Inspection Reports for Country Acres Adult Care Home
735 S Michigan Rd, Eaton Rapids, MI 48827, MI, 48827
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Census Over Time
Census
Capacity
Inspection Report
Original Licensing
Capacity: 12
Deficiencies: 0
Oct 11, 2025
Visit Reason
The licensee submitted a modification request to provide respite services within the facility.
Findings
The licensee was originally issued a small group adult foster care license with a capacity of 12 residents. The modification request to provide respite services was reviewed and approved, with documentation confirming compliance with care and evacuation procedures.
Report Facts
Licensed capacity: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parvinder Buttar | Licensee Designee and Administrator | Named as licensee designee and administrator of the facility |
| Cathy Cushman | Licensing Consultant | Author of the report and approver of the modification request |
| Dawn Timm | Area Manager | Approved the modification request |
Inspection Report
Renewal
Census: 10
Capacity: 12
Deficiencies: 4
Jul 7, 2025
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with state regulations and determine if the facility's license should be renewed.
Findings
The facility was found to be non-compliant with several rules including staff competency in personal care and supervision, insufficient direct care staff during fire drills leading to delayed evacuation times, and improper documentation and physician authorization for assistive devices used by residents.
Deficiencies (4)
| Description |
|---|
| Direct care staff lacked verification of competency in personal care, supervision, and protection. |
| Insufficient direct care staff on duty to promptly and safely evacuate residents during fire drills, with evacuation times ranging from 15 to 30 minutes. |
| Assistive devices such as half bed rails, walkers, and wheelchairs were used without documentation in residents' assessment plans. |
| Physician's orders authorizing therapeutic supports for assistive devices were not available for review. |
Report Facts
Capacity: 12
Census: 10
Staff interviewed: 2
Fire drill evacuation times: 15
Fire drill evacuation times: 17
Fire drill evacuation times: 30
Fire drill evacuation times: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parvinder Buttar | Licensee Designee and Administrator | Named as licensee designee and administrator of the facility |
| Cathy Cushman | Licensing Consultant | Author of the inspection report and recommendation |
Inspection Report
Complaint Investigation
Capacity: 12
Deficiencies: 1
Jan 24, 2024
Visit Reason
The investigation was initiated due to an online complaint alleging inadequate staffing for residents requiring two-person assistance, a resident fall with inadequate supervision, inadequate toileting or personal care, direct care staff yelling at residents, and residents being fed expired food products.
Findings
The investigation substantiated inadequate staffing to meet the needs of residents requiring two-person assistance, with only one staff member scheduled overnight. There was no evidence to substantiate inadequate supervision related to a resident fall, inadequate personal care, staff yelling at residents, or residents being fed expired food products.
Complaint Details
The complaint included allegations of inadequate staffing for residents needing two-person assistance, a resident fall due to lack of supervision, inadequate toileting and personal care, staff yelling at residents, and residents being fed expired food products. Only the staffing allegation was substantiated.
Deficiencies (1)
| Description |
|---|
| Inadequate staffing to cover the needs of residents requiring two-person assistance with transfers, mobility, and personal care. |
Report Facts
Facility capacity: 12
Complaint receipt date: Jan 19, 2024
Investigation initiation date: Jan 24, 2024
Report due date: Mar 19, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parvinder Buttar | Administrator and Licensee Designee | Named in relation to staffing and corrective action plan |
| Jana Lipps | Licensing Consultant | Author of the inspection report |
| Yuvet White | Direct Care Staff/Supervisor | Interviewed regarding allegations and staffing |
| Kelsi Weaver | Direct Care Staff | Interviewed regarding resident fall and care |
| Rebecca Finch | Direct Care Staff | Mentioned in relation to resident fall |
| Jennifer Cruce | Direct Care Staff | Interviewed regarding staffing and care |
| Twanda Love | Direct Care Staff | Interviewed regarding staffing and care |
| Tori Defeyter | Direct Care Staff | Interviewed regarding staffing and care |
Inspection Report
Renewal
Census: 11
Capacity: 12
Deficiencies: 2
Jul 5, 2023
Visit Reason
The visit was conducted as a renewal licensing study for Country Acres Adult Care Home to assess compliance with licensing rules and regulations.
Findings
The facility was found to be in non-compliance with rules related to means of egress; specifically, the front entry and emergency exit doors had deadbolt locks instead of positive-latching, non-locking hardware, and all twelve resident bedroom windows were not easily openable from the inside and require repair or replacement.
Deficiencies (2)
| Description |
|---|
| Front entry door and emergency exit door were equipped with deadbolt locks instead of positive-latching, non-locking-against-egress hardware. |
| All twelve resident bedroom windows were not easily openable from the inside and need repair or replacement. |
Report Facts
Number of residents interviewed and/or observed: 11
Facility capacity: 12
Number of resident bedroom windows needing repair: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parvinder Buttar | Licensee Designee and Administrator | Named as licensee designee and administrator of the facility |
| Jana Lipps | Licensing Consultant | Author of the inspection report |
Inspection Report
Renewal
Capacity: 12
Deficiencies: 0
Jul 5, 2023
Visit Reason
The visit was a licensing renewal inspection to evaluate the facility's compliance and to consider a modification to the license to include wheelchair accessibility.
Findings
The facility was found to meet the requirements for wheelchair accessibility, including adequate means of egress, sufficient accommodations for personal hygiene, and doorways wide enough to accommodate wheelchairs.
Report Facts
Facility capacity: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Parvinder Buttar | Licensee Designee | Made verbal request to modify license terms to include wheelchair accessibility |
| Jana Lipps | Licensing Consultant | Conducted the licensing renewal inspection and authored the report |
| Dawn Timm | Area Manager | Approved the licensing renewal report |
Inspection Report
Original Licensing
Capacity: 12
Deficiencies: 0
Oct 9, 2006
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Country Acres Adult Care Home.
Findings
The facility was found to be in substantial compliance with licensing requirements, including physical plant, fire safety, sanitation, and administrative capabilities. A temporary license with a maximum capacity of 12 residents was recommended.
Report Facts
Capacity: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Poland | Licensee Designee and Administrator | Acting as licensee designee and administrator with nursing qualifications and experience |
| Mary E Holton | Licensing Consultant | Conducted the licensing study and recommended license issuance |
| Betsy Montgomery | Area Manager | Approved the licensing recommendation |
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