Inspection Reports for Golden Grace by Majestic Residences
6449 Rutledge Park Dr, West Bloomfield Township, MI 48322, United States, MI, 48322
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 5
Capacity: 6
Deficiencies: 2
Jul 10, 2025
Visit Reason
The investigation was initiated due to a complaint alleging that direct care staff Preola Jenkins stole Resident A’s medications and was under the influence while at work, resulting in Resident A not receiving medications as prescribed. Additional allegations included inadequate staffing and poor food quality.
Findings
The investigation confirmed that direct care staff Preola Jenkins stole Resident A’s medications and was under the influence while on duty, causing Resident A to suffer increased pain due to missed medications. However, allegations of inadequate staffing and poor food quality were not substantiated.
Complaint Details
The complaint alleged that direct care staff Preola Jenkins stole Resident A’s medications and was under the influence while at work, resulting in Resident A not receiving medications as prescribed. Additional complaints included Resident A being bedbound but taken out of bed by staff under the influence, inadequate staffing, and poor food quality. The investigation substantiated the medication theft and staff impairment but did not substantiate the other allegations.
Deficiencies (2)
| Description |
|---|
| Direct care staff Preola Jenkins was not suitable to meet the physical, emotional, intellectual, and social needs of residents due to stealing medications and being under the influence while on duty. |
| Resident A was not given medications as prescribed due to theft by direct care staff. |
Report Facts
Capacity: 6
Current residents: 5
Missing medication bottles: 4
Medication bottles returned: 2
Medication doses prescribed: 1
Medication doses prescribed: 2
Fire drill evacuation time: 7.88
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Preola Jenkins | Direct care staff | Named in medication theft and impairment findings |
| Huma Shahid | Licensee Designee and Administrator | Involved in investigation and exit conference |
| Uzair Shahid | Director of Operations | Interviewed during investigation and provided documentation |
| Alissa Hayes | Direct care staff | Interviewed and provided statements about medication theft and staff impairment |
| Lisa Akins | Safe Hands Hospice LPN | Interviewed and provided statements about Resident A’s condition and medication issues |
| Kristy Doyle | Safe Hands Hospice Director of Nursing | Interviewed and provided statements about medication counts and Resident A’s condition |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 8
Dec 11, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that staff were not changing residents' briefs throughout the night and that expired food was being served to residents.
Findings
The investigation established that residents' needs were not attended to at all times, specifically that a live-in caregiver slept during the midnight shift and residents were not changed regularly, resulting in a wound for one resident. The allegation regarding expired food being served was not substantiated. Additional violations were found related to employment of an ineligible caregiver, failure to notify changes in household members, and missing resident records.
Complaint Details
Complaint alleged residents' briefs were not changed overnight and a live-in caregiver slept during the midnight shift. Also alleged owners served expired food to residents. The expired food allegation was not substantiated. The brief changing allegation was substantiated with evidence including a wound on Resident E likely caused by inadequate care.
Deficiencies (8)
| Description |
|---|
| Staff are not changing the residents’ briefs throughout the night; live-in caregiver sleeps during midnight shift. |
| Expired food allegation not substantiated; one expired canned good found and discarded. |
| Criminal history check not completed for live-in caregiver prior to direct access to residents; caregiver disqualified. |
| Licensee designee’s husband working as volunteer with direct access to residents without fingerprinting. |
| Failure to provide written notice of change in household when live-in caregiver moved in. |
| Licensee did not ensure suitability of household members and volunteers prior to assumption of duties. |
| Resident B admitted without a completed assessment plan on file. |
| Resident B admitted without a Resident Information and Identification Record form on file. |
Report Facts
Capacity: 6
Resident census: 6
Disqualification notice date: 2025
Complaint receipt date: Dec 9, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Peggy Tate | Direct care worker / live-in caregiver | Named in finding for sleeping during midnight shift and disqualified from working due to background check |
| Huma Shahid | Licensee Designee | Interviewed regarding allegations and facility operations |
| Shahid Tahir | Licensee Designee’s husband / volunteer | Had direct access to residents and files without fingerprinting; previously convicted of healthcare fraud |
Inspection Report
Renewal
Capacity: 6
Deficiencies: 3
Jul 31, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to verify compliance with licensing statutes and administrative rules for Golden Grace, LLC.
Findings
The facility was found to be in non-compliance with several rules related to resident protection, bedroom window accessibility, and means of egress. Corrective action plans were submitted and approved, with videos confirming corrections were made after the inspection.
Deficiencies (3)
| Description |
|---|
| Resident protection was compromised due to an impractical fire drill evacuation time of 10 minutes. |
| The sliding door in bedroom #4, serving as an openable window, was sealed shut with a piece of wood. |
| The gate in the backyard used as a second means of egress was not opening properly. |
Report Facts
Evacuation time: 10
Capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Frodet Dawisha | Licensing Consultant | Signed the renewal inspection report and recommended license renewal |
| Huma Shahid | Administrator/Licensee Designee | Named as administrator/licensee designee of the facility |
Inspection Report
Original Licensing
Capacity: 6
Deficiencies: 0
Jan 3, 2024
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Golden Grace, LLC.
Findings
The facility was found to be in substantial compliance with licensing requirements, and a temporary license with a maximum capacity of six residents was issued. No rule or statutory violations were noted at the time of licensure.
Report Facts
Facility capacity: 6
Staff-to-resident ratio: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Huma Shahid | Administrator/Licensee Designee | Named as licensee designee and administrator responsible for compliance and staffing |
| Frodet Dawisha | Licensing Consultant | Conducted the licensing study and recommended issuance of temporary license |
| Denise Y. Nunn | Area Manager | Approved the licensing recommendation |
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