Inspection Reports for Crestwood Village Assisted Living and Memory Care

2378 S Lincoln Rd, Mt Pleasant, MI 48858, United States, MI, 48858

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Inspection Report Renewal Census: 25 Capacity: 57 Deficiencies: 4 May 29, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with regulatory requirements for Crestwood Village Assisted Living & Memory Care.
Findings
The facility was found to be in non-compliance with several rules related to governing bodies, administrators, supervisors, employee responsibilities, and resident medication management. Deficiencies included lack of detailed service plans for residents, unclear medication administration instructions, and insufficient documentation of resident care needs.
Deficiencies (4)
Description
Lack of detailed information in Resident A's service plan regarding agitation behaviors and medication administration instructions.
Resident A's service plan lacked detail on specific care needs, including assistance with transfers and level of staff assistance required.
Resident B's medication administration record lacked detail on who is responsible for medication administration.
Resident B's medication instructions were unclear regarding administration of Hydroco/Apap and Morphine Sul, posing risk of harm due to staff uncertainty.
Report Facts
Number of residents interviewed and/or observed: 25 Facility capacity: 57 Number of staff interviewed and/or observed: 10 Date of on-site inspection: May 29, 2024 Date of exit conference: May 30, 2024 Date of Bureau of Fire Services Inspection: Nov 9, 2023
Employees Mentioned
NameTitleContext
Sara DickendesherAuthorized RepresentativeNamed as authorized representative of the facility
Autumn LayfieldAdministratorNamed as facility administrator
Kimberly HorstLicensing ConsultantConducted inspection and signed report
Inspection Report Renewal Deficiencies: 0 Nov 2, 2023
Visit Reason
The document serves as a renewal notification for the Home for the Aged license of Crestwood Village Assisted Living & Memory Care, confirming substantial compliance with public health code and administrative rules over the past year.
Findings
The administrative 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 for 12 months effective December 2, 2023.
Report Facts
License duration: 12
Employees Mentioned
NameTitleContext
Kimberly HorstLicensing StaffSigned the renewal notification letter
Inspection Report Original Licensing Capacity: 57 Deficiencies: 0 Apr 16, 2021
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Crestwood Village Assisted Living & Memory Care.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. The facility was found to be in full compliance with fire safety requirements and other regulatory standards, leading to a recommendation for issuance of a six-month temporary license with a capacity of 57 residents.
Report Facts
Capacity: 57
Employees Mentioned
NameTitleContext
Kimberly HorstLicensing StaffAuthor of the licensing study report and recommendation
Russell B. MisiakArea ManagerApproved the licensing study report and recommendation
Rochelle LyonsAuthorized RepresentativeAuthorized representative of the applicant
Allison FreedAdministratorAdministrator of the facility

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