Inspection Reports for Meadows Assisted Living
71 North Ave, Mt Clemens, MI 48043 , MI, 48043
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Renewal
Census: 15
Capacity: 20
Deficiencies: 5
Jun 3, 2025
Visit Reason
The visit was conducted as a renewal licensing study for Meadows Assisted Living II to assess compliance with applicable rules and regulations.
Findings
The facility was found to be in non-compliance with several rules including resident care agreement signatures, medication log accuracy, medication disposal, water temperature exceeding allowed limits, and maintenance issues such as a blinking bathroom light. A corrective action plan is required for these violations.
Deficiencies (5)
| Description |
|---|
| Resident A’s resident care agreement was not signed by resident/designated representative in 2024 or 2025. |
| Resident A had Nyamyc 100,000 units/GM powder listed as a PRN on medication log but medication was not available in the facility. |
| Resident B’s Tramadol HCL 50 mg tablets and Debrox ear drops were not listed on medication log despite being discontinued recently; medications no longer required were not properly disposed of. |
| Water temperature in Bedroom #124 was found to be as high as 123.6 degrees Fahrenheit, exceeding the allowed maximum of 120 degrees. |
| Bathroom light in Bedroom #116 was blinking on and off when turned on. |
Report Facts
Number of residents interviewed and/or observed: 15
Facility capacity: 20
Water temperature: 123.6
Date of on-site inspection: Jun 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Cilluffo | Licensing Consultant | Conducted the inspection and signed the report |
| Lijo Antony | Administrator and Licensee/Licensee Designee | Named as licensee and administrator of the facility |
Inspection Report
Complaint Investigation
Capacity: 20
Deficiencies: 3
Jan 4, 2024
Visit Reason
The investigation was initiated due to complaints alleging staff neglect, including unattended main facility areas, late medication administration, and an incident where 14 residents were given prune juice as a disciplinary measure.
Findings
The investigation found no violation regarding staffing levels or late medication administration as alleged, but established violations related to incomplete medication logs and the inappropriate use of prune juice for multiple residents, accompanied by evidence of residents being left in soiled briefs and linens.
Complaint Details
The complaint alleged that the main area of the facility was mostly unattended with staff sleeping or on phones, medication techs passed morning medications as late as 1:00 pm, and that 14 residents were given prune juice as a punitive measure resulting in soiled residents. The prune juice incident was substantiated; staffing and medication timing allegations were not substantiated.
Deficiencies (3)
| Description |
|---|
| Resident B’s medication log was missing staff initials for multiple medications on 12/27/2023. |
| Metronidazole 500 MG tablet was not given as prescribed to Resident B on certain dates. |
| Between 10-14 residents were given prune juice as a lesson for staff about documenting bowel movements, resulting in residents being left soiled. |
Report Facts
Capacity: 20
Residents given prune juice: 14
Medication log missing initials: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Hiller | Manager | Named in findings related to prune juice incident and medication administration |
| Amaria Palmer | Former Staff, Med Tech | Provided testimony regarding prune juice incident and medication administration |
Inspection Report
Renewal
Census: 17
Capacity: 20
Deficiencies: 5
May 31, 2023
Visit Reason
The visit was conducted as a renewal licensing study for Meadows Assisted Living II to assess compliance with licensing rules and regulations.
Findings
The facility was found to be non-compliant with several rules including lack of current TB testing for staff, incomplete medication logs, missing medications, and maintenance issues such as a broken window in Bedroom #16. Renewal of the license is recommended contingent upon receipt of an acceptable corrective action plan.
Deficiencies (5)
| Description |
|---|
| Staff Jennifer Hiller did not have a current TB test; last test dated 09/30/2019. |
| Staff Paris Stanley did not have TB test completed at time of hire; hired 03/29/2023, TB test obtained 05/23/2023. |
| Resident A’s medication log was missing staff initials on 05/24/2023 for Morphine Sulfate. |
| Resident B had Ondansetron 4 mg listed on medication log, but medication was not located at time of inspection. |
| Broken window observed in Bedroom #16 during onsite inspection. |
Report Facts
Number of residents interviewed and/or observed: 17
Facility capacity: 20
Number of staff interviewed and/or observed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Hiller | Named in TB testing deficiency | |
| Paris Stanley | Named in TB testing deficiency |
Inspection Report
Complaint Investigation
Capacity: 20
Deficiencies: 1
Mar 30, 2023
Visit Reason
The investigation was initiated due to a complaint alleging multiple concerns at Meadows Assisted Living II, including staff living in the basement, understaffing at night, failure to take residents to the emergency room after falls, improper catheter insertion, inadequate assistance with eating, lack of activities, and residents left in urine due to lack of equipment.
Findings
The investigation found no violations for most allegations including staffing, resident care, and activities. However, a violation was established for failure to properly report incident reports of hospitalizations to licensing. Incident reports were sent but not received by licensing. The facility was found to have adequate staffing and resident care based on interviews and documentation.
Complaint Details
The complaint alleged staff with work permits living in the basement, staff signing documents not to report issues, understaffing at night, failure to send residents to emergency room after falls, improper catheter insertion causing bleeding, residents left in urine due to lack of equipment, and lack of activities. The investigation did not substantiate these allegations except for failure to properly report incidents to licensing.
Deficiencies (1)
| Description |
|---|
| Failure to submit incident reports of hospitalizations to licensing as required. |
Report Facts
Capacity: 20
Complaint Receipt Date: Mar 28, 2023
Investigation Initiation Date: Mar 28, 2023
Report Due Date: May 27, 2023
Incident Reports: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lijo Antony | Licensee Designee and Administrator, Licensed Practical Nurse | Named in investigation regarding catheter insertion and staffing |
| Jennifer Hiller | Facility Manager | Interviewed regarding allegations and staffing |
| Kristine Cilluffo | Licensing Consultant | Author of the Special Investigation Report |
Inspection Report
Original Licensing
Capacity: 20
Deficiencies: 0
Nov 7, 2018
Visit Reason
The document is an Original Licensing Study Report for Meadows Assisted Living II to determine compliance with licensing statutes and administrative rules for initial licensing.
Findings
The facility was found to be in substantial compliance with applicable licensing statutes and administrative rules. The home is a new construction with adequate space, bedding, and storage, and meets all requirements for maintenance, sanitation, and safety. The applicant was in compliance with the licensing act and administrative rules at the time of licensure.
Report Facts
Facility capacity: 20
Inspection date: Nov 7, 2018
Environmental inspection date: Nov 20, 2018
Staffing pattern: 3
Staffing pattern: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lijo Antony | Administrator and Licensee Designee | Named as licensee designee and administrator for Meadows Assisted Living I and II |
| Kristine Cilluffo | Licensing Consultant | Author of the licensing study report |
| Denise Y. Nunn | Area Manager | Approved the licensing report |
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