Inspection Reports for Aspen Grove
7515 Secor Rd, Lambertville, MI 48144, MI, 48144
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
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
| Name | Title | Context |
|---|---|---|
| Kim Graber | Administrator | Interviewed 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
| Name | Title | Context |
|---|---|---|
| Kimberly Graber | Administrator | Named as Administrator and Authorized Representative; involved in providing documents and interviews during investigation |
| Jennifer Heim | Licensing Staff | Author of the Special Investigation Report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved 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
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Signed 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
| Name | Title | Context |
|---|---|---|
| Cheryl Hartman | Authorized Representative | Submitted building program plan and involved in licensing process |
| Wanda Pore | Administrator | Interviewed during on-site inspection and involved in compliance discussions |
| Patricia J. Sjo | Licensing Staff | Prepared and signed the licensing study report |
| Betsy Montgomery | Area Manager | Approved the licensing study report |
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