Inspection Reports for
Nannie’s Inn by Golden Grace

R 400.671 Resident care: there was insufficient staff to meet the needs of Resident A according to his individual plan of service, with only one direct care staff working per shift despite the need for two-person assist.

R 400.671 Resident care: the licensee designee did not provide supervision, protection, and personal care according to Resident A’s needs and hospice care plan; no updates were made to the assessment plan to reflect wound care after discharge.

R 400.677 Resident hygiene, clothing: Resident A was neglected and presented to the ER covered in feces; care including assistance with hygiene was not provided due to Resident A’s resistance.

R 400.685 Resident admission; resident assessment plan; resident care agreement; health care appraisal: the group home was understaffed and did not have the amount of personal care, supervision, and protection required by Resident A, who presented with pressure sores and a UTI.

R 400.685 Resident admission; resident assessment plan; resident care agreement; health care appraisal: staff lacked the skills needed to provide wound care to Resident A; the assessment plan was not updated with the hospice plan of care.

R 400.689 Resident health care: direct care staff did not follow the instructions and recommendations of Resident A’s hospice plan of care regarding wound care, resulting in Resident A being moved from the group home.

MCL 400.734b Employing or contracting with certain individuals providing direct services to residents; prohibitions; criminal history check; exemptions; written consent and identification; conditional employment; use of criminal history record information; disclosure; determination of existence of national criminal history; failure to conduct criminal history check; automated fingerprint identification system database; electronic web-based system; costs; definitions: direct care staff Tiffany Clark worked unsupervised without a completed criminal history check.

R 400.629 Direct care staff; qualifications and training: direct care staff Tiffany Clark did not possess all required qualifications and training before working independently, including first aid, CPR, personal care, resident rights, and other required areas.

R 400.631 Health screenings: direct care staff Tiffany Clark did not have a statement signed by a licensed physician attesting to her physical health when providing care.

R 400.639 Staff records: the staff schedule for April and May 2026 did not include full names, job titles, or hours worked, preventing determination of who worked which shifts.

R 400.671 Resident care: personal care was not provided per Resident B’s assessment plan; staff did not follow wound care instructions and documentation was inconsistent.

MCL 400.734b Employing or contracting with certain individuals providing direct services to residents; prohibitions; criminal history check: staff were not fingerprinted and linked to the facility in the Workforce Background Check System, including temp staff.

R 400.629 Direct care staff; qualifications and training: temp staff Nkiruka Stacey Crook was not documented as trained and competent in required areas before working independently.

R 400.631 Health screenings: no documentation of baseline screening for communicable diseases was maintained for temp staff Nkiruka Stacey Crook.

R 400.639 Staff records: required staff records including verification of age, education, training, health information, and receipt of policies were incomplete for temp staff Nkiruka Stacey Crook.

R 400.663 Nutrition; adoption by reference: meals did not meet nutritional guidelines; no menus were written or posted; meals were based on resident preferences without documentation.

R 400.675 Resident medications: medications were not given as prescribed; medication administration records were not properly completed; medications and supplies were not securely stored; staff were not properly trained in medication administration; reasons for PRN medication administration were not documented; medications were not provided to responsible persons when residents were out of the facility.

R 400.677 Resident hygiene, clothing: the licensee failed to ensure Resident M received adequate hygiene and assistance with bathing, resulting in body odor and skin irritation from sitting in urine.

MCL 400.734b Employing or contracting with certain individuals providing direct services to residents; prohibitions; criminal history check; exemptions; written consent and identification; conditional employment; use of criminal history record information; disclosure; determination of existence of national criminal history; failure to conduct criminal history check; automated fingerprint identification system database; electronic web-based system; costs; definitions: direct care staff Uzair Shahid did not have a Michigan Workforce Background Check letter onsite and available for review.

R 400.14204 Direct care staff; qualifications and training: direct care staff Uzair Shahid had not completed required trainings including Reporting requirements, First aid, Cardiopulmonary resuscitation, Personal care, supervision, and protection, Resident rights, Safety and fire prevention and Prevention and containment of communicable diseases.

R 400.14204 Direct care staff; qualifications and training: direct care staff Renegio Lockwood had not completed required trainings including Reporting requirements, First aid, Cardiopulmonary resuscitation and Resident Rights.

R 400.14208 Direct care staff and employee records: direct care staff Uzair Shahid’s employee file did not contain verification of references, verification of the receipt of personnel policies and a job description, and/or medical information, as required (physical upon hire).

R 400.14401 Environmental health: caustics were not safeguarded and were being stored under the kitchen sink.

R 400.14403 Maintenance of premises: the vent in Resident J’s bedroom was rusted and needs to be replaced; the fan in the hallway bathroom is covered in thick dust and needs to be cleaned; there are many cobwebs in the hallway bathroom window; feces on the toilet seat in Resident S’s bathroom.

R 400.14403 Maintenance of premises: the faucet on the sink in the hallway bathroom is loose and in need of repair.

R 400.14510 Heating equipment generally: a space heater was observed in Resident S’s bedroom.

R 400.14511 Flame-producing equipment; enclosures: the fire door does not close fully or shut securely.

R 400.14508 Means of egress; sleeping areas: Resident C was living in bedroom #3 which is not an approved AFC bedroom as it does not have a window that is openable to the outside.