Inspection Reports for Aspen Grove

7515 Secor Rd, Lambertville, MI 48144, MI, 48144

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Deficiencies per Year

12 9 6 3 0
2014
2023
2024
Unclassified
Inspection Report Complaint Investigation Capacity: 83 Deficiencies: 1 Mar 14, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A did not receive prescribed pain medication, specifically missing doses of Ativan and Morphine.
Findings
The investigation confirmed that Resident A missed medication doses during the night of 1/31/2024 through the next morning due to a delay in implementing new medication orders. The facility lacked an organized program to ensure residents do not go without medication during medication changes.
Complaint Details
Complaint alleged Resident A missed two doses of Ativan and eleven doses of Morphine. Violation was established based on review of medication administration records and interviews.
Deficiencies (1)
Description
Resident A did not receive pain medication as prescribed during a medication change.
Report Facts
Missed doses: 11 Missed doses: 2 Facility capacity: 83
Employees Mentioned
NameTitleContext
Kim GraberAdministratorInterviewed regarding medication administration and complaint
Inspection Report Complaint Investigation Capacity: 83 Deficiencies: 1 Feb 22, 2024
Visit Reason
The inspection was conducted in response to complaints alleging improper transfer of residents using a mechanical lift (Hoyer) without adequate assistance, potentially compromising resident safety.
Findings
The investigation substantiated the allegation that staff were not properly trained or assisted in mechanical lift transfers, violating the requirement for staff training and resident safety. The facility was unable to provide documentation of education related to mechanical lift use.
Complaint Details
The complaint alleged that a staff person was lifting residents alone using a mechanical lift, despite being told this was unsafe. The allegation was substantiated after review and interviews confirmed lack of staff training and unsafe transfer practices.
Deficiencies (1)
Description
Failure to provide staff training related to mechanical lift (Hoyer) transfers, compromising resident safety and dignity.
Report Facts
Complaint Receipt Date: Dec 6, 2023 Investigation Initiation Date: Dec 6, 2023 Report Due Date: Feb 4, 2024 Facility Capacity: 83
Employees Mentioned
NameTitleContext
Kimberly GraberAdministratorNamed as Administrator and Authorized Representative; involved in providing documents and interviews during investigation
Jennifer HeimLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the investigation report
Inspection Report Renewal Census: 36 Capacity: 83 Deficiencies: 9 Sep 12, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study for Aspen Grove Assisted Living to assess compliance with state regulations and determine eligibility for license renewal.
Findings
The facility was found to be non-compliant with multiple state regulations including failure to post resident rights, inadequate staff training on fire prevention and disaster plans, medication administration errors, incomplete meal census records, inadequate ventilation in laundry room, improper storage of hazardous materials, and incomplete disaster plans. A corrective action plan is required for license renewal.
Deficiencies (9)
Description
Resident Rights and Responsibilities were not posted at a public place within the facility.
Staff training records lacked verification of fire prevention training; an employee was unaware of disaster plan location and fire procedures.
Medications were not always administered as prescribed; PRN medications lacked specific written instructions and documentation of administration reasons was inconsistent.
Weekly menus for residents with prescribed puree and mechanical soft diets were not posted.
Meal census records were incomplete for several meals on multiple dates.
Laundry room exhaust ventilation lacked adequate and discernable air flow.
Chemical sanitization of dishware was used but not recorded, preventing confirmation of proper sanitization.
Hazardous materials (Clorox) were stored in an unlocked cupboard accessible to residents; oxygen tanks were unsecured on a shelf.
Disaster plan lacked written procedures for explosion, loss of heat, and loss of water emergencies.
Report Facts
Number of staff interviewed and/or observed: 14 Number of residents interviewed and/or observed: 36 Facility capacity: 83 Meal census incomplete dates: 4
Inspection Report Renewal Deficiencies: 0 Jan 17, 2023
Visit Reason
The document serves as a renewal notification for the Home for the Aged license 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, resulting in the renewal of the facility's license.
Report Facts
License effective date: Aug 20, 2022
Employees Mentioned
NameTitleContext
Jessica RogersLicensing StaffSigned the renewal notification letter.
Inspection Report Original Licensing Capacity: 83 Deficiencies: 1 Feb 24, 2014
Visit Reason
The visit was conducted as an original licensing study for Aspen Grove Assisted Living to determine compliance with applicable licensing statutes and administrative rules.
Findings
The facility was found to be in substantial compliance with licensing requirements, resulting in the issuance of a temporary license with a maximum capacity of 83. The facility does not have an emergency generator but submitted an approved building program plan to install one by 9/1/14.
Deficiencies (1)
Description
Lack of an emergency generator system as required by statute 333.21335, with a plan submitted to install a generator by 9/1/14.
Report Facts
Capacity: 83 Temporary license duration: 6
Employees Mentioned
NameTitleContext
Cheryl HartmanAuthorized RepresentativeSubmitted building program plan and involved in licensing process
Wanda PoreAdministratorInterviewed during on-site inspection and involved in compliance discussions
Patricia J. SjoLicensing StaffPrepared and signed the licensing study report
Betsy MontgomeryArea ManagerApproved the licensing study report

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