Inspection Reports for Park Village Pines
2920 Crystal Lane, Kalamazoo, MI, 49009
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
0.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
94% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Original Licensing
Capacity: 135
Deficiencies: 0
Date: Oct 7, 2024
Visit Reason
The facility requested a decrease in licensed capacity from 155 beds to 135 beds by eliminating 20 resident beds in the west wing of the facility.
Findings
The Health Facilities Engineering Section reviewed room sheets and confirmed that the rooms identified for bed reduction meet licensing requirements, and the day/dining space is adequate to support the decreased capacity.
Report Facts
Licensed beds decrease: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Bos | Administrator/Licensee Designee | Requested the decrease in licensed capacity |
| Julie Viviano | Licensing Staff | Conducted the licensing study and authored the report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study report |
Inspection Report
Renewal
Census: 52
Capacity: 155
Deficiencies: 2
Date: Apr 3, 2024
Visit Reason
The inspection was conducted as a renewal licensing study for Park Village Pines to assess compliance with applicable rules and regulations.
Findings
The facility was found to be in non-compliance with rules related to medication handling and kitchen/dietary practices, specifically an unlocked medication cart accessible to anyone and unlabeled food items in various storage areas.
Deficiencies (2)
Medication cart left unlocked and easily accessible, posing risk to residents with impaired cognition.
Food items in kitchen and other storage areas were not labeled with appropriate open dates, making it unclear if they were safe for consumption.
Report Facts
Number of staff interviewed and/or observed: 11
Number of residents interviewed and/or observed: 52
Facility capacity: 155
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Bos | Authorized Representative/Administrator | Named as facility administrator in identifying information |
| Employee A | Named in medication cart unlocked violation |
Inspection Report
Renewal
Capacity: 155
Deficiencies: 0
Date: Mar 2, 2023
Visit Reason
The inspection was conducted as a renewal inspection to review licensing activity and compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The facility was found to be in compliance with all applicable rules and statutes, and renewal of the license was recommended.
Inspection Report
Original Licensing
Capacity: 155
Deficiencies: 0
Date: Nov 14, 2022
Visit Reason
The visit was conducted as an addendum to the original licensing study report to review and approve a requested decrease in licensed capacity from 215 beds to 155 beds at Park Village Pines.
Findings
The inspection confirmed that the rooms identified for bed reduction meet licensing requirements, including adequate room size, built-in closets, connected bathrooms, and sufficient day/dining space to support the decrease of 60 licensed beds.
Report Facts
Licensed beds decrease: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Peebles | Administrator | Administrator/Licensee Designee of the facility |
| Julie Viviano | Licensing Staff | Completed on-site inspection and authored the report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study addendum |
Inspection Report
Original Licensing
Capacity: 215
Deficiencies: 0
Date: Jul 23, 2014
Visit Reason
The facility's authorized representative requested that Crystal Woods, a licensed adult foster care home, be converted to a secured memory care wing in the existing Park Village Pines home for the aged, and that the licensed capacity be increased from 190 beds to 215 beds.
Findings
An opening survey was conducted including a 730 square foot addition and renovation to accommodate a 25 bed home for the aged memory care program in a secured wing. The program statement, staff training, and contract revisions met statutory requirements. The Bureau of Health Systems provided occupancy approval.
Report Facts
Licensed capacity increase: 25
Addition size: 730
Renovation size: 1940
Memory care beds: 25
Inspection date: Jul 23, 2014
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bryan Walker | Authorized Representative and Administrator | Requested the conversion and capacity increase |
| Linda Denniston | Licensing Staff | Conducted licensing inspection and authored report |
| Betsy Montgomery | Area Manager | Approved the licensing report |
Inspection Report
Original Licensing
Capacity: 190
Deficiencies: 0
Date: Aug 15, 2011
Visit Reason
The visit was conducted to perform an opening survey and to increase the bed capacity of Park Village Pines from 160 to 190 beds.
Findings
The Bureau of Fire Services granted final approval of the construction project on August 18, 2011, and the Bureau of Health Facilities approved the license increase on August 26, 2011. The facility addition included 30 new licensed beds and additional support spaces.
Report Facts
Bed capacity increase: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda Denniston | Licensing Staff | Conducted the licensing study and signed the report |
| Betsy Montgomery | Area Manager | Approved the license capacity increase |
Inspection Report
Original Licensing
Capacity: 160
Deficiencies: 0
Date: Jun 6, 2005
Visit Reason
The inspection was conducted to evaluate and approve the addition of 20 new beds to the licensed capacity of the Home for the Aged facility.
Findings
The new addition with 20 resident rooms, including two accessible rooms, and supporting facilities was found to be in full compliance with all applicable Home for the Aged rules and statutes. Occupancy approvals were obtained from relevant state departments.
Report Facts
Licensed capacity increase: 20
Total licensed capacity: 160
Employees mentioned
| Name | Title | Context |
|---|---|---|
| John Tancredi | Licensing Staff | Conducted the on-site inspection and authored the report |
| Wilson Haarsma | Authorized Representative & Administrator | Facility representative proposing the bed capacity increase |
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