Inspection Reports for Covenant Living of the Great Lakes
2510 Lake Michigan Dr NW, Grand Rapids, MI 49504, MI, 49504
Back to Facility Profile
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 3
Aug 12, 2025
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A fell and incurred multiple fractures due to abrupt stopping of anti-seizure medication by facility staff, failure to provide care in accordance with Resident A's service plan, and untimely response to Resident A's call lights.
Findings
The investigation established violations including failure to timely refill Resident A's anti-seizure medication which may have contributed to a fall with injury, discrepancies and lack of documentation regarding care provided per the service plan, and multiple instances of call light response times exceeding 20 minutes, indicating untimely staff response.
Complaint Details
The complaint alleged that Resident A fell and incurred multiple fractures due to abrupt stopping of anti-seizure medication by facility staff, staff did not provide care according to Resident A's service plan, and Resident A's call lights were not answered timely. All allegations were substantiated with violations established.
Deficiencies (3)
| Description |
|---|
| Failure to ensure Resident A's anti-seizure medication was refilled timely, resulting in medication interruption and contributing to a fall with injury. |
| Failure to provide care in accordance with Resident A's service plan, including inadequate documentation and discrepancies in care tasks such as showers and assistance with dressing and toileting. |
| Failure to respond to Resident A's call lights in a timely manner, with multiple response times exceeding 20 minutes and up to 99.3 minutes. |
Report Facts
Capacity: 102
Call light uses: 30
Call light response time (minutes): 21.8
Call light response time (minutes): 41.9
Call light response time (minutes): 61.3
Call light response time (minutes): 58.4
Call light response time (minutes): 99.3
Call light response time (minutes): 34.5
Call light response time (minutes): 20.2
Showers documented: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Viviano | Licensing Staff | Author of the Special Investigation Report |
| Andrea Smith | Authorized Representative/Administrator | Facility representative interviewed during investigation |
| Employee 1 | Interviewed staff providing statements about Resident A's care and medication | |
| Employee 2 | Interviewed staff providing statements and documentation about Resident A's care and medication |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 1
Sep 23, 2024
Visit Reason
The investigation was initiated due to a complaint alleging Resident A did not receive timely emergency care, experienced poor room conditions, was not provided showers for three weeks, and did not receive fresh meals for two days in August 2024.
Findings
The investigation found that Resident A was not provided showers consistent with the service plan, resulting in a violation. Other allegations including lack of timely emergency care, poor room conditions, and failure to provide fresh meals were not substantiated. Facility staff were re-educated on protocols related to care and meal delivery.
Complaint Details
The complaint alleged Resident A did not receive timely emergency care, had a room smelling of urine with soiled briefs, was not provided showers for three weeks, and did not receive fresh meals from 8/15/2024 to 8/17/2024 with a meal tray left in the room for two days. Only the shower allegation was substantiated.
Deficiencies (1)
| Description |
|---|
| Resident A was not provided showers consistent with the service plan for three weeks in August 2024. |
Report Facts
Capacity: 102
Complaint Receipt Date: Sep 10, 2024
Investigation Initiation Date: Sep 12, 2024
Report Date: Sep 23, 2024
Violation Established: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Smith | Authorized Representative/Administrator | Interviewed regarding Resident A's care and facility protocols |
| Julie Viviano | Licensing Staff | Author of the inspection report |
Inspection Report
Renewal
Census: 29
Capacity: 102
Deficiencies: 0
Apr 23, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility's license renewal.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended contingent upon receipt of the annual renewal fee.
Report Facts
Number of staff interviewed and/or observed: 16
Number of residents interviewed and/or observed: 29
Capacity: 102
Inspection Report
Renewal
Deficiencies: 0
Apr 28, 2023
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity for the past year.
Findings
The 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
| Name | Title | Context |
|---|---|---|
| Lauren Wohlfert | Licensing Staff | Signed the renewal notification letter |
Loading inspection reports...



