Inspection Reports for CedarWoods Assisted Living & Memory Care
44401 S Interstate 94 Service Dr, Belleville, MI 48111, United States, MI, 48111
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
73% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 1
Date: Sep 17, 2025
Visit Reason
The inspection was initiated due to a complaint alleging that the facility failed to provide adequate care for Resident A, specifically regarding oral care.
Complaint Details
The complaint alleged that Resident A had compacted, rotting food and medication stuck to the roof of their mouth. The allegation was substantiated based on interviews, photographs, and documentation review.
Findings
The investigation substantiated that the facility did not provide adequate oral care to Resident A, as evidenced by photographs, staff interviews, and documentation review showing lack of oral care up to the resident's discharge date.
Deficiencies (1)
Failure to provide adequate oral care to Resident A consistent with the resident's service plan.
Report Facts
Capacity: 210
Complaint Receipt Date: Sep 8, 2025
Investigation Initiation Date: Sep 17, 2025
Medication Administration Time: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebekah Looney | Licensing Staff | Author of the report and recommendation |
| Robin Wojtowicz | Administrator | Interviewed during investigation |
| Nikki Long | Bloom Hospice Nurse | Interviewed and confirmed observation of black debris in Resident A's mouth |
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 1
Date: Sep 8, 2025
Visit Reason
The inspection was initiated due to a complaint alleging that the facility lacked an organized program to provide protection, supervision, and assistance to Resident A.
Complaint Details
The complaint alleged that Resident A was found unattended after a fall with low oxygen levels and no bed rails in place, and that staff were unprofessional and neglectful. The violation was substantiated based on investigation findings.
Findings
The investigation found discrepancies in the facility's documentation and staff statements regarding Resident A's fall, hospitalization, medication administration, and activities of daily living. The facility failed to maintain an organized program to ensure Resident A's protection and supervision, establishing a violation.
Deficiencies (1)
The facility lacked an organized program to provide protection, supervision and assistance to Resident A.
Report Facts
Capacity: 210
Complaint Receipt Date: Sep 2, 2025
Investigation Initiation Date: Sep 8, 2025
Incident time: 1524
EMS call time: 1530
EMS arrival time: 1540
Resident A return time: 1324
Medication administration times: Melatonin at bedtime, Lamotrigine at 7:00pm, Oxycodone at 6:00pm on 08/26/2025
ADL activities charted: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Robin Wojtowicz | Administrator | Interviewed during onsite inspection regarding Resident A's fall and incident report |
| Rebekah Looney | Licensing Staff | Conducted investigation and authored report |
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 1
Date: Mar 25, 2025
Visit Reason
The inspection was conducted in response to a complaint received on March 4, 2025, regarding multiple falls and skin breakdown experienced by Resident A at Cedar Woods Assisted Living.
Complaint Details
The complaint alleged that Resident A experienced multiple falls and developed several areas of skin breakdown, including bilateral heel pressure ulcers and a pressure ulcer on the buttocks. The complaint was substantiated based on record review and interviews.
Findings
The investigation substantiated violations related to inadequate documentation and care planning for Resident A's pressure ulcers and falls. Resident A experienced multiple falls and developed pressure ulcers, with insufficient preventative measures and incomplete service plan documentation.
Deficiencies (1)
Resident A's service plan had minimal information related to care required to meet the resident's needs, including no documentation or care guidance related to skin condition and no preventative measures for falls or pressure ulcer reduction.
Report Facts
Fall occurrences: 15
Fall occurrences: 14
Facility capacity: 210
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nozmi Elder | Administrator | Interviewed regarding Resident A's care and wound services. |
| Robin Wojtowicz | Authorized Representative | Interviewed onsite regarding Resident A's wound care and facility practices. |
| Jennifer Heim | Health Care Surveyor | Conducted the investigation and authored the report. |
Inspection Report
Renewal
Deficiencies: 0
Date: Jul 23, 2024
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 review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License duration: 12
Inspection Report
Renewal
Census: 62
Capacity: 210
Deficiencies: 3
Date: Jul 26, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with state regulations for Cedar Woods Assisted Living.
Findings
The facility was found to be non-compliant with several rules including medication administration instructions, incomplete meal census records, and inadequate ventilation in certain resident and utility rooms.
Deficiencies (3)
Medications ordered PRN did not always include written instructions for administration, and some medications were not administered per licensed health professional’s orders.
The meal census did not record the total number of residents, visitors, and employees served at each meal on the July 2023 daily temperature sheets.
Residents’ bathing/toilet facilities and certain utility rooms lacked adequate and discernable air flow as required.
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 62
Facility capacity: 210
Date of on-site inspection: Jul 26, 2023
Inspection Report
Original Licensing
Capacity: 210
Deficiencies: 0
Date: Jan 13, 2011
Visit Reason
The visit was conducted to process an addendum to the original licensing study report to change the facility's name from Willow Commons to Cedar Woods Assisted Living.
Findings
The facility's name change request was reviewed and approved. No change of ownership occurred and the bed capacity remains at 210 beds.
Report Facts
Bed capacity: 210
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lilly Anne | Licensing Staff | Conducted the licensing study and signed the report |
| Betsy Montgomery | Area Manager | Approved the licensing study report |
| Michael Shehadi | Authorized Representative | Submitted the updated application and name change request |
| Susan Riley | Administrator | Named as facility administrator |
Inspection Report
Original Licensing
Capacity: 210
Deficiencies: 1
Date: May 11, 2010
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Willow Commons facility.
Findings
The facility was found to be in substantial compliance except for the roof, which needs immediate replacement. A plan for roof replacement was approved, and a temporary license with a maximum capacity of 210 beds was issued based on the approved building plan.
Deficiencies (1)
Roof needs to be replaced immediately due to numerous patches, pooled water, lack of proper slope, and water intrusion into the building.
Report Facts
Capacity: 210
Beds: 64
Shower/Bathing areas: 17
Special Care Unit beds: 23
Basic Care/North Hall beds: 85
Personal Care/South Hall beds: 78
Supportive Care/South beds: 24
Roof replacement timeframe: 4
Roof replacement timeframe: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Michael Shehadi | Authorized Representative | Provided documentation and plan for roof replacement |
| Susan Riley | Administrator | Named as facility administrator |
| Lilly Anne | Licensing Staff | Conducted licensing study and made recommendation |
| Betsy Montgomery | Area Manager | Approved the licensing study report |
Viewing
Loading inspection reports...
