Deficiencies (last 3 years)
Deficiencies (over 3 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than Michigan average
Michigan average: 5.2 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Renewal
Census: 18
Capacity: 43
Deficiencies: 3
Jun 3, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with state regulations for Hale Creek Manor.
Findings
The facility was found to be in non-compliance with rules regarding employee tuberculosis screening, proper storage of clean and soiled linens, and labeling of food items in the kitchen and dietary areas. Violations were established for each of these areas.
Deficiencies (3)
| Description |
|---|
| Employee tuberculosis screenings were not completed within the required timeframe or records were missing. |
| Soiled linen storage room contained non-linen items and clean linen storage rooms were used for storage of unrelated items, posing a risk of cross contamination. |
| Multiple food items in kitchen and memory care dry food storage were not dated or labeled with open dates, making it unclear if they were safe for consumption. |
Report Facts
Number of staff interviewed: 7
Number of residents interviewed: 18
Facility capacity: 43
Number of employee records reviewed for TB screening: 5
Inspection Report
Complaint Investigation
Capacity: 43
Deficiencies: 1
Dec 13, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility had bed bugs for approximately two years, and that management failed to inform volunteers, hospice staff, and families about the infestation.
Findings
The investigation confirmed the presence of bed bugs in the facility over the past two years, with multiple extermination treatments performed. However, the facility lacked a written bed bug policy and procedure, and staff were reportedly discouraged from informing families and visitors about the infestation, which was found to be a violation.
Complaint Details
Complaint received from Adult Protective Services on 11/22/2023 alleging ongoing bed bug infestation for two years. The complaint was substantiated with violation established.
Deficiencies (1)
| Description |
|---|
| Facility lacked a written bed bug policy and procedure for staff to follow. |
Report Facts
Capacity: 43
Exterminator visits: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Catherine Scofield | Administrator | Interviewed regarding bed bug treatments and facility procedures |
| Connie Clauson | Authorized Representative | Named in report as licensee representative and recipient of findings |
| Lauren Wohlfert | Licensing Staff | Author of the report |
Inspection Report
Renewal
Capacity: 43
Deficiencies: 0
Feb 14, 2023
Visit Reason
The inspection was conducted as a renewal inspection to review licensing activity and compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The facility was found to be in compliance with all applicable rules and statutes, and renewal of the license was recommended.
Inspection Report
Original Licensing
Capacity: 43
Deficiencies: 0
Sep 5, 2014
Visit Reason
The document is an original licensing study report for Hale Creek Manor, a home for the aged, to determine compliance with applicable licensing statutes and administrative rules for issuance of a temporary license.
Findings
The facility was found to be in substantial compliance with licensing requirements, with no rule or statutory violations noted. The report describes the physical facility, program services including a specialized Alzheimer's care unit, and staff qualifications.
Report Facts
Licensed capacity: 43
Specialized Care/Alzheimer's unit capacity: 9
General population capacity: 34
Surety bond amount: 10000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Connie Clauson | Authorized Representative/Administrator | Administrator whose qualifications were reviewed and met criteria for the facility and memory care unit |
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