Inspection Reports for New Hope White Lake Senior Living Community

450 S Williams Lake Rd, MI, 48386

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

42% better than Michigan average
Michigan average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2025

Census

Latest occupancy rate 47% occupied

Based on a May 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 30 60 90 120 150 Jul 2023 May 2025
Inspection Report Complaint Investigation Census: 55 Capacity: 117 Deficiencies: 1 May 21, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that narcotic pain medications were not being properly administered or documented, and that residents had skin breakdown from not being changed.
Findings
The investigation found no evidence that residents did not receive their prescribed narcotic medications, but several documentation errors were identified in medication administration records and controlled substance logs. The allegation of skin breakdown due to lack of changing was not substantiated, as the resident with skin issues had an unavoidable condition related to cognitive limitations and noncompliance with care.
Complaint Details
The complaint alleged that narcotic pain medications were not being given and that residents had skin breakdown from not being changed. The narcotic medication allegation was substantiated due to documentation errors, while the skin breakdown allegation was not substantiated.
Deficiencies (1)
Description
Documentation errors in medication administration records and controlled substance use logs for narcotic medications.
Report Facts
Resident census: 55 Total capacity: 117
Employees Mentioned
NameTitleContext
Shannon SnappAdministratorInterviewed during onsite inspection and provided resident roster and medication records
Elizabeth Gregory-WeilLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report
Inspection Report Complaint Investigation Capacity: 117 Deficiencies: 2 Oct 3, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging violations including HIPPA breaches, inadequate care for Resident A, improper medication administration, insufficient memory care staffing, and building maintenance issues.
Findings
The investigation substantiated violations related to HIPPA breaches and improper medication administration. Allegations regarding Resident A's care, memory care staffing, and building maintenance were not substantiated.
Complaint Details
The complaint alleged HIPPA violations, Resident A lacked care and had bruises, medications were not administered per physician's orders, memory care staff were alone, and the building lacked maintenance. HIPPA and medication administration violations were substantiated; other allegations were not substantiated.
Deficiencies (2)
Description
Facility violated HIPPA by leaving residents' medical records accessible in an unlocked copy room.
Medications were not always administered per physician's orders, including failure to initial medication administration and duplicate as needed medication orders lacking clarity.
Report Facts
Facility capacity: 117 Resident A observation dates: 31 Medication administration records reviewed: 5
Employees Mentioned
NameTitleContext
Jessica RogersLicensing StaffAuthor of the inspection report
Alan FordAdministratorFacility administrator interviewed during investigation
Khurram ShahzadAuthorized RepresentativeAuthorized representative involved in exit conference
Employee #3Interviewed staff who provided information on HIPPA training, Resident A care, and medication administration
Employee #4Interviewed staff regarding medication administration procedures
Employee #5Interviewed staff regarding medication administration and Resident A care
Employee #6Interviewed staff who reported early medication administration and documentation practices
Employee #1Interviewed staff regarding building maintenance and repairs
Employee #2Interviewed staff regarding intermittent sewer odor in public restroom
Inspection Report Renewal Census: 11 Capacity: 117 Deficiencies: 3 Jul 26, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found non-compliant with administrative rules including offering independent living services without approval, failure to maintain a meal census record, and low water pressure in a sink in the assisted living salon. Renewal of the license is recommended contingent upon receipt of an acceptable corrective action plan and fee payment.
Deficiencies (3)
Description
Offering independent living services to residents in a licensed home for the aged without department approval and program statement not referencing independent living services.
Facility does not maintain a meal census record as required.
A sink in the assisted living salon had very low water pressure when hot water was turned on.
Report Facts
Capacity: 117 Residents observed/interviewed: 11 Staff interviewed/observed: 8
Inspection Report Original Licensing Capacity: 117 Deficiencies: 0 Jan 26, 2023
Visit Reason
The inspection was conducted as part of the original licensing study for New Hope White Lake Senior Living Community to determine compliance with applicable licensing statutes and administrative rules.
Findings
The study determined substantial compliance with Public Health Code Act 368 of 1978 and administrative rule requirements for a licensed home for the aged. The facility was approved for a temporary 6-month license with a maximum capacity of 117 beds.
Report Facts
Licensed capacity: 117 Residential units: 95
Employees Mentioned
NameTitleContext
Khurram Rumi ShahzadAuthorized Representative/OwnerPresent during on-site inspection and submitted required documents
Shannon SnappDirector of Resident CarePresent during on-site inspection
Elizabeth DelanyBusiness Office ManagerPresent during on-site inspection
Don ChristensenState Fire InspectorIssued fire safety certification approval
Austin WebsterHealth Facilities Engineering Section EngineerSubmitted occupancy approval and related documents

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