Inspection Reports for Landings of Genesee Valley

4444 W Court St, Flint, MI 48532, United States, MI, 48532

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Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Jun 24, 2025
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A was not provided with dinner on several occasions.
Findings
The investigation confirmed that Resident A was not provided dinner on multiple dates as documented in the Care Tracking Sheet, establishing a violation of meal provision requirements.
Complaint Details
Complaint alleged Resident A was not provided dinner. Investigation substantiated the allegation with documentation showing missed dinners on 6/02/2025, 6/08/2025, 6/11/2025, 6/16/2025, 6/21/2025, 6/22/2025, and 6/23/2025.
Deficiencies (1)
Description
Resident A was not provided with dinner on multiple occasions.
Report Facts
Capacity: 114 Missed dinners: 7
Employees Mentioned
NameTitleContext
Aaron ClumLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the Special Investigation Report
Sondra YantzAdministrator/Authorized RepresentativeFacility administrator mentioned in relation to the investigation
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Jun 12, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A's pain medication ran out and had not been reordered.
Findings
Resident A missed several scheduled doses of hydrocodone due to delays in obtaining a new prescription, and staff incorrectly documented medication administration on two occasions.
Complaint Details
The complaint alleged that Resident A’s pain medication ran out and was not reordered. The investigation confirmed the violation with missed doses on 6/5, 6/7, 6/10, and 6/11, and inaccurate documentation by staff.
Deficiencies (1)
Description
Resident A missed several scheduled doses of hydrocodone during the timeframe reviewed, and staff incorrectly documented on the medication administration record that medication was not administered when it had been.
Report Facts
Missed doses: 8 Capacity: 114
Employees Mentioned
NameTitleContext
Elizabeth Gregory-WeilLicensing StaffAuthor of the inspection report and findings.
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the inspection report.
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 2 Jun 12, 2025
Visit Reason
The inspection was conducted in response to complaints alleging poor quality of care for Resident A, including being locked in her room, missed meals, poor staffing, and a bed bug infestation.
Findings
Violations were established for poor quality of care related to Resident A, including long call light response times, missed meals, and failure to maintain a meal census log. No violations were found for poor staffing or bed bug infestation as the facility took corrective actions. Multiple free standing oxygen tanks were improperly stored.
Complaint Details
Complaint received on 04/23/2025 from Adult Protective Services and an anonymous complaint on 05/08/2025 alleging poor care, locked resident in room, missed meals, poor staffing, and bed bug infestation. Violations substantiated for poor care and meal census log; violations not substantiated for poor staffing and bed bug infestation.
Deficiencies (2)
Description
Resident A receiving poor quality of care including being locked in her room and not receiving all meals.
Facility does not maintain a meal census log.
Report Facts
Capacity: 114 Showers scheduled: 14 Call light response time: 15 Complaint receipt date: Apr 23, 2025
Employees Mentioned
NameTitleContext
Jennifer HeimLicensing Staff / Health Care SurveyorAuthor of the Special Investigation Report
Sondra YantzAdministrator / Authorized RepresentativeFacility administrator mentioned in identifying information
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 3 May 28, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A was not receiving quality care, was unable to access the call light, and that Resident A's room was dirty and unkept.
Findings
The investigation substantiated violations including failure to provide adequate care to Resident A, with issues such as call light being out of reach, clutter and dust in Resident A's room, and the air mattress improperly set. Additional findings included multiple stains and tattered carpet in several rooms and a foul urine odor in the hallway.
Complaint Details
Complaint received on 04/07/2025 alleged Resident A was dropped by staff, sent to hospital without notification to POA, room not cleaned, and inadequate care. The complaint was substantiated based on investigation findings.
Deficiencies (3)
Description
Resident A's room had clutter on the floor, balled up clothes, significant dust on bed frame, call light out of reach, and air mattress set incorrectly.
Multiple stains and tattered carpet noted in entryways of three rooms.
Foul urine odor noted within the 1200 hallway.
Report Facts
Facility capacity: 114
Employees Mentioned
NameTitleContext
Jennifer HeimHealth Care SurveyorConducted the investigation and signed the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 3 Mar 24, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging inadequate programming and staff unfamiliarity with Resident A's care needs and service plan.
Findings
The investigation found that staff were unfamiliar with Resident A's care needs and service plan, service plans were not regularly reviewed or readily available in the building, and staff did not verify identification before releasing Resident A's service plan to visitors. Additionally, service plans lacked specific identifying care information and were not updated as required.
Complaint Details
Complaint received on 2025-03-21 alleged inadequate programming and staff unfamiliarity with Resident A's care needs. The complaint was substantiated with violations established.
Deficiencies (3)
Description
Staff were unable to provide information regarding Resident A's care needs and service plan was not available in the building.
Staff did not verify identification of visitors before releasing Resident A's service plan, violating confidentiality requirements.
Resident service plans lacked specific identifying information regarding necessary care and were not updated annually or after significant changes.
Report Facts
Capacity: 114 Complaint Receipt Date: Mar 21, 2025 Investigation Initiation Date: Mar 21, 2025 Inspection Date: Mar 24, 2025
Employees Mentioned
NameTitleContext
Aaron ClumLicensing StaffAuthor of the report and contact for corrective action plan
Sondra YantzAdministrator/Authorized RepresentativeFacility administrator mentioned in relation to the investigation
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 3 Mar 12, 2025
Visit Reason
The investigation was initiated due to a complaint alleging inadequate supervision for Resident A, who had multiple falls and safety concerns.
Findings
The investigation confirmed violations related to inadequate supervision and failure to update Resident A's service plan to address her high fall risk. Staff were observed making inappropriate comments and not treating Resident A with dignity during care.
Complaint Details
Complaint received on 2025-03-12 alleging inadequate supervision for Resident A who had multiple falls and was often found on the floor. The complaint was substantiated with violations established.
Deficiencies (3)
Description
Inadequate supervision for Resident A resulting in multiple falls.
Failure to update Resident A's service plan to reflect her declining safety needs.
Staff did not treat Resident A with dignity and left her on the floor while changing her brief.
Report Facts
Facility capacity: 114 Complaint receipt date: Mar 12, 2025 Number of video clips reviewed: 15 Number of falls observed on video: 6
Employees Mentioned
NameTitleContext
Aaron ClumLicensing StaffAuthor of the report and contact person
Sondra YantzAdministrator/Authorized RepresentativeFacility administrator named in the report
Inspection Report Complaint Investigation Census: 10 Capacity: 114 Deficiencies: 1 Feb 5, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A fell off the toilet while being unsupervised and was not given medical attention.
Findings
The investigation confirmed that Resident A fell while in the bathroom and was not immediately taken to the hospital despite complaining of pain. The facility did not comply with the rule requiring availability of emergency medical care.
Complaint Details
The complaint alleged that on 1/29/2025, Resident A was placed on the toilet by staff who then left the bathroom. Resident A fell and was put back in bed without immediate medical attention. Paramedics were not called until after 8:00 a.m. The violation was substantiated.
Deficiencies (1)
Description
Resident A fell off the toilet while being unsupervised and was not given medical attention.
Report Facts
Capacity: 114 Census: 10 Complaint Receipt Date: Jan 31, 2025 Investigation Initiation Date: Jan 31, 2025 Inspection Date: Feb 5, 2025
Employees Mentioned
NameTitleContext
Zachary FisherAdministratorNamed as facility administrator
Eric SimcoxAuthorized RepresentativeNamed as authorized representative and recipient of exit conference
Brender HowardLicensing StaffConducted the investigation and authored the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Oct 15, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging inadequate protection of Resident A after a fall in her room when staff were on break.
Findings
The investigation found that the key to Resident A's room was taken off-site by an employee on break, preventing timely access to the resident. The operations manager acknowledged this was not acceptable, and the facility was found not in compliance with the protection rule.
Complaint Details
Complaint received on 10/14/2024 alleged inadequate protection of Resident A after a fall. The complaint was substantiated with violation established.
Deficiencies (1)
Description
Inadequate protection of Resident A due to unavailability of room key during staff break.
Report Facts
Capacity: 114
Employees Mentioned
NameTitleContext
Sera HenryOperations ManagerInterviewed regarding the incident and investigation findings
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Sep 23, 2024
Visit Reason
The inspection was initiated due to an online complaint alleging inadequate supervision of Resident A and inadequate care of Resident B.
Findings
The investigation found that inadequate supervision of Resident A was established due to multiple falls and lack of additional safety measures, including non-functioning bed and chair alarms. The allegation of inadequate care for Resident B was not substantiated, with evidence showing consistent repositioning according to physician orders.
Complaint Details
The complaint alleged inadequate supervision of Resident A who had multiple falls without additional safety measures, and inadequate care of Resident B related to repositioning. The inadequate supervision allegation was substantiated; the inadequate care allegation was not.
Deficiencies (1)
Description
Inadequate supervision of Resident A, including failure to implement additional safety measures despite multiple falls and non-functioning bed and chair alarms.
Report Facts
Capacity: 114 Complaint Receipt Date: Sep 23, 2024 Incident dates: 2 Corrective action plan due days: 15
Employees Mentioned
NameTitleContext
Sera HenryOperations ManagerInterviewed regarding Resident A and Resident B care and supervision
Laurie WolfWellness DirectorPresent during observation of Resident A and Resident B
Aaron ClumLicensing StaffAuthor of the inspection report and correspondence
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the inspection report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Aug 16, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging inadequate supervision of Resident A, who had a fall from his bed on 2024-08-10.
Findings
The investigation found that Resident A, who is bed bound and requires total assistance, had two falls in July and August 2024. The facility had safety measures such as a hospital bed, fall mat, and foam wedges, but failed to update the resident's service plan to include recent safety measures like a bed alarm and did not consider increasing safety checks after the falls. A violation of supervision and service plan update rules was established.
Complaint Details
The complaint alleged inadequate supervision of Resident A, who fell from his bed on 2024-08-10. The complaint was anonymous and additional information was not available. The investigation substantiated the allegation.
Deficiencies (1)
Description
Inadequate supervision of Resident A resulting in falls and failure to update the resident's service plan to reflect changes in care needs and safety measures.
Report Facts
Capacity: 114 Complaint Receipt Date: Aug 15, 2024 Investigation Initiation Date: Aug 16, 2024 Fall Incident Date: Aug 10, 2024 Previous Fall Incident Date: Jul 10, 2024
Employees Mentioned
NameTitleContext
Sera HenryOperations DirectorInterviewed regarding Resident A's care and supervision
Laurie WolfWellness DirectorInterviewed regarding Resident A's fall incidents and care
Eric SimcoxAdministrator/Authorized RepresentativeFacility administrator and recipient of the report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 Aug 5, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility did not adhere to Resident A's Do Not Resuscitate (DNR) order.
Findings
The investigation found that CPR was initially performed on Resident A despite the DNR order due to procedural failures in DNR notification and identification. The facility was found not in compliance with the applicable rule regarding maintaining an organized program for resident care.
Complaint Details
The complaint alleged that CPR was performed on Resident A, who was on hospice with a DNR order, on approximately 7/30/2024. The investigation confirmed the violation due to procedural issues in identifying the DNR status.
Deficiencies (1)
Description
Failure to adhere to Resident A's DNR order resulting in CPR being performed despite the order.
Report Facts
Capacity: 114
Employees Mentioned
NameTitleContext
Eric SimcoxAdministrator/Authorized RepresentativeNamed as the facility administrator
Laurie WolfWellness DirectorPerformed CPR on Resident A despite the DNR order
Aaron ClumLicensing StaffConducted the investigation and authored the report
Sera HenryDirector of OperationsProvided Resident A's Do Not Resuscitate Order
Andrea MooreArea ManagerApproved the report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 1 May 31, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that two syringes of morphine were left unused and improperly stored in a resident's room, and that Resident A was not administered at least one dose of her prescribed morphine.
Findings
The investigation confirmed that Resident A was not administered a prescribed dose of morphine, the medication was not stored properly, and staff incorrectly reported that the medication was given. The facility was found to be non-compliant with applicable medication supervision rules.
Complaint Details
Complaint received on 2024-05-28 alleged improper storage of morphine syringes and failure to administer prescribed medication to Resident A. The complaint was substantiated with violation established.
Deficiencies (1)
Description
Medications not stored properly, and Resident A was not administered medication as prescribed.
Report Facts
Facility capacity: 114
Employees Mentioned
NameTitleContext
Eric SimcoxAdministrator/Authorized RepresentativeNamed as facility administrator and recipient of report
Sera HenryRegional Director of OperationsInterviewed during investigation and provided Associate 1's statement
Laurie WolfResident Care SupervisorInterviewed during investigation
Charlynn MidockDirector of NursingNamed in complaint as staff spoken to regarding medication error; no longer employed at facility
Pauline BednarickAdministratorNamed in complaint as staff spoken to regarding medication error; no longer employed at facility
Associate 1Medication TechnicianNamed in complaint and investigation as staff involved in medication administration error; currently on bereavement leave
Aaron ClumLicensing StaffAuthor of the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 114 Deficiencies: 2 Apr 5, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A was subjected to abuse by a staff member and that snack items were stolen from Resident A's room.
Findings
The investigation substantiated that Associate 1 physically abused Resident A and that Associates 1, 2, and 3 stole snack items from Resident A's room. Police are pursuing charges related to elder abuse and theft against these associates.
Complaint Details
The complaint alleged abuse of Resident A by Associate 1 and theft of snack items by Associates 1, 2, and 3. The allegations were substantiated based on video evidence and interviews. Police are investigating and charging the involved associates.
Deficiencies (2)
Description
Resident A was subjected to physical abuse by Associate 1.
Associates 1, 2, and 3 stole snack items from Resident A's room.
Report Facts
Capacity: 114
Employees Mentioned
NameTitleContext
Pauline BednarickAdministratorNotified of the abuse incident and involved in investigation
Aaron ClumLicensing StaffAuthor of the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Robert NicklesenDetective Lieutenant, Office of Genesee County SheriffInvestigated the abuse and theft allegations and interviewed involved parties
Sera HenryRegional Director of OperationsInterviewed regarding the incident and facility response
Inspection Report Renewal Census: 60 Capacity: 114 Deficiencies: 3 Jan 23, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with regulatory requirements and determine if the facility's license should be renewed.
Findings
The facility was found to be non-compliant with tuberculosis screening requirements for residents and employees, and a food safety violation was noted due to moldy bread found in the kitchen storage area. Renewal of the license is recommended contingent upon receipt of an acceptable corrective action plan.
Deficiencies (3)
Description
Failure to provide evidence of tuberculosis screening for residents as required by regulation R 325.1922.
Failure to provide initial tuberculosis screening for employees within 10 days of hire as required by regulation R 325.1923.
Food safety violation: moldy bread found in kitchen dry storage area violating regulation R 325.1976.
Report Facts
Number of staff interviewed and/or observed: 14 Number of residents interviewed and/or observed: 60 Facility capacity: 114 Number of excluded employees followed up: 9
Employees Mentioned
NameTitleContext
Pauline BednarickAdministratorNamed in identifying information
Eric SimcoxAuthorized RepresentativeNamed in identifying information
Inspection Report Complaint Investigation Census: 80 Capacity: 114 Deficiencies: 2 Jun 29, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging neglect of Resident A, facility insecurity, understaffing, starvation of residents, and unclean kitchen conditions at the Landings of Genesee Valley.
Findings
The investigation found no substantiated violations regarding neglect, understaffing, starvation, or unclean kitchen conditions. However, violations were established for failure to maintain and post therapeutic and special diet menus and failure to maintain a meal census including residents, personnel, and visitors.
Complaint Details
The complaint alleged Resident A was neglected resulting in a spine fracture, the facility was unsecure with cameras in resident rooms, the facility was understaffed, residents including Resident A were starved, and the kitchen in Building 4 was unclean. None of these allegations were substantiated except for additional findings related to menu and meal record violations.
Deficiencies (2)
Description
Facility did not maintain and post therapeutic and special diet menus for the current week.
Facility did not maintain a meal census including residents, personnel, and visitors served.
Report Facts
Capacity: 114 Census: 80 Residents in Building 4: 16 Resident A weight records: 112 Resident A weight records: 113 Resident A weight records: 114 Resident A weight records: 105 Resident A weight records: 98
Employees Mentioned
NameTitleContext
Pauline BednarickAdministratorInterviewed regarding Resident A's care, facility security, staffing, and kitchen conditions.
Jessica RogersLicensing StaffAuthor of the Special Investigation Report.
Inspection Report Original Licensing Capacity: 114 Deficiencies: 0 Aug 6, 2018
Visit Reason
The document serves as an addendum to the original licensing study report to notify and approve the change in management company for the facility effective August 2, 2018.
Findings
The management company of the facility has been changed to Homestead Management Group LLC effective August 2, 2018. The administrator and authorized representative remain unchanged. The facility license will remain unchanged.
Report Facts
Facility capacity: 114
Employees Mentioned
NameTitleContext
Jennifer WygonikAuthorized Representative/AdministratorNotified department of management company change
Elizabeth GregoryLicensing StaffPrepared and signed the addendum report
Russell MisiakLicensing StaffSigned the addendum report
Inspection Report Original Licensing Capacity: 114 Deficiencies: 0 Jun 14, 2016
Visit Reason
The purpose of the addendum to the original licensing study report was to document requested changes including a change in management to Meridian Senior Living, LLC, a change in the licensee's address and telephone number, and a change in the facility name from Brookdale Genesee Valley to Landings of Genesee Valley.
Findings
The report confirms the licensee Flint Michigan Retirement Housing, LLC is active and documents the requested changes to management, facility name, authorized representative, and contact information. The licensing staff recommends approval of these changes.
Report Facts
Capacity: 114
Employees Mentioned
NameTitleContext
Teresa FowlerAdministratorDesignated as administrator in update to BCAL-1600
Paula OttAuthorized RepresentativeDesignated as authorized representative in update to BCAL-1600
Loma M CampbellLicensing StaffAuthor of the addendum report and recommendation
Betsy MontgomeryArea ManagerApproved the report
Inspection Report Original Licensing Capacity: 110 Deficiencies: 0 Jan 21, 2000
Visit Reason
An initial, on-site survey and consultation visit was conducted to determine if the new facility's policy/procedures and systems were complete and met the intent of the Home for the Aged licensure requirements.
Findings
The report provides feedback and consultation on the facility's policies, procedures, and systems, identifying specific key areas to be completed before licensure approval. The facility is requesting 110 licensed beds with plans for final inspection around mid-March 2000.
Report Facts
Licensed beds requested: 110 Date of initial survey visit: Jan 21, 2000
Employees Mentioned
NameTitleContext
Janice PettengillNurse Consultant, H.F.A. Coordinator/ConsultantConducted the announced consultation visit.
John MerloResidence ManagerParticipant in consultation visit and named as Administrator on license application.
Kolette NelsonRegional Director of OperationsParticipant in consultation visit.
Robert KernsAuditor from MDCIS Management & BudgetParticipant in consultation visit.

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