Resident C on 8/5/24.
Report Facts
Corrective action plan due: 15
Inspection Report — Apr 3, 2024
Renewal
Date: Apr 3, 2024
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 7 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (7)
MCL 333.21321 Bond required: the facility is holding resident funds and does not have a bond to hold resident funds.
R 325.1921 Governing bodies, administrators, and supervisors: the home did not maintain an organized program to provide room and board, protection, supervision, assistance, and supervised personal care for its residents.
R 325.1922 Admission and retention of residents: the admission contract did not specify transportation services and fees, the home's admission and discharge policy, and the home's refund policy.
R 325.1931 Employees; general provisions: residents on hospice services lacked detailed hospice agency and role information in their service plans.
R 325.1932 Resident medications: Resident A was prescribed multiple pain medications without instructions on administration priority or simultaneous use, placing residents at risk of harm.
R 325.1932 Resident medications: staff did not initial medication administration logs for multiple medications on various dates for Residents A, B, and C.
R 325.1979 General maintenance and storage: Lysol cleaning spray was not stored in a secure area in the facility common area.
Report Facts
Corrective action plan due: 15
Inspection Report — Nov 28, 2018
Original Licensing
Date: Nov 28, 2018
Visit Reason
Original license application for a home for the aged memory care facility.
Findings
The applicant is found to be in compliance with the licensing act and applicable administrative rules.
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