Inspection Reports for Fairview Grand
11656 Hartel Road, Grand Ledge, MI, 48837
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
1.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Census: 20
Capacity: 35
Deficiencies: 5
Date: Jan 10, 2024
Visit Reason
The inspection was conducted as a renewal licensing study for the facility to assess compliance with regulatory requirements and to determine if the license renewal is appropriate.
Findings
The inspection found multiple deficiencies including lack of physician orders and incomplete service plan details for assistive devices for Resident B, failure to update resident service plans annually, missing tuberculosis risk assessments for residents and employees, and inadequate staff training on key topics such as reporting requirements, resident rights, safety, infectious disease containment, and medication administration.
Deficiencies (5)
Resident B had bedside assistive devices without physician orders and incomplete service plan information regarding device use and staff responsibilities.
Resident B's service plan was not updated annually and omitted hospice care information.
Facility did not complete the tuberculosis annual risk assessment for residents.
Employee records lacked documentation of tuberculosis testing within 10 days of hire and before occupational exposure.
Staff training was incomplete or missing on reporting requirements, resident rights and responsibilities, safety and disaster planning, containment of infectious disease, and medication administration for multiple employees.
Report Facts
Capacity: 35
Census: 20
Staff interviewed: 5
Excluded employees followed up: 3
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 15, 2023
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the Home for the Aged license for a 12-month period effective 04/14/2023.
Report Facts
License effective period (months): 12
Inspection Report
Original Licensing
Capacity: 35
Deficiencies: 0
Date: Oct 12, 2016
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Fairview Grand.
Findings
The inspection found the facility in full compliance with licensing statutes and administrative rules, recommending issuance of a temporary license for 35 residents.
Report Facts
License capacity: 35
License term duration (months): 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lauren Wohlfert | Licensing Staff | Completed the licensing study and recommended license issuance. |
| Russell B. Misiak | Area Manager | Approved the licensing study and recommended license issuance. |
| Joseph Frazier | Authorized Representative of Welcome Home, Inc. | |
| Barbara Frazier | Administrator | Administrator of the facility. |
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