Deficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 4
Date: Jun 26, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, including medication management, activities of daily living assistance, shower scheduling, weight monitoring, and nutritional care.
Findings
The facility failed to inform a resident about the risks and benefits of a new psychotropic medication prior to initiation, failed to provide adequate assistance with activities of daily living for dependent residents, failed to ensure showers were offered and documented as scheduled, and failed to monitor and address significant weight loss for a resident.
Deficiencies (4)
Failed to inform resident of risks and benefits of new psychotropic medication prior to initiation.
Failed to provide care and assistance to perform activities of daily living for dependent residents.
Failed to offer and document showers as scheduled for a resident.
Failed to access, monitor, and identify significant weight loss for a resident.
Report Facts
Residents reviewed for unnecessary medications: 5
Residents reviewed for Activities of Daily Living: 4
Weight loss percentage: 10.39
Weight loss percentage: 8.54
Weight loss percentage: 9.38
Shower days with no documentation: 5
Shower days with no documentation: 7
Shower days with no documentation: 6
Days in facility in May 2025: 23
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Assistant E | Social Services Assistant | Reported no evidence of risk versus benefit education for antidepressant medications. |
| Director of Nursing | Director of Nursing (DON) | Reported no documentation of risk versus benefit review for psychotropic medication with resident R51. |
| Certified Nurse Aide C | Certified Nurse Aide (CNA) | Observed resident R49's unmet needs and retrieved call light and bed control. |
| Certified Nurse Aide K | Certified Nurse Aide (CNA) | Observed resident R81's lunch and assisted with feeding. |
| Certified Nurse Aide L | Certified Nurse Aide (CNA) | Reported resident R81's eating habits and assistance needs. |
| Registered Nurse Unit Manager F | Registered Nurse Unit Manager (RNUM) | Provided signed Educational Opportunity form regarding food tray provision. |
| Registered Nurse Unit Manager H | Registered Nurse Unit Manager (RN Unit Manager) | Reviewed shower sheets and task documentation for resident R30. |
| NHA | Nursing Home Administrator | Reported facility lacked dietary manager and had contract dietician one day a week. |
Inspection Report
Routine
Deficiencies: 3
Date: Jul 24, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, PASARR assessments, infection prevention and control, and the availability and proper use of call lights in the facility.
Findings
The facility failed to ensure call lights were left within reach for three residents, failed to complete a required Level II PASARR screening for one resident, and failed to properly implement infection prevention and control measures including the use of Enhanced Barrier Precautions, PPE, and sanitizing shared medical equipment, resulting in potential risks to resident safety and well-being.
Deficiencies (3)
Failed to ensure call lights were left within reach for 3 residents, resulting in potential unmet care needs.
Failed to ensure a Mental Illness/Intellectual Disability/Related Condition Exemption Criteria Certification Level II Screening was completed for 1 resident, resulting in potential unmet mental health needs.
Failed to ensure proper use of Enhanced Barrier Precautions, PPE, and sanitizing of shared medical equipment for 2 residents, increasing potential for cross-contamination and infection spread.
Report Facts
Residents reviewed for call light availability: 3
Residents reviewed for PASARR assessments: 1
Residents reviewed for Transmission Based Precautions: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA F | Certified Nursing Assistant | Reported Resident #5 was able to use call light; observed dropping and picking up unwrapped disposable gown |
| CNA G | Certified Nursing Assistant | Reported Resident #68 unable to use call light due to contractures and assisted placing call light within reach |
| CNA D | Certified Nursing Assistant | Reported Resident #12 went to unit manager about PPE signage |
| CNA E | Certified Nursing Assistant | Observed not sanitizing vitals cart before and after use; reported sanitizing requirements |
| Social Services Supervisor B | Social Services Supervisor | Reported Resident #43's Level II Screening was not completed and was working on plan of correction |
| Director of Nursing | Director of Nursing | Reviewed Resident #43's PASARR history; reported Resident #12 PPE use and signage removal; commented on dropped PPE |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 28, 2023
Visit Reason
The inspection was conducted as an annual survey of The Laurels of Mt. Pleasant nursing home to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 2, 2023
Visit Reason
The inspection was conducted due to complaints regarding inadequate supervision to prevent resident-to-resident altercations at the nursing home.
Complaint Details
This intake pertains to intakes MI00134885, MI00136472, MI00137258. The complaint investigation found that the facility failed to supervise resident R22, who was involved in multiple altercations with other residents, resulting in potential injury.
Findings
The facility failed to provide adequate supervision to prevent resident-to-resident altercations involving six residents, resulting in potential for injury. Multiple incidents were documented where resident R22 engaged in physical and verbal confrontations with other residents without supervision.
Deficiencies (1)
Failure to ensure adequate supervision to prevent resident-to-resident altercations.
Report Facts
Resident-to-resident altercations involving R22: 7
Residents affected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA E | Certified Nurse Aide | Confirmed working on 5/28/23 and assigned to care for R22; described challenges in supervising R22 due to PPE requirements and staffing. |
| UM C | Unit Manager | Interviewed on 6/1/23; acknowledged awareness of R22's aggressive behaviors and lack of supervision. |
| SW D | Social Worker | Interviewed on 6/1/23; acknowledged awareness of R22's aggressive behaviors and lack of supervision. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 2, 2023
Visit Reason
The inspection was conducted due to complaints regarding inadequate supervision to prevent resident-to-resident altercations involving six residents (R21, R22, R26, R33, R35, and R36).
Complaint Details
This intake pertains to intakes MI00134885, MI00136472, MI00137258. The complaint investigation found that R22 was involved in seven resident-to-resident altercations from 10/24/22 to 5/28/23, with no supervision provided during these incidents. Facility staff acknowledged awareness of R22's aggressive behaviors but denied implementing supervision.
Findings
The facility failed to provide adequate supervision for resident R22, who was involved in multiple physical and verbal altercations with other residents, resulting in potential for injury. Despite awareness of R22's aggressive behaviors, no effective supervision or interventions were implemented to prevent these incidents.
Deficiencies (1)
Failure to ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent resident-to-resident altercations.
Report Facts
Resident-to-resident altercations involving R22: 7
Residents affected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA E | Certified Nurse Aide | Assigned to care for R22 and confirmed lack of supervision during incidents |
| UM C | Unit Manager | Interviewed regarding awareness of R22's aggressive behaviors and supervision practices |
| SW D | Social Worker | Interviewed regarding awareness of R22's aggressive behaviors and supervision practices |
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