Deficiencies (last 1 years)
Deficiencies (over 1 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% worse than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Census: 18
Capacity: 64
Deficiencies: 8
Jun 20, 2023
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 in non-compliance with multiple rules including failure to notify the department of administrator change, missing tuberculosis screening documentation, unsigned resident service plans, lack of meal census records, inadequate ventilation monitoring, unmonitored hot water temperature, missing dishwasher sanitization records, and unlabeled and undated food items in refrigerators.
Deficiencies (8)
| Description |
|---|
| Failure to notify the department of the appointment of the new facility authorized representative and administrator. |
| One resident file lacked evidence of tuberculosis screening within 12 months before admission. |
| Two resident records did not have signed service plans by the resident or authorized representative. |
| No record of meal census maintained for the preceding three-month period. |
| No evidence of monitoring ventilation system to ensure minimum 10 air changes per hour in specified rooms. |
| No evidence of monitoring hot water temperature to ensure it is within 105 to 120 degrees Fahrenheit. |
| No dishwasher sanitization records maintained; unable to confirm utensils were properly sanitized. |
| Food items in various refrigerators were unlabeled and undated, making it unclear if safe for consumption. |
Report Facts
Number of residents interviewed and/or observed: 18
Facility capacity: 64
Number of staff interviewed and/or observed: 8
Date of on-site inspection: Jun 20, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ronnie Heartfield | Authorized Representative/Administrator | Named in deficiency related to administrator appointment paperwork |
Inspection Report
Original Licensing
Capacity: 64
Deficiencies: 0
Jan 12, 2023
Visit Reason
The inspection was conducted as part of the original licensing study for Laurel Oaks Of South Haven to determine compliance with applicable licensing statutes and administrative rules.
Findings
The study determined substantial compliance with home for the aged public health code and applicable administrative rules. A temporary 6-month license with a maximum capacity of 64 beds was recommended and issued.
Report Facts
Capacity: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Bartlett | Authorized Representative/Administrator/Licensee Designee | Named as the authorized representative and administrator in the licensing study. |
| Julie Viviano | Licensing Staff | Prepared and signed the licensing study report. |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study report. |
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