Inspection Reports for Grandhaven Living Center

The inspection was conducted as a renewal inspection to determine compliance with licensing statutes and rules for the facility's license renewal.

The facility was found to be in substantial compliance with all applicable licensing statutes and rules, with no residents in care at the time of the renewal inspection.

The investigation was initiated due to a complaint alleging that Resident J's medications were not administered as ordered because of delays in pharmacy delivery over multiple days.

The investigation found that multiple direct care staff members noted that Resident J's medications were 'Awaiting arrival from pharmacy' and were not administered on multiple days in February and March 2023. Only two documented attempts were made to resolve the medication refill issues, and there was no communication from staff to management or pharmacy regarding the missing medications. Resident J, who was under hospice care, missed several prescribed medications during this period.

The complaint alleged that Resident J went without prescribed medications for a week or more due to direct care staff not following up with the pharmacy on medication delivery delays. The violation was established based on review of Medication Administration Records and interviews.

The investigation was initiated due to a complaint alleging that two direct care staff members were arrested for a felony firearms offense and failed to inform management, and that a direct care staff member was administering a discontinued inhaler to a resident.

The investigation established that direct care staff members Aniyah Caldwell and Arianna Shaw were arrested and failed to report the felony firearms arraignment to management as required. The allegation that Brenda Eldridge administered a discontinued inhaler to Resident J was not substantiated.

The complaint alleged that direct care staff members Aniyah Caldwell and Arianna Shaw were arrested for a felony firearms offense and did not inform management, and that Brenda Eldridge was administering a discontinued inhaler to Resident J. The investigation substantiated the first allegation but not the second.

The visit was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and requirements for Grandhaven Living Center 1 (Pier).

The facility was found to be in substantial compliance overall but was non-compliant with rules regarding direct care staff training in CPR and tuberculosis testing documentation for some employees.