Inspection Reports for Clark Retirement at Franklin

1551 Franklin St SE, Grand Rapids, MI 49506, United States, MI, 49506

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Inspection Report Renewal Census: 36 Capacity: 107 Deficiencies: 0 Aug 27, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for license renewal of Clark Retirement Home.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. The licensing consultant recommended renewal of the facility’s license.
Report Facts
Number of staff interviewed and/or observed: 17 Number of residents interviewed and/or observed: 36 Number of excluded employees followed up: 3
Inspection Report Renewal Deficiencies: 0 Aug 20, 2023
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 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 duration: 12
Employees Mentioned
NameTitleContext
Lauren WohlfertLicensing StaffSigned the renewal notification letter
Inspection Report Complaint Investigation Capacity: 107 Deficiencies: 2 Nov 4, 2022
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A's bed was not made, Resident A did not receive showers, the food did not meet nutritional standards, and the facility washing machine was broken.
Findings
The investigation found that the allegation regarding Resident A's bed not being made was not established, but the allegation that Resident A did not receive showers was substantiated due to lack of documentation. The food was found to meet nutritional standards, and the washing machine issue was due to a supply chain delay but residents had access to other washers. An additional violation was found related to an unauthorized bedrail on Resident A's bed without proper documentation or service plan information.
Complaint Details
The complaint alleged Resident A's bed was not made, Resident A did not receive showers, food did not meet nutritional standards, and the facility washing machine was broken. The violation was substantiated only for the shower allegation and the additional finding regarding the unauthorized bedrail.
Deficiencies (2)
Description
Resident A did not receive the required weekly showers as documented by lack of shower records from 9/3/22 to 10/22/22.
Resident A had a ½ bedrail attached to the bed without an order or proper documentation in the service plan regarding its use and maintenance.
Report Facts
Facility total capacity: 107 Shower documentation gap: 49 Inspection dates: Nov 4, 2022
Employees Mentioned
NameTitleContext
Nicole SwartAdministrator/Authorized RepresentativeInterviewed regarding allegations and facility practices
Michelle BrooksKitchen ManagerInterviewed regarding food service and kitchen operations
Baylin BinnendykDirectorInterviewed during investigation
Kimberly HorstLicensing StaffConducted investigation and authored report
Inspection Report Original Licensing Capacity: 211 Deficiencies: 0 Jul 20, 2020
Visit Reason
The purpose of the visit was to conduct an original licensing study and document a decrease in licensed bed capacity by delicensing the first floor 'Manor' area to convert it to independent living apartments.
Findings
The first floor 'Manor' corridor, consisting of six semiprivate resident rooms, was observed to have separate and distinct egress and ingress from the rest of the licensed facility. The facility requested to delicense this area, which was supported by the observation and review of floor plans.
Report Facts
Licensed bed capacity: 211 Number of semiprivate rooms delicensed: 6
Employees Mentioned
NameTitleContext
Nicole SwartAuthorized Representative/AdministratorReported facility's intent to install keycard access and submitted written request to delicense first floor 'Manor' corridor
Lauren WohlfertLicensing StaffConducted observation and authored the addendum report
Russell MisiakArea ManagerSigned the addendum report
Inspection Report Original Licensing Capacity: 107 Deficiencies: 0 Jul 20, 2020
Visit Reason
The purpose of the visit was to document a decrease in licensed bed capacity as requested by the facility to delicense the entire second floor and certain corridors on the third and fourth floors, reducing the capacity to 107 beds.
Findings
The inspection observed that the second floor corridors and the third and fourth floor Manor corridors could be maintained as separate and distinct areas from the remaining licensed facility, supporting the request to decrease licensed capacity.
Report Facts
Licensed bed capacity: 107
Employees Mentioned
NameTitleContext
Nicole SwartAuthorized Representative/AdministratorReported facility's intent to install keycard access and requested delicensing
Lauren WohlfertLicensing StaffConducted observation and authored the addendum report
Russell MisiakArea ManagerReviewed and dated the addendum report
Inspection Report Original Licensing Capacity: 224 Deficiencies: 0 Jun 1, 2016
Visit Reason
The purpose of this addendum is to document an increase in licensed bed capacity for the facility.
Findings
The review of the HFES Facility Transmittal sheet dated 2/6/16 documented an increase in capacity from 221 to 224 due to the addition of two 2-bedroom apartments to the facility.
Report Facts
Licensed bed capacity increase: 3
Employees Mentioned
NameTitleContext
Russell B. MisiakLicensing StaffReviewed and documented the capacity increase
Betsy MontgomeryArea ManagerApproved the capacity increase
Laura RemusHealth Facility Engineering Section engineerRequested the licensed bed capacity modification

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