Inspection Reports for Brookdale Senior Living

2190 Ann Arbor-Saline Rd, Ann Arbor, MI 48103, United States, MI, 48103

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Inspection Report Renewal Census: 28 Capacity: 82 Deficiencies: 3 Apr 29, 2025
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with regulatory requirements and determine if the facility license should remain unchanged.
Findings
The facility was found to be non-compliant with medication management rules, including missing narcotic count signatures and administration of medication outside prescribed parameters. A violation was established related to resident medications.
Deficiencies (3)
Description
Missing signatures for narcotic count on medication cart #1 from 4/11/2025 through 4/29/2025, making it unclear if counts were completed.
Entries for Haloperidol and Lorazepam were left blank on 3/27/2025 for Resident A, making it unclear if medications were administered.
Resident F was administered Metoprolol Tartrate on multiple occasions when vital signs were outside prescribed parameters.
Report Facts
Number of staff interviewed and/or observed: 10 Number of residents interviewed and/or observed: 28 Capacity: 82
Inspection Report Renewal Deficiencies: 0 Feb 29, 2024
Visit Reason
The document serves as a renewal notification for the Home for the Aged license after an administrative review of licensing activity for the past year.
Findings
The 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 duration: 12
Employees Mentioned
NameTitleContext
Jessica RogersLicensing StaffSigned the renewal notification letter
Inspection Report Renewal Census: 31 Capacity: 82 Deficiencies: 7 Mar 22, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to assess compliance with state regulations and determine if the facility's license should be renewed.
Findings
The facility was found to be in non-compliance with multiple state rules including issues with bedside assistive devices, shift supervisor assignments, medication storage, ventilation, water temperature regulation, laundry room ventilation, and lack of reliable thermometers in resident refrigerators and freezers. A corrective action plan is required for renewal of the license.
Deficiencies (7)
Description
Use of an unapproved bedside assist device and unsafe conditions with 'Halo Rings' creating risk of entanglement/entrapment for residents.
Facility assigned two shift supervisors on first and second shifts but only one on third shift, not fully compliant with supervision requirements.
Resident A self-administered medications but lacked a safe storage place for medications.
Inadequate ventilation and discernable airflow in residents’ bathing/toileting facilities.
Hot water temperatures in resident rooms exceeded the regulated range of 105 to 120 degrees Fahrenheit.
Laundry rooms lacked adequate ventilation; first-floor laundry room had no vent and second-floor vent was broken.
Resident refrigerators and freezers in multiple rooms lacked reliable thermometers.
Report Facts
Number of staff interviewed and/or observed: 16 Number of residents interviewed and/or observed: 31 Facility capacity: 82 Water temperature readings: 125.4 Water temperature readings: 121.8 Water temperature readings: 127.9
Employees Mentioned
NameTitleContext
Jena WiselyAdministrator/Licensee DesigneeInterviewed regarding bedside assistive devices, shift supervision, medication storage, and other compliance issues
Inspection Report Original Licensing Capacity: 82 Deficiencies: 0 Jun 19, 2015
Visit Reason
The document is an addendum to the original licensing study report to change the name of the facility from Brookdale Place of Ann Arbor to Brookdale Ann Arbor effective June 15, 2015.
Findings
The authorized representative submitted a request to change the facility's name as part of a rebranding project with no changes in ownership, operations, or location. The recommendation is to approve the name change.
Report Facts
Facility capacity: 82
Employees Mentioned
NameTitleContext
Andrea KrausmannLicensing StaffAuthor of the addendum and involved in the licensing process
Betsy MontgomeryArea ManagerApproved the addendum for the name change
Beth MellAuthorized representative who submitted the name change request
Inspection Report Original Licensing Capacity: 82 Deficiencies: 0 Oct 19, 2010
Visit Reason
The document is an Original Licensing Study Report conducted to determine compliance with licensing statutes and administrative rules for Brookdale Place of Ann Arbor, resulting in issuance of a temporary license.
Findings
The facility was found to be in substantial compliance with applicable licensing statutes and administrative rules. The report describes the physical layout, program description, staffing, safety features, and compliance with statutory requirements, recommending issuance of a temporary license with a maximum capacity of 82 residents.
Report Facts
Capacity: 82 Number of resident rooms: 67 Staffing numbers: 5 Staffing numbers: 4 Staffing numbers: 5 Staffing numbers: 2
Employees Mentioned
NameTitleContext
Andrea KrausmannLicensing StaffAuthor of the licensing study report and recommendation
Betsy MontgomeryArea ManagerApproved the licensing study report
Beth MellAuthorized RepresentativeAuthorized representative of the applicant
Arlene HsuAdministratorFacility administrator

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