Inspection Reports for Clinton Creek Assisted Living & Memory Care

MI, 48038

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Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 2 Jun 4, 2025
Visit Reason
The inspection was conducted in response to an anonymous complaint alleging the facility had bed bugs causing resident discomfort and that management was not taking the issue seriously.
Findings
The investigation found no evidence of bed bugs after inspection and pest control review, concluding no violation for bed bugs. However, additional findings revealed unsafe bed assistive devices for two residents, lacking proper service plan documentation and posing entrapment risks, resulting in established violations.
Complaint Details
Complaint alleged the facility had bed bugs causing itching for a resident and that management was not addressing staff concerns seriously. The complaint was not substantiated as no bed bugs were found.
Deficiencies (2)
Description
Unsafe bed assistive devices with gaps large enough for limb entrapment and loose fittings were found on Resident B and Resident D's beds.
Service plans for Resident B and Resident D lacked vital information about the use, care, and monitoring of the bed assistive devices, with no physician orders or staff training documented.
Report Facts
Facility capacity: 62 Complaint receipt date: Jun 3, 2025 Investigation initiation date: Jun 4, 2025 Report due date: Jul 3, 2025
Employees Mentioned
NameTitleContext
Geralyn CummingsAdministratorInterviewed during onsite investigation regarding bed bug complaint and findings
Justin NiemiAuthorized RepresentativeRecipient of report and exit conference communication
Brender HowardLicensing StaffAuthor of the Special Investigation Report
Inspection Report Renewal Deficiencies: 0 Jul 24, 2024
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Findings
The review revealed substantial compliance with applicable regulations, leading to the renewal of the Home for the Aged license effective from 08/01/2024 to 07/31/2025.
Report Facts
License effective period: License effective from 08/01/2024 to 07/31/2025
Employees Mentioned
NameTitleContext
Brender L HowardHealth SurveyorSigned the renewal letter and conducted the administrative review
Inspection Report Renewal Deficiencies: 0 Jan 18, 2024
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the facility's license effective January 18, 2024.
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 2 Sep 21, 2023
Visit Reason
The investigation was initiated due to a complaint alleging inadequate incontinence care, insufficient bathing, skin care issues, falls due to inadequate staffing, insufficient food and water, medication errors, and verbal and physical abuse at Clinton Creek Assisted Living & Memory Care.
Findings
The investigation found no violations related to incontinence care, falls, food and water availability, or medication administration. However, violations were established for verbal and physical abuse allegations and for failure to maintain accurate records of residents' skin impairments.
Complaint Details
The complaint alleged inadequate incontinence care and bathing, falls due to insufficient caregivers, inadequate food and water, medication errors due to untrained medication technicians, and verbal and physical abuse. Most allegations were not substantiated except for verbal and physical abuse and record-keeping deficiencies.
Deficiencies (2)
Description
Residents were subjected to verbal and physical abuse.
The facility failed to keep and maintain complete records of changes in residents' skin impairments.
Report Facts
Capacity: 62 Medication refusals: 9
Employees Mentioned
NameTitleContext
Barbara P. ZabitzHealth Care SurveyorAuthor of the Special Investigation Report
Geralyn CummingsAdministratorAdministrator interviewed during investigation
Dawn FoulkeAuthorized RepresentativeAuthorized representative of the facility
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 1 May 19, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that call lights were not answered timely and staff were forced to care for COVID residents without PPE.
Findings
The investigation substantiated that call lights were not always answered timely, with some response times exceeding two hours. PPE was available for staff. Other allegations including medication administration, showering, bed covers, and room cleanliness were not substantiated.
Complaint Details
The complaint alleged neglect due to untimely response to call lights and staff forced to care for COVID residents without PPE. The claim regarding call lights was substantiated; the claim regarding PPE was not substantiated as PPE was observed to be available. Other allegations such as medication not given, lack of showers, bed covers not changed, and rooms not cleaned were not substantiated.
Deficiencies (1)
Description
Call lights were not answered timely, with some response times over two hours.
Report Facts
Capacity: 62 Call light response times: 120
Employees Mentioned
NameTitleContext
Geralyn CummingsAdministratorInterviewed regarding staffing, call light response, and incident reporting
Brender HowardLicensing StaffAuthor of the inspection report
Inspection Report Complaint Investigation Capacity: 62 Deficiencies: 1 Apr 17, 2023
Visit Reason
The investigation was initiated due to allegations received from Adult Protective Services that Resident A lacked care, including concerns about medication administration, incontinence care, and overall treatment.
Findings
The investigation substantiated that Resident A's care was inconsistent with her service plan, with medication administration records and ADL logs showing multiple dates left blank, making it unclear if care tasks were completed. Despite no skin breakdown, it could not be determined if care and medications were always provided as required.
Complaint Details
The complaint alleged that Resident A was left in soiled briefs for extended periods, had multiple UTIs, and did not receive medications timely. The allegation was substantiated based on review of records and interviews.
Deficiencies (1)
Description
Failure to provide care and medication administration consistent with Resident A's service plan.
Report Facts
Capacity: 62 Medication administration dates left blank: 13
Employees Mentioned
NameTitleContext
Geralyn CummingsAdministratorInterviewed regarding Resident A's care and facility operations
Jessica RogersLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Renewal Census: 34 Capacity: 62 Deficiencies: 4 Mar 1, 2023
Visit Reason
The visit was conducted as a renewal licensing study to evaluate compliance with applicable rules and regulations for Clinton Creek Assisted Living & Memory Care.
Findings
The facility was found to be in non-compliance with several rules including inadequate ventilation in multiple rooms, uncovered garbage cans, food stored without open dates, and refrigerators lacking thermometers.
Deficiencies (4)
Description
Inadequate and discernable air flow in residents’ bathing/toileting facilities, janitor closet, public restrooms, spa room, and soiled linen closets.
Three garbage cans were observed without lids.
Food such as mayonnaise and salad dressing stored in the kitchen refrigerator did not have open dates on the containers.
Two refrigerators in the kitchen and one refrigerator in the kitchenette did not have thermometers.
Report Facts
Capacity: 62 Residents observed: 34 Staff observed: 9 Others interviewed: 2 Date of on-site inspection: Mar 1, 2023
Inspection Report Original Licensing Capacity: 62 Deficiencies: 0 Jul 15, 2019
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Clinton Creek Assisted Living & Memory Care.
Findings
The facility was found to be in substantial compliance with licensing statutes and administrative rules. The physical facility and program services were described in detail, and a temporary license with a maximum capacity of 62 beds was recommended for issuance.
Report Facts
Licensed bed capacity: 62
Employees Mentioned
NameTitleContext
Brender HowardLicensing StaffAuthor of the licensing study report and recommendation for license issuance.
Russell B. MisiakArea ManagerApproved the licensing recommendation.
Jeffrey MadakAdministratorNamed as the facility administrator.
Dawn FoulkeAuthorized RepresentativeNamed as the licensee authorized representative.

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