Inspection Reports for Glacier Hills, a CCRC
1200 Earhart Rd, Ann Arbor, MI 48105, United States, MI, 48105
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Inspection Report
Renewal
Census: 34
Capacity: 116
Deficiencies: 3
Mar 25, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to assess compliance with state regulations and determine eligibility for license renewal.
Findings
The facility was found non-compliant with medication management and kitchen sanitation rules, including incomplete narcotic count logs and improper medication administration, as well as incomplete sanitization temperature logs. Violations were established for these deficiencies.
Deficiencies (3)
| Description |
|---|
| Incomplete narcotic count logs for medication carts on multiple dates. |
| Medications were not always administered as prescribed, including insulin and Torsemide administration errors. |
| Incomplete testing of wash and sanitation sink temperatures on multiple dates, raising concerns about proper sanitization of dishware. |
Report Facts
Number of staff interviewed and/or observed: 18
Number of residents interviewed and/or observed: 34
Capacity: 116
Dates with missing narcotic count logs: 7
Dates with missing sanitization sink temperature tests: 4
Inspection Report
Complaint Investigation
Capacity: 116
Deficiencies: 1
Nov 6, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging neglect of Resident A, including failure to provide physical and occupational therapy, inadequate pain management, and poor meals.
Findings
The investigation substantiated neglect related to lack of timely medical treatment for Resident A, including delayed therapy orders and insufficient response to pain complaints. The allegation of poor meals was unsubstantiated as the facility maintained appropriate dietary options and Resident A had no documented complaints about food quality.
Complaint Details
The complaint alleged neglect of Resident A, including failure to provide physical and occupational therapy, inadequate pain management, and poor meals. The neglect allegation was substantiated due to lack of timely medical treatment. The poor meals allegation was not substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to provide timely medical treatment and therapy services to Resident A. |
Report Facts
Capacity: 116
Complaint Receipt Date: Oct 29, 2024
Investigation Initiation Date: Oct 29, 2024
Report Due Date: Dec 28, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LeAnn Pennington | Administrator | Administrator interviewed and involved in the investigation |
| Benjamin McKinnon | Authorized Representative | Authorized representative involved in the investigation |
| Jessica Rogers | Licensing Staff | Conducted the investigation and authored the report |
Inspection Report
Renewal
Deficiencies: 0
Feb 24, 2024
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 administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License effective date: Feb 24, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Renewal
Census: 15
Capacity: 116
Deficiencies: 2
Mar 2, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and regulations for the facility.
Findings
The facility was found to be non-compliant with rules regarding designation of a supervisor of resident care on each shift and proper documentation of reasons for administration of as needed medications according to licensed health care professional orders.
Deficiencies (2)
| Description |
|---|
| A supervisor of resident care was not designated for the third shift as required. |
| Staff documented reasons for administration of as needed medications that were not pursuant to licensed health care professional orders. |
Report Facts
Number of staff interviewed and/or observed: 20
Number of residents interviewed and/or observed: 15
Capacity: 116
Number of excluded employees followed up: 4
Inspection Report
Original Licensing
Capacity: 116
Deficiencies: 0
May 16, 2022
Visit Reason
The facility requested to reduce the licensed bed capacity from 301 to 116 beds, effective May 20, 2022. The visit was to review and approve this bed capacity reduction and related licensing changes.
Findings
The inspection confirmed the de-licensing of the second, fourth, and fifth floors, with the third floor and secured memory care unit remaining licensed. Room sizes and common areas exceeded administrative rule requirements, and no conflicts with the bed reduction were found.
Report Facts
Licensed bed capacity reduction: 185
Licensed bed capacity: 116
Room square footage: Room sizes on third floor ranged from 185 to 566 square feet, exceeding requirements
Day/dining/activity space square footage: 2686
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Conducted review and authored the report |
| Andrea Moore | Manager, Long-Term-Care State Licensing Section | Reviewed and approved the licensing bed capacity reduction |
| Kathleen Butler | Administrator | Facility administrator who notified licensing of bed de-licensing |
| Andrew Weber | Health Facilities Engineering Section Staff | Conducted on-site inspection and room measurements |
Inspection Report
Original Licensing
Capacity: 301
Deficiencies: 0
May 13, 2021
Visit Reason
The facility requested a reduction in licensed bed capacity from 331 to 301 beds, which was reviewed and documented in this addendum to the original licensing study report.
Findings
The licensing staff reviewed the room sheets and found no conflicts with the requested licensed bed reduction. The recommendation was made to lower the licensed capacity to 301 beds.
Report Facts
Licensed bed capacity reduction: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Conducted review and signed the addendum report |
| Russell Misiak | Area Manager | Signed the addendum report |
| Craig Courts | Facility authorized representative who requested the bed capacity reduction | |
| Kathleen Butler | Administrator | Named as facility administrator |
Inspection Report
Original Licensing
Capacity: 331
Deficiencies: 0
Mar 1, 2021
Visit Reason
The visit was conducted as an addendum to the Original Licensing Study Report to define the Manor at Glacier Hills memory care area and to approve an increase in licensed bed capacity from 287 to 331 beds.
Findings
The inspection found that the Care and Rehabilitation Center building and the designated Long Term Assisted Living memory care area met or exceeded all administrative rule requirements, including room sizes, safety features, and program compliance. The facility was recommended for a license bed capacity increase to 331.
Report Facts
Licensed bed capacity increase: 44
Total licensed capacity: 331
Day, dining, and activity space: 1812
Single occupancy room sizes: 139
Single occupancy room sizes: 169
Double occupancy room size: 237
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Conducted the inspection and signed the report. |
| Russell Misiak | Area Manager | Reviewed and signed the report. |
| Craig Courts | Authorized representative of the licensee. | |
| Kathleen Butler | Administrator | Facility administrator. |
Inspection Report
Original Licensing
Capacity: 287
Deficiencies: 0
Feb 14, 2019
Visit Reason
The visit was conducted to review and approve an application to increase the licensed capacity of The Manor at Glacier Hills Home for the Aged by adding 17 rooms, increasing capacity from 257 to 287 beds effective 4/1/19.
Findings
The proposed addition of 17 rooms, including 16 resident rooms and one chapel, meets the required square footage per occupant and bathing facility requirements. The facility was found to be in substantial compliance with life safety and emergency preparedness requirements as of 10/1/18.
Report Facts
Licensed capacity increase: 30
Room count: 17
Double occupancy rooms: 14
Single occupancy rooms: 2
Square footage per occupant: 160
Square footage of day/dining/activity space: 9983
Required square footage for day/dining/activity space: 8610
Bathing facilities: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Krausmann | Licensing Staff | Author of the addendum report |
| Russell Misiak | Area Manager | Reviewed proposed space and signed report |
| Angie Hanson | Authorized Representative | Licensee authorized representative who submitted the application |
| Katy Kurili | Executive Director | Reviewed proposed area at the facility |
Inspection Report
Renewal
Capacity: 257
Deficiencies: 0
Dec 9, 2009
Visit Reason
The visit was an unannounced on-site renewal licensing inspection conducted to verify the facility's current floor plan and capacity after renovations and construction changes.
Findings
The inspection found that renovations and construction changes reduced the facility's licensed capacity from 302 beds to 257 beds. The Bureau of Fire Services issued an approved fire safety certification, and the Bureau of Health Facilities Engineering Section confirmed the physical capacity to support 257 licensed beds.
Report Facts
Licensed capacity reduction: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Krausmann | Licensing Staff | Author of the report and recommendation |
| Katy Kurili | Authorized representative of the facility who provided information about renovations |
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