Inspection Reports for Hampton Manor of Van Buren
43345 Tyler Rd, Van Buren Charter Township, MI 48111, United States, MI, 48111
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Inspection Report
Complaint Investigation
Capacity: 116
Deficiencies: 1
Aug 25, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that a grab bar in a resident's bathroom came loose and caused an injury to the resident.
Findings
The investigation found that the facility failed to keep equipment in good repair, resulting in an injury to a resident. The facility did not follow its policy for reporting maintenance concerns, delayed repair beyond the required timeframe, and failed to document the repair.
Complaint Details
The complaint was substantiated. The facility did not follow its maintenance reporting policy, delayed repair of the loose grab bar beyond the 24-hour response time for urgent concerns, and failed to document the repair. The grab bar dislodged and injured Resident A on 08/15/2025.
Deficiencies (1)
| Description |
|---|
| The facility failed to keep the equipment in good repair, specifically a grab bar that came loose and caused injury. |
Report Facts
Capacity: 116
Complaint Receipt Date: Aug 19, 2025
Investigation Initiation Date: Aug 25, 2025
Incident Time: 2220
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shahid Imran | Administrator | Interviewed during investigation and involved in maintenance reporting and communication |
| Rebekah Looney | Licensing Staff | Conducted investigation and authored report |
Inspection Report
Renewal
Census: 8
Capacity: 116
Deficiencies: 8
Nov 4, 2024
Visit Reason
The visit was conducted as a renewal licensing study inspection for Hampton Manor of Van Buren to assess compliance with applicable rules and regulations.
Findings
The facility was found to be non-compliant with multiple rules including inadequate ventilation in the soiled linen room, lack of designated shift supervisors on all shifts, incomplete resident registers, medication administration and documentation errors, missing therapeutic diet menus, lack of meal census records, inconsistent sanitization logs, and expired or undated food items in the kitchen.
Deficiencies (8)
| Description |
|---|
| Chemicals stored in the soiled linen room lacked proper ventilation and discernable air flow. |
| Lead was not designated as shift supervisor on each shift, making it unclear who was responsible. |
| Resident register was missing required information such as gender, admission date, room number, responsible person, and healthcare professional contact details. |
| Narcotic count logs were incomplete and inaccurate on multiple dates; medication administration records had blanks and lacked instructions for prn medications; missed doses and unclear medication orders were noted. |
| No therapeutic diet menu was available or posted for a resident with a prescribed diabetic diet. |
| Meal census was not maintained as required. |
| Sanitization logs for chemical and heat sanitization showed gaps, preventing confirmation of consistent dishware sanitization. |
| Several food items in the kitchen refrigerator were undated or past their expiration dates. |
Report Facts
Number of staff interviewed and/or observed: 10
Number of residents interviewed and/or observed: 8
Capacity: 116
Dates of incomplete narcotic count logs: 2
Date of inaccurate narcotic count: 1
Missed medication dose: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Consultant | Author of the report and recommendation |
| Zohaib Syed | Administrator/Authorized Representative | Named as facility administrator |
Inspection Report
Original Licensing
Capacity: 116
Deficiencies: 0
May 13, 2024
Visit Reason
The inspection was conducted as part of the original licensing study for Hampton Manor of Van Buren to determine compliance with applicable licensing statutes and administrative rules for a home for the aged facility.
Findings
The study determined substantial compliance with the home for the aged Public Health Code and administrative rules. The facility was found to meet requirements for a temporary license with a maximum capacity of 116 beds, including programs for aged and Alzheimer's disease or related condition care.
Report Facts
Licensed beds: 116
Residential units: 80
Assisted living beds: 92
Memory care units: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Zohaib Syed | Authorized Representative | Met during on-site inspection and listed as licensee |
| Jessica Rogers | Licensing Staff | Author of the licensing study report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing report |
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