Inspection Reports for North Woods Village of Kalamazoo

The investigation was initiated due to a complaint alleging that Resident A was restrained by facility staff due to aggressive behavior which resulted in bruising.

The investigation found that Resident A exhibited verbally and physically aggressive behavior on 2025-06-02, leading staff to restrain Resident A by holding their wrists, which caused red marks that later developed into bruising. The facility promptly conducted an internal investigation, notified Resident A's authorized representative, physician, and Adult Protective Services, and provided re-education and corrective action to involved staff. No violation was established.

The complaint alleged that Resident A was restrained by facility staff due to aggressive behavior resulting in bruising. The allegation was not substantiated after investigation.

The inspection was conducted as a renewal licensing study to evaluate compliance with state regulations and determine if the facility's license should be renewed.

The facility was found to be in non-compliance with multiple rules including tuberculosis screening for residents and employees, medication administration procedures, and safe storage of hazardous materials. Violations were established in all cited areas.

The inspection was conducted in response to a complaint alleging that Resident A was found unattended outside the facility, call buttons did not work, emergency medical attention was not sought for Resident A, Resident A's service plan was not followed, and medications were not administered appropriately.

The investigation found multiple violations including Resident A being left unattended outside, call button issues, failure to follow Resident A's service plan, and medication administration errors. However, the allegation that emergency medical attention was not sought was not substantiated.

The complaint alleged Resident A was found unattended outside wearing a sweater in 85-degree weather, call buttons did not work, emergency medical attention was not sought after falls, Resident A's service plan was not followed, and medications were not administered appropriately. Some allegations were substantiated while the allegation regarding emergency medical attention was not.

The inspection was conducted as a renewal inspection to evaluate compliance with licensing statutes and rules for license renewal.

The facility was found to be in substantial compliance with all applicable licensing statutes and rules. Renewal of the license is recommended.

The investigation was initiated due to an anonymous complaint alleging that a staff member stole a resident's fentanyl patch.

The investigation found conflicting documentation between electronic and paper medication administration records for two residents regarding fentanyl patch administration, leading to a violation because it could not be determined if the medication was administered as prescribed or misused.

The complaint alleged a staff member stole a resident’s fentanyl patch. The violation was substantiated based on conflicting medication administration records and missing documentation.

The investigation was initiated due to a complaint alleging neglect of Resident A resulting in multiple falls with injury, concerns about short staffing, and unsecured medications found in Resident A's room.

The investigation established violations related to neglect of Resident A, including failure to consistently follow the service plan resulting in multiple falls with injury, and unsecured medications found in Resident A's room. The allegation of short staffing was not substantiated.

The complaint alleged neglect of Resident A resulting in multiple falls with injury and subsequent death, short staffing contributing to neglect, and unsecured medications found in Resident A's room. The neglect and medication issues were substantiated; short staffing was not substantiated.

The investigation was initiated due to a complaint alleging that Resident A's medication was missing or stolen.

The investigation found that Resident A was missing a two-week supply of Trazadone HCI at the end of November 2022. The facility did not count medication dropped off by the authorized representative unless it was a narcotic, and did not ensure medication was not used by others. The violation was established.

Resident A’s medication was reported missing or stolen. The allegation was substantiated with a violation established.

The purpose of the visit was to conduct an onsite inspection to document an increase in licensed bed capacity due to the addition of a new south west wing with 19 resident rooms, including some double occupancy rooms.

The inspection confirmed the new wing, called the Vista, was completed with appropriate resident rooms, common areas, and safety features including pull cords and fire safety approval. The facility was recommended for a license increase to 61 beds.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for North Woods Village At Kalamazoo.

The study determined substantial compliance with applicable licensing statutes and administrative rules. The facility is newly constructed and designed for individuals with memory impairment, including Alzheimer's Dementia, with a total capacity of 37 beds.