Inspection Reports for Kingsley Senior Living
44100 Connection Way Canton, MI 48188, MI, 48188
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Inspection Report
Renewal
Census: 34
Capacity: 92
Deficiencies: 4
Mar 20, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to assess compliance with state regulations and determine if the facility's license should be renewed.
Findings
The facility was found to be non-compliant with several rules including medication management, menu posting for special diets, meal and food record keeping, and kitchen sanitation practices. Repeat violations related to medication administration were noted.
Deficiencies (4)
| Description |
|---|
| Medication administration records showed unclear instructions and improper administration of prescribed medications, including multiple PRN medications for the same condition without clear guidance. |
| No weekly menu was available or posted for residents requiring mechanical soft or pureed diets. |
| Meal census records did not include all residents, personnel, and visitors served, nor did they specify types and quantities of food used. |
| Kitchen water temperature and sanitizer test strip logs were incomplete or missing for several days, preventing confirmation of proper sanitization. |
Report Facts
Number of staff interviewed and/or observed: 12
Number of residents interviewed and/or observed: 34
Facility capacity: 92
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Feb 23, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging insufficient staff on duty to respond to call lights and provide for resident care needs at Kingsley Senior Living.
Findings
The investigation confirmed that staff response times to resident call lights were routinely delayed, often exceeding 20 minutes and sometimes over an hour, resulting in inadequate care consistent with resident service plans. Additionally, medication administration was found to be frequently late or incorrectly documented, including pain medication and diabetes medication not given as ordered.
Complaint Details
The complaint alleged insufficient staff on duty to respond to call lights and provide resident care needs. The complaint was substantiated based on interviews, call light response time documentation, and medication administration record reviews.
Deficiencies (3)
| Description |
|---|
| Inadequate and insufficient staff on duty to respond timely to resident call lights and provide care consistent with resident service plans. |
| Medications, including pain and diabetes medications, were not administered pursuant to physician orders, with frequent late administration and documentation errors. |
| Failure to ensure that a resident or responsible staff had appropriate information, medication, and instructions when the resident was out of the facility. |
Report Facts
Total licensed capacity: 92
Call light response times: 20
Late medication doses: 12
Medication doses reviewed: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Simcox | Administrator | Named as administrator of the facility during the investigation. |
| Josie Gentry | Authorized Representative / Administrator | Authorized representative and administrator mentioned as absent during on-site visit. |
| Andrea Krausmann | Licensing Staff | Conducted the investigation and authored the report. |
| Kiera Coakley | Business Office Manager | Provided call light response time documentation during the investigation. |
| Sara Reynolds | Regional Operations Manager | Present during on-site inspection and interviews. |
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Feb 23, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident I had fallen in his apartment and it took 20-25 minutes for staff to answer his call light, causing fear of reporting the issue.
Findings
The investigation found that Resident I required two-person assist and was a fall risk, but call light response times ranged from under a minute to over 24 hours, with multiple instances of delayed responses exceeding 20 minutes. Resident I's service plan was outdated with no annual review despite multiple falls. Interviews with other residents confirmed extended call light response times and concerns about staff responsiveness.
Complaint Details
The complaint alleged that Resident I fell in his apartment and experienced 20-25 minute delays in call light response, causing fear of reporting. The complaint was substantiated with evidence of delayed responses and inadequate care consistent with the resident's service plan.
Deficiencies (2)
| Description |
|---|
| Failure to treat Resident I with dignity and attend to his personal needs, including protection and safety, consistent with his service plan due to delayed call light responses. |
| Failure to update Resident I's service plan at least annually or after significant changes in care needs despite multiple falls and hospitalizations. |
Report Facts
Capacity: 92
Call light response times: 19
Call light response time range (minutes): 0.95
Call light response time range (minutes): 1440
Call light response time delays over 20 minutes: 4
Date of complaint receipt: Feb 16, 2024
Date of investigation initiation: Feb 20, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Josie Gentry | Administrator | Interviewed regarding investigation and facility operations |
| Kiera Coakley | Business Office Manager | Provided call light response sheets and information during investigation |
| Sara Reynolds | Regional Operations Manager | Met with investigator during on-site inspection |
| Eric Simcox | Authorized Representative | Provided call light response printouts and received report |
Inspection Report
Renewal
Deficiencies: 0
Feb 10, 2024
Visit Reason
The document serves as a renewal notification for the Home for the Aged license of Kingsley Senior Living, confirming substantial compliance with public health code and administrative rules over the past year.
Findings
An administrative review revealed substantial compliance with applicable public health codes and administrative rules regulating home for the aged facilities, resulting in license renewal.
Inspection Report
Renewal
Census: 20
Capacity: 92
Deficiencies: 0
Mar 14, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Kingsley Senior Living.
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: 7
Number of residents interviewed and/or observed: 20
Inspection Report
Original Licensing
Capacity: 92
Deficiencies: 6
Jul 6, 2022
Visit Reason
The inspection was conducted as part of the original licensing study for Kingsley Senior Living 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 some initial deficiencies noted during the July 6, 2022 inspection, including a significant leak in the mechanical/fire protection room, low hot water temperature, non-functioning exhaust vents, lack of thermometers in refrigerators/freezers, an unavailable disaster plan, and lack of wrist/knee/foot controls on kitchen handwash sinks. These items were verified as corrected during a follow-up inspection on August 9, 2022.
Deficiencies (6)
| Description |
|---|
| Significant leak from a pipe in the Mechanical / Fire Protection Room causing paint damage on the floor. |
| Hot water temperature throughout the building was no higher than 85ºF degrees. |
| Some exhaust vents in required rooms were not functioning (2nd floor trash holding room, janitor closet, community bathroom). |
| No thermometers in refrigerators and freezers throughout the building. |
| Disaster plan was not available in the home for all employees. |
| Lavatory handwash sinks in the kitchen lacked wrist, knee, or foot control. |
Report Facts
Licensed capacity: 92
Residential units: 88
Double occupancy units: 4
Memory care units: 28
Assisted living units: 60
Emergency generator power: 475
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Yolanda Byrd | Owner/Investor | Present during the July 6, 2022 on-site inspection |
| Kathy Marzolf | Administrative Support Staff / Facility Manager | Present during inspections and involved in compliance verification |
| Kathy McMonagle | Regional Nurse | Present during the July 6, 2022 on-site inspection |
| Amanda Springer | Marketing Staff | Present during the July 6, 2022 on-site inspection |
| Nakila Hill-Albright | Housekeeper Supervisor | Present during the July 6, 2022 on-site inspection |
| Austin Vanover | Cook | Present during the August 9, 2022 follow-up inspection |
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