Inspection Reports for Addington Place of Clarkston

MI, 48346

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Deficiencies per Year

4 3 2 1 0
2015
2020
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 20 40 60 80 May '24 Jun '24 Feb '25
Census Capacity
Inspection Report Complaint Investigation Census: 46 Capacity: 72 Deficiencies: 2 Feb 28, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility was short-staffed and that Resident A experienced long wait times for staff assistance and unmet care needs.
Findings
The investigation substantiated that the facility was short-staffed and Resident A experienced long call light wait times averaging 19 minutes, with some exceeding 45 minutes. Resident A's care needs were not being met, including issues with hygiene, mobility, and lack of exposure to common areas. Documentation of refusals of care and care planning was minimal.
Complaint Details
The complaint alleged that the facility was extremely short-staffed, causing Resident A to wait hours for assistance, and that Resident A's care needs were not being met, including severe neglect concerns. The allegations were substantiated based on interviews, record reviews, and observations.
Deficiencies (2)
Description
The facility is short-staffed, resulting in long wait times for Resident A's assistance.
Resident A's care needs are not being met, including severe skin breakdown, improper wheelchair fitting, and lack of social interaction.
Report Facts
Average daily census: 46 Total licensed capacity: 72 Average call light wait time: 19 Call light wait times greater than 45 minutes: Several instances during week 2/1/2025 through 2/20/2025
Employees Mentioned
NameTitleContext
Quintina YoungAdministratorInterviewed regarding staffing goals and Resident A's care
Jennifer HeimHealth Care SurveyorConducted the investigation and authored the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Renewal Census: 35 Capacity: 72 Deficiencies: 2 Jun 26, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with regulatory requirements for the facility's license renewal.
Findings
The facility was found to be in non-compliance with rules regarding timely submission of administrator appointment documentation and the implementation of a quality review program consistent with statutory requirements.
Deficiencies (2)
Description
Failure to submit required appointment documentation for new administrator since 5/03/2024.
Facility unable to provide evidence of a quality review program consistent with section 20175(8) of the act, MCL 333.20175, and the professional review function.
Report Facts
Number of staff interviewed and/or observed: 12 Number of residents interviewed and/or observed: 35 Facility capacity: 72
Employees Mentioned
NameTitleContext
Tina YoungAdministratorNamed as the new administrator since 5/03/2024 related to deficiency in appointment documentation
Inspection Report Complaint Investigation Census: 10 Capacity: 72 Deficiencies: 2 May 21, 2024
Visit Reason
The inspection was conducted in response to a complaint received on March 25, 2024, alleging lack of supervision and care of Resident A, staff training deficiencies, and food program concerns at Addington Place of Clarkston.
Findings
The investigation substantiated the allegations of lack of supervision and care for Resident A, incomplete incident reports, and failure to implement effective fall prevention measures. Staff training was confirmed, but staffing shortages and incomplete safety measures contributed to safety risks. Food service was managed by staff only, with no evidence of non-staff involvement.
Complaint Details
Complaint received on 03/25/2024 regarding Resident A falling multiple times, lack of supervision, lack of staff training, lack of notification to hospice agency, emergency call cord not working, ADL assistance not performed daily, non-staff members assisting with meal pass, and poor food service management. Violation was substantiated.
Deficiencies (2)
Description
Failure to maintain safety and limit fall occurrences for Resident A.
Incomplete incident reports with missing pertinent data.
Report Facts
Facility capacity: 72 Census during investigation: 10 Staffing: 1 Staffing: 1
Employees Mentioned
NameTitleContext
Tina YoungAdministratorInterviewed onsite and provided facility documents
Jennifer HeimLicensing StaffAuthor of the Special Investigation Report
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 1 Mar 6, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging staff were not properly trained and residents were neglected.
Findings
The investigation substantiated the allegation that staff were not properly trained due to lack of organized training documentation and competency verification. The allegation of resident neglect was not substantiated as residents' needs were met consistent with their service plans, and observations showed adequate staffing and care.
Complaint Details
Complaint alleged staff were not trained and residents were neglected, including lack of supervision and denial of basic needs. The staff training allegation was substantiated; the neglect allegation was not substantiated.
Deficiencies (1)
Description
Staff were not properly trained, with incomplete training documentation and lack of competency verification for some employees.
Report Facts
Capacity: 72 Complaint Receipt Date: Feb 1, 2023 Investigation Initiation Date: Feb 2, 2023 Inspection Date: Mar 6, 2023 Report Due Date: Apr 3, 2023
Employees Mentioned
NameTitleContext
Denise LugarInterim AdministratorInterviewed regarding staff training and facility staffing
Stephen LevyAuthorized RepresentativeParticipated in exit conference
Jessica RogersLicensing StaffConducted inspection and authored report
Inspection Report Original Licensing Capacity: 72 Deficiencies: 0 Mar 1, 2022
Visit Reason
The document is an addendum to the Original Licensing Study Report reflecting a change in management company for the home for the aged facility effective March 1, 2022.
Findings
The management agreement indicates that the new management company, SLH HTI East Manager, LLC, will make reasonable efforts to obtain and maintain all required licenses and permits and comply with requirements related to the facility's home for the aged license. The license status is recommended to remain unchanged.
Report Facts
Facility capacity: 72 Management change effective date: Mar 1, 2022
Employees Mentioned
NameTitleContext
Aaron ClumLicensing StaffAuthor of the addendum and recommendation
Tyler MayAdministratorFacility administrator confirming management agreement
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the addendum
Inspection Report Original Licensing Capacity: 72 Deficiencies: 0 Nov 30, 2020
Visit Reason
The document serves as an addendum to the Original Licensing Study Report to document a change in management company and a proposed facility name change effective December 1, 2020.
Findings
The management company for the facility will change from Homestead Management Group, LLC to Cedarhurst of Clarkston Management, LLC, and the facility name will change from Autumn Ridge of Clarkston HFA to Addington Place of Clarkston effective December 1, 2020. The license status remains unchanged.
Report Facts
Facility capacity: 72
Employees Mentioned
NameTitleContext
Jordan HoustonAuthorized Representative/AdministratorNamed as the authorized representative and administrator of the facility
Elizabeth Gregory-WeilLicensing StaffAuthor of the report and recommendation
Russell MisiakArea ManagerSigned the recommendation for the report
Susan RiceVice President of Clinical OperationsProvided notification and documentation regarding management company change
Inspection Report Original Licensing Capacity: 72 Deficiencies: 0 Jan 14, 2015
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Autumn Ridge of Clarkston.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. The facility was found to be clean, well maintained, and equipped with appropriate safety features and resident accommodations.
Report Facts
Licensed capacity: 72
Employees Mentioned
NameTitleContext
Deanna McMahonAdministratorNamed as the facility's administrator and authorized representative.
Lilly AnneLicensing StaffConducted the licensing study and signed the report.
Betsy MontgomeryArea ManagerApproved the licensing study report.

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