Inspection Reports for Brownstown Forest View Assisted Living
19341 Allen Rd., MI, 48183
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% worse than Michigan average
Michigan average: 5.2 deficiencies/year
Deficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
36% occupied
Based on a September 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 27
Capacity: 76
Deficiencies: 4
Sep 30, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that residents' care needs were not being met due to short staffing and discrepancies in charting and care.
Findings
The investigation found that resident care needs were not being met, with staffing shortages especially on afternoon and midnight shifts. Medication carts were soiled and narcotic book documentation was incomplete. Several employee files lacked proper education and competency documentation. Missing charting was noted for multiple residents.
Complaint Details
Complaint received on 07/23/2025 alleged staff retaliation for reporting discrepancies and residents being soiled/neglected due to short staffing. Violation was established based on investigation findings.
Deficiencies (4)
| Description |
|---|
| Residents’ care needs not met related to short staffing and discrepancies in charting and care. |
| Medication cart soiled with spilled medications, dust, and debris; narcotic book missing multiple signatures and had crossed out medications. |
| Employee files missing education and competency documentation for medication administration and care. |
| Significant charting missing for residents related to care needs, every two hours checks, and showers. |
Report Facts
Facility capacity: 76
Resident census: 27
Staffing goals: 4
Staffing goals: 3
Staffing goals: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heim | Health Care Surveyor | Conducted the investigation and signed the report. |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the investigation report. |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 1
Apr 8, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging inadequate care and supervision for Resident A, who was found inappropriately dressed and unsupervised on 3/23/2025.
Findings
The investigation found that Resident A was found sitting in a recliner wearing only a brief and a cardigan, with staff failing to provide adequate supervision on the second floor between approximately 7am and 9:45am. Staff 3 arrived late and did not immediately attend to the assigned floor, resulting in Resident A being unsupervised and inadequately cared for during that time.
Complaint Details
The complaint alleged that Resident A was found on 3/23/2025 in a recliner with only a brief and cardigan, soaked with urine, and without proper clothing. The complaint was substantiated with a violation established due to inadequate care and supervision.
Deficiencies (1)
| Description |
|---|
| Inadequate care and supervision for Resident A |
Report Facts
Capacity: 76
Complaint Receipt Date: Apr 7, 2025
Investigation Initiation Date: Apr 7, 2025
Report Due Date: Jun 6, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Surindar Jolly | Administrator/Authorized Representative | Named as facility administrator and contact |
| Aaron Clum | Licensing Staff | Author of the report and contact for corrective action plan |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
| Staff 1 | Staff alleged to have put Resident A to bed without clothes, denied the allegation | |
| Staff 2 | Supervisor | Facility supervisor who received complaint and provided statements |
| Staff 3 | Staff scheduled on second floor who arrived late and did not immediately attend to Resident A | |
| Staff 4 | Staff who passed medications on second floor and observed Resident A | |
| Staff 6 | Staff who last checked on Resident A around 7am and confirmed Resident A was in bed, dressed and dry |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 3
Feb 6, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A was left alone in her room and the facility was understaffed, that Resident A and other residents were not receiving medications as ordered, and that the facility was dirty with an unsecured front door.
Findings
The allegation that Resident A was left alone and the facility was understaffed was not substantiated. However, violations were established for residents not receiving medications as ordered, with multiple missed medication administrations documented, and for the facility being dirty with an unsecured front door and maintenance issues such as dust buildup and peeling paint.
Complaint Details
Complaint received on 2024-12-10 alleged Resident A was left alone in her room and the facility was understaffed, Resident A and other residents were not receiving medications as ordered including nighttime medications, and the facility was dirty with an unsecured front door. The allegation of understaffing and Resident A being left alone was not substantiated. The medication and facility cleanliness/security allegations were substantiated.
Deficiencies (3)
| Description |
|---|
| Residents not receiving medications as ordered, with multiple missed medication administrations documented on MARs. |
| Facility is dirty with heating and cooling vents having dust and debris buildup, and paint on ceiling cracking and peeling. |
| Front entrance door is ill fitting and not secure, though it remained closed when pushed. |
Report Facts
Facility capacity: 76
Complaint receipt date: Dec 10, 2024
Investigation initiation date: Dec 12, 2024
Report due date: Feb 10, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Surindar Jolly | Administrator and Authorized Representative | Named as administrator and authorized representative involved in facility operations and corrective actions |
| Jennifer Heim | Health Care Surveyor | Conducted the inspection and authored the report |
Inspection Report
Renewal
Census: 15
Capacity: 76
Deficiencies: 8
Jan 30, 2025
Visit Reason
The visit was a renewal licensing inspection of Brownstown Forest View Assisted Living to assess compliance with licensing rules and regulations.
Findings
The facility was found to be non-compliant with multiple rules including tuberculosis screening for residents and employees, interior maintenance issues such as peeling paint, dust buildup, water damage, ventilation failures, overflowing garbage, and improper storage of hazardous materials. A corrective action plan is required to address these violations.
Deficiencies (8)
| Description |
|---|
| Resident B's tuberculosis screening was completed more than 12 months prior to admission. |
| Employee SP5's initial tuberculosis screening and TB Risk Assessment were not provided. |
| Multiple areas of paint flaking/peeling on walls and ceiling, missing bathroom tiles, dust buildup on air vents, oversized air filter with dust, humidifier drain covered with surgical glove, water damage and peeling paint in soiled linen room ceiling, water dripping pipe with bucket in boiler room, ceiling water damage and mold in boiler room. |
| Continuous exhaust ventilation not functioning in multiple rooms and common areas. |
| Large garbage can overflowing in hall between kitchen and laundry room. |
| Refrigerators not monitored with thermometers, spillage and buildup in laundry room refrigerator, broken door on breakroom refrigerator, ice scoop noted in ice chest. |
| Two office areas used as storage with overflowing boxes and resident paperwork, clean linen room used for storage of equipment and personal items, garbage on water cart, electrical strips draped over open desk drawer. |
| Free standing oxygen tank noted in room 210 and another propping door open to room. |
Report Facts
Capacity: 76
Residents observed/interviewed: 15
Staff observed/interviewed: 6
Date of on-site inspection: Jan 30, 2025
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 2
Apr 15, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging resident neglect, verbal abuse, lack of showers, dirty rooms, employees working without background checks, and residents yelling for help for hours in hallways.
Findings
The investigation established a violation of resident neglect due to improper resident transfer techniques and the facility's inability to provide shower sheets for several residents. Background checks were confirmed for employees, and the facility was observed to be clean with residents appropriately groomed and engaged.
Complaint Details
Complaint received on 03/25/2024 alleged verbal abuse, neglect, lack of showers, dirty rooms, employees without background checks, and residents yelling for help. Violation of resident neglect was established.
Deficiencies (2)
| Description |
|---|
| Improper transfer of Resident E from recliner to wheelchair. |
| Facility unable to provide shower sheets for requested timeframe for Residents A, B, C, D. |
Report Facts
Capacity: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jackie Elayyan | Assistant Director | Interviewed onsite regarding employee background checks and facility policies |
| Surindar Jolly | Administrator | Named as Administrator and Authorized Representative of the facility |
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 1
Feb 21, 2024
Visit Reason
The investigation was initiated due to complaints alleging inappropriate resident placement, elopement of Resident A, and staff not being trained resulting in residents missing medications.
Findings
The investigation found no violation regarding inappropriate resident placement or Resident A eloping. However, a violation was substantiated due to staff lacking training records and residents missing medications. Interviews and record reviews confirmed that some staff lacked proper training documentation, though medication administration was observed to be properly conducted.
Complaint Details
Complaint allegations included inappropriate resident placement, Resident A eloping, and staff not trained leading to missing medications. The investigation substantiated the training and medication issues but did not substantiate the other allegations.
Deficiencies (1)
| Description |
|---|
| Staff lacked training records and residents were missing medications. |
Report Facts
Capacity: 76
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Surindar Jolly | Administrator | Named as administrator and authorized representative of the facility |
| Jennifer Heim | Licensing Staff | Author of the report and contact for corrective action plan |
| Jackie Elayyan | Assistant Director | Interviewed during onsite investigation regarding resident care and staff training |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Renewal
Deficiencies: 0
Feb 14, 2024
Visit Reason
The document serves as a renewal notification for the Home for the Aged license of Brownstown Forest View Assisted Living, confirming substantial compliance with public health code and administrative rules 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 effective from 12/17/2023 to 7/31/2024.
Report Facts
License effective period: License effective from 12/17/2023 to 7/31/2024
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 3
Oct 4, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A's personal care needs were not being met, including concerns about bathing and shaving, as well as allegations of a dirty room.
Findings
The investigation established violations related to Resident A not receiving adequate personal care, including insufficient bathing frequency and a lack of detail in the service plan. The complaint about the cleanliness of Resident A's room was not substantiated. Additional findings included Resident A's combative and abusive behavior towards staff and other residents, posing a risk of harm.
Complaint Details
Complaint alleged Resident A's personal care needs were not met, including bathing and shaving, and that Resident A's room was dirty. The complaint was substantiated for personal care needs but not for room cleanliness.
Deficiencies (3)
| Description |
|---|
| Facility did not ensure Resident A was bathed weekly or twice weekly as scheduled. |
| Resident A's service plan lacked pertinent detail regarding personal care tasks and assistance needed. |
| Licensee placed residents and staff at risk due to Resident A's repeated verbal and physical attacks and sexually inappropriate behavior. |
Report Facts
Capacity: 76
Complaint Receipt Date: Sep 13, 2023
Investigation Initiation Date: Sep 14, 2023
Inspection Date: Oct 4, 2023
Inspection Report
Complaint Investigation
Capacity: 76
Deficiencies: 1
Sep 8, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that staff passed medications without training, Resident A did not receive showers, staff did not follow physicians' orders, and narcotics were stored improperly.
Findings
The investigation established a violation that staff passed medications without proper training, specifically that Associate 1 was scheduled as a medication technician before completing training. The allegations that Resident A did not receive showers, staff did not follow physicians' orders, and narcotics were stored improperly were not substantiated.
Complaint Details
Complaint received from adult protective services (APS) on 09/07/2023 alleging staff passed medications without training, Resident A did not receive showers, staff did not follow physicians' orders, and narcotics were stored improperly. The violation for untrained medication administration was established; other allegations were not substantiated.
Deficiencies (1)
| Description |
|---|
| Staff passed medications without training. |
Report Facts
Capacity: 76
Complaint Receipt Date: Sep 7, 2023
Investigation Initiation Date: Sep 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Surindar Jolly | Administrator/Authorized Representative | Named as administrator and involved in statements regarding staff training and scheduling |
| Jackie Elayyan | Resident Care Manager | Interviewed regarding staff training, scheduling, and medication administration |
| Aaron Clum | Licensing Staff | Author of the report |
Inspection Report
Renewal
Deficiencies: 0
Jan 25, 2023
Visit Reason
The document is a licensing renewal notification indicating that an administrative review of the facility's licensing activity for the past year revealed substantial compliance, resulting in the renewal of the facility's 12-month license effective 12/17/2022.
Findings
The review found substantial compliance with the public health code and administrative rules regulating home for the aged facilities, leading to the renewal of the license.
Report Facts
License effective date: Dec 17, 2022
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