Inspection Reports for Golden Orchards Assisted Living and Memory Care
2464 55th St, Fennville, MI 49408, USA, MI, 49408
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 4
Capacity: 20
Deficiencies: 0
Mar 25, 2025
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with licensing statutes and rules for the facility's license renewal.
Findings
The onsite inspection found the facility in compliance with all applicable rules and statutes. The licensing consultant recommended issuance of a 2-year regular adult foster care license with a capacity of 20.
Report Facts
Capacity: 20
Residents observed: 4
Staff observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adam Schlueter | Administrator | Named as licensee/licensee designee and administrator |
| Megan Aukerman | Licensing Consultant | Conducted inspection and signed report |
Inspection Report
Renewal
Census: 4
Capacity: 20
Deficiencies: 1
Jun 7, 2023
Visit Reason
The inspection was conducted as part of the renewal licensing study to verify implementation and compliance with the corrective action plan addressing prior violations.
Findings
The facility was found to be in non-compliance with the rule regarding the use of assistive devices, specifically a bedrail assistive device not identified in a resident's written assessment plan. An acceptable corrective action plan was submitted and approved.
Deficiencies (1)
| Description |
|---|
| Resident A’s bed was equipped with a bedrail assistive device that was not identified in Resident A’s written assessment plan. |
Report Facts
Number of staff interviewed and/or observed: 4
Number of residents interviewed and/or observed: 4
Facility capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eli DeLeon | Licensing Consultant | Author of the report and signatory |
| Marcia Curtiss | Licensee/Licensee Designee | Named as licensee in report |
| Natalie Bustillos | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Capacity: 20
Deficiencies: 3
Apr 4, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that direct care staff did not seek medical attention upon a change in Resident A's health status, which allegedly led to Resident A's death.
Findings
The investigation found that Resident A experienced a decline in physical condition over several days without medical attention being sought by staff or the administrator. Resident A was eventually sent to the hospital unresponsive and later died. Additional violations included failure to complete a new assessment plan and resident care agreement upon Resident A's admission to the attached memory care facility.
Complaint Details
The complaint alleged that Resident A was taken to the hospital on 07/26/2022 after being unresponsive and with unstable vitals, but that staff failed to identify the change in condition earlier. The complaint was substantiated with violation established.
Deficiencies (3)
| Description |
|---|
| Direct care staff did not seek medical attention upon a change in Resident A’s health status. |
| Failure to complete a new Assessment Plan for AFC Residents upon admission to Golden Orchards II. |
| Failure to complete a new Resident Care Agreement upon admission to Golden Orchards II. |
Report Facts
Capacity: 20
Complaint Receipt Date: Mar 28, 2023
Investigation Initiation Date: Mar 28, 2023
Report Due Date: May 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Natalie Bustillos | Administrator | Named in investigation findings and statements regarding Resident A's care |
| Marcia Curtiss | Licensee Designee | Named in investigation findings and correspondence |
| Jessica Wells | Clinical Manager | Named in investigation findings and interviews regarding Resident A's condition |
| Moses Gonzalez | Direct Care Staff | Interviewed regarding Resident A's care |
| Abbigail Cripps | Direct Care Staff | Interviewed regarding Resident A's care |
| Ellie Garcia Morales | Direct Care Staff | Interviewed regarding Resident A's care |
| Roseanne Chatterson | Direct Care Staff | Interviewed regarding Resident A's care |
| Kyle Schumacher | AMR Paramedic | Interviewed regarding ambulance response to Resident A |
Inspection Report
Original Licensing
Capacity: 20
Deficiencies: 0
Dec 17, 2020
Visit Reason
The visit was conducted as an original licensing study for the facility Golden Orchards II to determine compliance with applicable licensing statutes and administrative rules.
Findings
The facility was found to be in substantial compliance with licensing requirements, including physical facility standards, staffing, and program descriptions. A temporary license with a maximum capacity of 20 residents was recommended and issued.
Report Facts
Capacity: 20
Staffing ratio: 2
License term: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marcia Curtiss | Licensee Designee | Handles corporate and management details; meets licensing requirements |
| Natalie Bustillos | Administrator | On-site administrator handling day-to-day operations; meets licensing requirements |
| Ian Tschirhart | Licensing Consultant | Conducted the licensing study and recommended issuance of temporary license |
| Jerry Hendrick | Area Manager | Approved the licensing recommendation |
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