Inspection Reports for Clarendale Ann Arbor
2840 S Main St, Ann Arbor, MI, 48103
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Renewal
Census: 32
Capacity: 71
Deficiencies: 10
Date: Aug 16, 2024
Visit Reason
The inspection was conducted as a Renewal Licensing Study Report for Balfour Ann Arbor to assess compliance with state regulations and licensing requirements.
Findings
The facility was found to be in non-compliance with multiple state rules including confidentiality breaches, incomplete service plans, improper medication administration, lack of required employee training, missing reliable thermometers in refrigerators, incomplete disaster plans, and failure to conduct required tuberculosis risk assessments and screenings.
Deficiencies (10)
Confidential resident information displayed publicly on medication cart computer in memory care unit.
Resident B’s service plan lacked specific oxygen flow rate and usage instructions.
Service plans for Residents B and E missing signatures of resident or responsible party.
Employees #2 and #9 had tuberculosis screenings not compliant with timing requirements.
Employees #3, #5, and #9 lacked verification of safety and fire prevention training; Employee #8 had delayed training completion.
Resident medications not always administered according to labeling and orders; PRN medications lacked reasons for administration; unclear medication scheduling for Resident C and E.
Medications stored unsecured in Resident B’s apartment refrigerator.
Refrigerators and freezers in multiple rooms and kitchen missing reliable thermometers.
Disaster plan lacked procedure for explosions; employees not trained on disaster plan; disaster plan binder not locatable by staff.
Facility lacked tuberculosis risk assessment as required by state rules.
Report Facts
Capacity: 71
Census: 32
Number of staff interviewed/observed: 18
Number of residents interviewed/observed: 32
Number of excluded employees followed up: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Julie Nash | Authorized Representative | Named as authorized representative of the facility. |
| John Juroe | Administrator/Licensee Designee | Named as administrator/licensee designee of the facility. |
| Jessica Rogers | Licensing Staff | Author of the renewal licensing study report. |
Inspection Report
Renewal
Deficiencies: 0
Date: Jun 20, 2023
Visit Reason
The document serves as a notification of the renewal of the Home for the Aged license for Balfour Ann Arbor following an administrative review of licensing activity for 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.
Report Facts
License effective date: Jul 17, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Original Licensing
Capacity: 71
Deficiencies: 0
Date: Jan 17, 2020
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Balfour Ann Arbor.
Findings
The study determined substantial compliance with the home for the aged public health code and applicable administrative rules. The facility is newly constructed with a total capacity of 71 residents, including memory care and assisted living units, and has been approved for occupancy and fire safety.
Report Facts
Capacity: 71
Resident units: 52
Memory care resident rooms: 24
Second floor units: 19
Second floor double occupancy rooms: 12
Second floor capacity: 31
Third floor units: 9
Third floor double occupancy rooms: 7
Third floor capacity: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeanette Allen | Authorized Representative | Named as the authorized representative and involved in the licensing process |
| Andrea Krausmann | Licensing Staff | Conducted the licensing study and signed the report |
| Russell B. Misiak | Area Manager | Approved the licensing study report |
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