Inspection Report
Complaint Investigation
Census: 14
Capacity: 20
Deficiencies: 1
Jul 24, 2025
Visit Reason
The investigation was initiated due to allegations including financial exploitation of Resident A, failure to remove spoiled food causing resident illness, pest issues, and concerns about incompetent staff under the influence of drugs.
Findings
The investigation found no evidence of financial exploitation or forced purchases by residents, no food safety violations or pest infestations, and no staff impairment due to drugs. However, a violation was established related to Resident A purchasing items for the facility without authorization.
Complaint Details
The complaint alleged Resident A was financially exploited and charged extra for home repairs, kitchen staff were not removing spoiled food causing resident illness, pest infestations were present, and incompetent staff on drugs were employed. The financial exploitation allegation was not substantiated. The allegation that Resident A purchased items for the facility was substantiated. Food safety, pest control, and staff impairment allegations were not substantiated.
Deficiencies (1)
| Description |
|---|
| Resident A purchased items for the facility without authorization. |
Report Facts
Facility capacity: 20
Resident census: 14
Repair cost: 80
Garbage disposal cost: 2500
Hospital visits: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| June Nadolny-Jeffs | Administrator | Interviewed regarding allegations and investigation findings |
| Sondra Yantz | Licensee Designee | Interviewed regarding Resident A's purchases and facility issues |
| Sarah Thompson | Nursing Director, LPN | Interviewed regarding allegations and staff qualifications |
| Shardae Thomas | Cook | Interviewed regarding food safety and allegations |
| Rosalie Guzman | Staff | Interviewed regarding pest and food safety allegations |
| Paige Thomas | Staff | Interviewed regarding staff drug use suspicions and training |
| Bethany Hornbacher | APS Investigator | Conducted APS investigation related to financial exploitation allegations |
| Shamidah Wyden | Licensing Consultant | Author of the Special Investigation Report |
| Mary E. Holton | Area Manager | Approved the Special Investigation Report |
Inspection Report
Renewal
Census: 14
Capacity: 20
Deficiencies: 5
Jan 16, 2025
Visit Reason
The inspection was conducted as a renewal licensing study for Charter Senior Living at Bay City 1 to assess compliance with licensing rules and regulations.
Findings
The facility was found to be in non-compliance with several rules including lack of annual health reviews for staff, missing verification of reference checks, absence of annual resident care agreement reviews, water temperature exceeding allowed limits, and freezers lacking thermometers. A repeat violation was noted for water temperature issues.
Deficiencies (5)
| Description |
|---|
| No annual health reviews on file for staff Owen Brey and Amber Wilson. |
| No verification of reference checks on file for staff Owen Brey. |
| No verification on file that resident care agreements had been annually reviewed for Resident A, Resident B, or Resident C. |
| Water temperature readings at multiple kitchenette sinks in resident bedrooms were above 120 degrees Fahrenheit. |
| Three freezers in the basement were not equipped with thermometers. |
Report Facts
Number of staff interviewed and/or observed: 4
Number of residents interviewed and/or observed: 14
Facility capacity: 20
Date of on-site inspection: Jan 16, 2025
Date of Bureau of Fire Services Inspection: Nov 19, 2024
Number of freezers without thermometers: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Owen Brey | Named in findings for missing annual health review and missing verification of reference checks | |
| Amber Wilson | Named in findings for missing annual health review | |
| Sondra Yantz | Administrator | Licensee designee and administrator named in report header |
| Shamidah Wyden | Licensing Consultant | Author of the inspection report |
Inspection Report
Renewal
Census: 13
Capacity: 20
Deficiencies: 4
Jan 19, 2023
Visit Reason
The visit was conducted as a renewal licensing study to assess compliance with licensing rules and regulations for the facility.
Findings
The facility was found to be in non-compliance with several rules including staff CPR certification, handling of resident funds, water temperature control, and food storage temperatures. Multiple residents' personal refrigerators had temperatures above safe levels, and staff lacked up-to-date CPR certification.
Deficiencies (4)
| Description |
|---|
| Staff did not have up to date CPR certification on file. |
| Resident A’s file did not have prior written approval or appropriate signatures on the Resident Funds II form. |
| Multiple private bathroom sinks had water temperature readings above 120 degrees Fahrenheit. |
| Multiple residents’ personal refrigerators had temperature readings above 40 degrees Fahrenheit. |
Report Facts
Number of residents interviewed and/or observed: 13
Facility capacity: 20
Number of staff interviewed and/or observed: 2
Number of others interviewed: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sondra Yantz | Licensee Designee and Administrator | Named as Licensee Designee and Administrator of the facility |
| Shamidah Wyden | Licensing Consultant | Author of the inspection report and contact person |
Inspection Report
Original Licensing
Capacity: 20
Deficiencies: 0
Jul 31, 2018
Visit Reason
The document is an Original Licensing Study Report for Charter Senior Living at Bay City 1 to determine compliance with licensing statutes and administrative rules for issuance of a temporary license.
Findings
The facility was found to be in substantial compliance with applicable licensing statutes and administrative rules. The building and safety features were inspected and found fully operational, and the applicant met all qualifications and training requirements. The recommendation was made to issue a temporary license with a maximum capacity of 20 residents.
Report Facts
Facility capacity: 20
Room counts: 4
Room counts: 4
Room counts: 12
Square footage: 15000
Living space: 1744
Staffing ratio: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lori Labrie | Administrator/Licensee Designee | Named as administrator and licensee designee for the facility |
| Shamidah Wyden | Licensing Consultant | Author of the licensing report and recommendation |
| Mary E Holton | Area Manager | Approved the licensing recommendation |
Loading inspection reports...



