Inspection Reports for Commonwealth Senior Living at Grand Rapids
1175 68th St SE, Grand Rapids, MI 49508, United States, MI, 49508
Back to Facility Profile
Inspection Report
Renewal
Census: 29
Capacity: 90
Deficiencies: 0
Feb 2, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Commonwealth Senior Living at Grand Rapids.
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 recommendation was made to issue a regular license upon receipt of the annual renewal fee.
Report Facts
Number of staff interviewed and/or observed: 13
Number of residents interviewed and/or observed: 29
Capacity: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Stanley | Administrator | Named as the facility administrator |
| Ellen Byrne | Authorized Representative | Named as the authorized representative |
Inspection Report
Original Licensing
Capacity: 90
Deficiencies: 8
Jun 12, 2023
Visit Reason
The inspection was conducted as an original licensing study for Commonwealth Senior Living at Grand Rapids to determine compliance with applicable licensing statutes and administrative rules for issuance of a temporary license.
Findings
The facility was found to be substantially compliant overall, but several non-compliance issues were identified during the on-site inspection on 06/12/2023, including fire safety violations, unsafe medication storage, inadequate staff medication training documentation, unsecured memory care unit windows, and deficiencies in bedside assistive device policies and service plans. Subsequent documentation and photos were submitted to address these findings, and fire safety approval was granted.
Deficiencies (8)
| Description |
|---|
| Laundry dryer exhaust vent tubing was made of flexible aluminum foil type product rather than rigid material, violating Bureau of Fire Services fire safety rules. |
| Portable electric towel warmers were used in resident spa rooms, potentially violating fire safety rules. |
| Resident A’s prescription medications were left unattended and accessible to residents, violating safe storage requirements. |
| Staff person responsible for unattended medications lacked documented medication administration training and competency evaluation. |
| Memory care unit windows could be fully opened, failing to provide a secured environment appropriate for residents with Alzheimer’s disease or related conditions. |
| Use of bedside assistive devices on at least four resident beds was not in accordance with facility policy, including improperly installed devices and lack of physician orders or service plan documentation. |
| Residents’ service plans did not meet the definition of a service plan regarding use and monitoring of bedside assistive devices. |
| Facility did not maintain a meal census and posted menus did not meet requirements for regular and therapeutic diets. |
Report Facts
Licensed capacity: 90
Number of residential units: 80
Number of assisted living beds: 54
Number of memory care beds: 36
Medication punch cards observed unattended: 16
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ellen Byrne | Authorized Representative | Met during inspection and submitted responses to findings. |
| Jennifer Stanley | Administrator | Met during inspection, involved in findings related to medication training and bedside assistive devices. |
| John Farstvedt | Maintenance Staff | Met during inspection. |
| Philip Scheer | Bureau of Fire Services Inspector | Provided fire safety approval and conducted fire safety inspections. |
| Austin Webster | Health Facilities Engineering Section Engineer | Issued occupancy approval and provided technical guidance on facility compliance. |
Loading inspection reports...
