Inspection Reports for Brentwood at Niles
1147 South Third Street, Niles, MI, 49120
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
33% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
48% occupied
Based on a April 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 38
Capacity: 80
Deficiencies: 7
Date: Apr 14, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and regulations for the facility.
Findings
The facility was found to be in non-compliance with multiple rules including tuberculosis screening for residents and employees, meal census record keeping, proper waste container maintenance, kitchen cleanliness, food labeling, and safe storage of hazardous materials. Violations were established for each of these areas.
Deficiencies (7)
One resident's tuberculosis screening record could not be located.
Four employees had tuberculosis screening completed the same day as occupational exposure and one employee had no TB test record.
No record of a meal census for the preceding 3-month period was maintained.
Multiple garbage or rubbish containers lacked tight-fitting lids in common areas, laundry, kitchenettes, and main kitchen.
Memory care unit kitchenette equipment and work surfaces were not maintained in a clean and sanitary condition.
Multiple food items were found unlabeled in the memory care area kitchenette refrigerator, employee lounge, and main kitchen.
Hazardous and toxic chemicals were stored in unlocked cabinets accessible to residents in assisted living and memory care areas.
Report Facts
Number of staff interviewed and/or observed: 12
Number of residents interviewed and/or observed: 38
Facility capacity: 80
Number of resident records reviewed for TB screening: 9
Number of employee records reviewed for TB screening: 14
Date of on-site inspection: Apr 14, 2025
Inspection Report
Renewal
Census: 43
Capacity: 80
Deficiencies: 0
Date: Jan 22, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility's license renewal.
Findings
The facility was found to be in compliance with all applicable rules and statutes. The licensing study determined substantial compliance and recommended issuance of a regular license upon receipt of the renewal fee.
Report Facts
Number of staff interviewed and/or observed: 16
Number of residents interviewed and/or observed: 43
Facility capacity: 80
Inspection Report
Renewal
Census: 37
Capacity: 80
Deficiencies: 7
Date: Jan 24, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Brentwood at Niles to assess compliance with applicable rules and regulations.
Findings
The facility was found to be in non-compliance with multiple rules including lack of tuberculosis screening evidence for one resident, failure to maintain meal census records, inadequate laundry and linen storage, unlabeled food items, incomplete dishwasher sanitization records, improper use of mechanical closets for storage, and unsafe storage of hazardous materials.
Deficiencies (7)
One of eight resident files lacked evidence of tuberculosis screening within 12 months before admission.
No record of meal census maintained for the preceding three-month period.
No clearly designated soiled linen or clean linen storage area; laundry rooms used for storage of personal and maintenance items posing cross contamination risk.
Food items in kitchen refrigerators, freezers, dry storage, and memory care areas were unlabeled with no open dates.
Incomplete dishwasher sanitization records for November and December 2022; uncertain if multi-use utensils were properly sanitized.
Mechanical closets used as storage closets containing therapy equipment, furniture, and seasonal items, creating hazards.
Industrial chemicals easily accessible in main and second floor hallway bathrooms, posing risk to residents with impaired cognition.
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 37
Facility capacity: 80
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alicia Sieplinga | Authorized Representative/Administrator | Named as facility administrator |
| Julie Viviano | Licensing Staff | Author of the report |
Inspection Report
Original Licensing
Census: 60
Capacity: 80
Deficiencies: 0
Date: Jun 4, 2015
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Brentwood at Niles.
Findings
The facility was found in substantial compliance with all rules and statutes. A six-month temporary license with a maximum capacity of 80 was recommended for issuance.
Report Facts
Capacity: 80
Census: 60
Staff Count: 50
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