Inspection Reports for Green Acres of Mt Pleasant
1805 E Remus Rd, Mt Pleasant, MI 48858, USA, MI, 48858
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
0.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
87% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
92% occupied
Based on a January 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Capacity: 12
Deficiencies: 2
Sep 8, 2025
Visit Reason
The investigation was initiated due to a complaint regarding a medication error where a direct care staff member administered liquid Ipratr-Albuterol orally instead of through a nebulizer to two residents.
Findings
The investigation confirmed that on 08/15/2025, direct care staff member Tessa Myers administered albuterol orally instead of via nebulizer to Resident A and Resident B. Ms. Myers was inadequately trained and administered medications independently after only two days of shadowing. Both residents were receiving hospice care and passed away within a week of the incident. The medication error was substantiated and violations of medication administration rules were established.
Complaint Details
The complaint was substantiated. The medication error involved improper administration of albuterol by a new staff member with inadequate training. The licensee designee was labeled as a perpetrator on the APS case for neglect due to allowing untrained staff to administer medications.
Deficiencies (2)
| Description |
|---|
| Medication was administered via the incorrect route (orally instead of nebulizer) to two residents. |
| Direct care staff member was not adequately trained in medication administration before administering medications independently. |
Report Facts
Capacity: 12
Complaint Receipt Date: Aug 26, 2025
Investigation Initiation Date: Aug 26, 2025
Report Due Date: Oct 25, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tessa Myers | Direct Care Staff Member | Administered medication incorrectly; involved in medication error |
| Paul Wyman | Administrator and Licensee Designee | Interviewed regarding medication error and training policies |
| Janelle Baldwin | Administrator | Interviewed regarding medication error and training; made decision to allow Ms. Myers to administer medications |
| Jennifer Guthrie | Registered Nurse | Interviewed regarding medication error and resident condition |
| Gabby Brittain | Direct Care Staff Member | Trained Ms. Myers on medication administration; reported error to administration |
| Alison Witucki | Adult Protective Services Investigator | Investigated and substantiated medication error complaint |
| Kathy Onweller | Regional Consultant | Reported medication error and participated in investigation |
Inspection Report
Renewal
Census: 11
Capacity: 12
Deficiencies: 0
Jan 2, 2025
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility's license renewal.
Findings
The facility was determined to be in substantial compliance with rules and requirements, supporting the recommendation for issuance of a regular license.
Report Facts
Capacity: 12
Residents present: 11
Staff observed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Browning | Licensing Consultant | Author of the inspection report and recommendation |
| Paul Wyman | Licensee Designee | Licensee designee named in the report |
| Jill Gilbert | Administrator | Facility administrator named in the report |
Inspection Report
Renewal
Census: 8
Capacity: 12
Deficiencies: 0
Jan 17, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with licensing statutes and rules for the Adult Foster Care medium group home license.
Findings
The facility was determined to be in substantial compliance with all applicable rules and statutes. The licensing study report recommends issuance of a 2-year regular adult foster care license.
Report Facts
Number of staff interviewed and/or observed: 7
Number of residents interviewed and/or observed: 8
Capacity: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rodney Gill | Licensing Consultant | Author of the licensing study report and recommendation |
| Paul Wyman | Licensee Designee | Named as licensee designee in the report |
| Jill Gilbert | Administrator | Named as facility administrator in the report |
Inspection Report
Original Licensing
Capacity: 12
Deficiencies: 0
Jul 29, 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 Green Acres of Mt. Pleasant IV.
Findings
The facility was found to be in substantial compliance with licensing statutes and administrative rules, including fire safety and environmental health requirements. A temporary license with a maximum capacity of 12 residents was recommended and issued.
Report Facts
Facility capacity: 12
Living space: 1257.37
Resident beds: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Paul Wyman | Licensee Designee | Named as licensee designee for the facility |
| Kathleen Onweller | Administrator | Named as administrator of the facility |
| Ronald R. Verhelle | Licensing Consultant | Author of the licensing study report |
| Mary E. Holton | Approved the licensing report |
Loading inspection reports...
