Inspection Reports for Hillside Terrace Senior Living
1939 Jackson Ave, Ann Arbor, MI 48103, United States, MI, 48103
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Inspection Report
Renewal
Census: 22
Capacity: 88
Deficiencies: 2
Mar 10, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to assess compliance with licensing requirements and to verify corrective action plan compliance.
Findings
The facility was found non-compliant with rules regarding employee tuberculosis screening and medication management, including improper timing of TB tests and unclear medication administration instructions for residents.
Deficiencies (2)
| Description |
|---|
| Employee tuberculosis screening was not conducted within required timeframe relative to hire date. |
| Medication administration records showed unclear instructions for multiple PRN medications and instances of medication given despite contraindications or missing staff initials. |
Report Facts
Number of staff interviewed and/or observed: 16
Number of residents interviewed and/or observed: 22
Facility capacity: 88
Corrective action plan due days: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nanya Litz | Administrator/Authorized Representative | Named as facility administrator |
| Jessica Rogers | Licensing Consultant | Author of the inspection report |
Inspection Report
Renewal
Deficiencies: 0
Feb 20, 2024
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Inspection Report
Renewal
Census: 35
Capacity: 88
Deficiencies: 2
Feb 28, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Hillside Terrace to assess compliance with regulatory requirements and determine eligibility for license renewal.
Findings
The facility was found to be non-compliant with ventilation requirements in several resident bathing/toileting areas and the beauty salon, as well as incomplete dish machine temperature logs indicating potential inadequate sanitization of dishware.
Deficiencies (2)
| Description |
|---|
| Inadequate and discernable air flow in residents’ bathing/toileting facilities in multiple rooms, beauty salon, and soiled linen closet. |
| Incomplete dish machine temperature logs for February 2023, preventing confirmation of proper sanitization of dishware. |
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 35
Facility capacity: 88
Inspection Report
Original Licensing
Capacity: 88
Deficiencies: 0
Aug 10, 2007
Visit Reason
The addendum addresses a correction to the original licensing study report regarding the facility's licensed bed capacity, which was initially licensed for 75 beds but should have been 88 beds as per previous licensing.
Findings
Review confirmed the facility was previously licensed for 88 beds since 1971, with no structural changes to resident rooms. After a renewal inspection and corrective action plan approval, the facility's capacity was officially increased from 75 to 88 beds effective September 20, 2005.
Report Facts
Bed capacity: 75
Bed capacity: 88
Inspection dates: Renewal licensing inspection conducted on 2005-05-16, 2005-05-17, and 2005-05-23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Krausmann | Licensing Staff | Author of the addendum and report |
| Nanya Litz | Authorized Representative and Administrator | Facility representative involved in licensing process |
Inspection Report
Original Licensing
Capacity: 75
Deficiencies: 6
Jan 13, 2004
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Hillside Terrace.
Findings
The study determined substantial compliance with licensing requirements, but multiple violations were established related to criminal history checks, patient rights policies, resident responsibilities, bonding requirements, vaccination offerings, and admission procedures.
Deficiencies (6)
| Description |
|---|
| Violation of MCL 333.20173 regarding criminal history checks of employment applicants. |
| Violation of MCL 333.20201 regarding policy describing rights and responsibilities of patients or residents. |
| Violation of MCL 333.20202 regarding responsibilities of patient or resident. |
| Violation of MCL 333.21321 regarding bond required before issuance of license. |
| Violation of MCL 333.21332 regarding offering influenza vaccination to residents. |
| Violation of R 325.1833 regarding admission and retention of residents including physician certificate, chest x-ray, and tuberculosis testing policies. |
Report Facts
Capacity: 75
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