Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Annual Inspection
Deficiencies: 0
Feb 20, 2025
Visit Reason
Annual survey inspection of Ihm Senior Living Community to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Original Licensing
Capacity: 58
Deficiencies: 0
Apr 2, 2024
Visit Reason
The facility requested to increase the number of beds from 28 to 58 involving renovation of the 3rd floor wings E, F & G to add 30 new HFA beds to the existing 28 HFA beds.
Findings
The facility is approved to add 30 assisted living beds to the existing 28 memory care beds, making a total capacity of 58 beds. Renovations include handicap accessible bathrooms, installation of sprinkler heads, and adequate communal spaces exceeding required square footage.
Report Facts
Bed increase: 30
Total capacity: 58
Day and dining room space: 1740
Required space: 900
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Kennedy | Authorized Representative/Administrator/Licensee Designee | Requested the bed increase and renovation |
| Brender Howard | Licensing Staff | Prepared and signed the licensing report and recommendation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing report and recommendation |
| Pier-George Zanoni | Engineer | Provided final engineering report for the renovation project |
| Michael Pool | Approved BFS for the renovation project |
Inspection Report
Routine
Deficiencies: 3
Mar 28, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to residents' rights, psychotropic medication monitoring, infection control, and advance directives in the nursing facility.
Findings
The facility failed to ensure legal representatives completed or revised Do Not Resuscitate (DNR) orders for cognitively impaired residents, failed to adequately monitor the effectiveness of psychotropic medications for residents, and failed to properly store a nebulizer mask, posing risks of inaccurate medical treatment, medication side effects, and infection.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure legal representatives completed or revised DNR orders for two cognitively impaired residents, potentially resulting in inaccurate life sustaining or withholding medical treatment. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to adequately monitor the effectiveness of psychotropic medications for two residents, with no documentation of assessment or monitoring of side effects. | Level of Harm - Minimal harm or potential for actual harm |
| Failed to properly store a nebulizer mask for one resident, increasing risk of cross-contamination and infection. | Level of Harm - Minimal harm or potential for actual harm |
Report Facts
Residents reviewed for unnecessary medications: 5
Residents reviewed for infection control: 14
Residents affected: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Social Service Director B | Social Service Director | Interviewed regarding resident R40's code status and acknowledged discrepancies in advance directives. |
| Social Worker B | Social Worker | Interviewed and stated nursing was responsible for obtaining advance directives upon admission. |
| Director of Nursing | Director of Nursing | Interviewed and acknowledged discrepancies in code statuses and agreed R16's DPOA should have signed code status. |
| Nursing Home Administrator | Nursing Home Administrator | Interviewed and acknowledged discrepancies of code statuses on resident profile and physician's order. |
Inspection Report
Renewal
Census: 26
Capacity: 28
Deficiencies: 0
Feb 28, 2024
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable licensing statutes and rules for the facility license renewal.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 8
Number of residents interviewed and/or observed: 26
Number of others interviewed: 1
Facility capacity: 28
Inspection Report
Annual Inspection
Deficiencies: 0
May 10, 2023
Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Renewal
Deficiencies: 0
Feb 17, 2023
Visit Reason
The document serves as a renewal notification following an administrative review of licensing activity for the past year, confirming substantial compliance with public health code and administrative rules for home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the facility's 12-month license effective from 2023-01-28 to 2024-01-27.
Report Facts
License effective period: License valid from 2023-01-28 to 2024-01-27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender L Howard | Health Surveyor | Signed the renewal notification letter |
Inspection Report
Original Licensing
Capacity: 28
Deficiencies: 0
Dec 3, 2019
Visit Reason
The inspection was conducted as part of the original licensing study for McGivney Way, a home for the aged with programs for aged and Alzheimer's disease or related condition care.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. The facility was approved for a temporary 6-month license with a maximum capacity of 28 beds.
Report Facts
Licensed beds: 28
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicole Kennedy | Authorized Representative/Administrator | Named as the applicant's authorized representative and recipient of technical assistance |
| Andrea Krausmann | Licensing Staff | Conducted the licensing study and signed the recommendation |
| Russell B. Misiak | Area Manager | Approved the licensing study report |
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