Inspection Reports for Covenant Living of the Great Lakes

2510 Lake Michigan Dr NW, Grand Rapids, MI 49504, MI, 49504

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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
NameTitleContext
Julie VivianoLicensing StaffAuthor of the Special Investigation Report
Andrea SmithAuthorized Representative/AdministratorFacility representative interviewed during investigation
Employee 1Interviewed staff providing statements about Resident A's care and medication
Employee 2Interviewed 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
NameTitleContext
Andrea SmithAuthorized Representative/AdministratorInterviewed regarding Resident A's care and facility protocols
Julie VivianoLicensing StaffAuthor 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
NameTitleContext
Lauren WohlfertLicensing StaffSigned the renewal notification letter

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