Deficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
42% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
58% occupied
Based on a March 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 23
Capacity: 40
Deficiencies: 2
Mar 5, 2024
Visit Reason
The inspection was conducted as a Renewal Licensing Study to assess compliance with licensing requirements and to determine if a regular license can be issued.
Findings
The facility was found to be in non-compliance with tuberculosis screening requirements for residents and employees. Specifically, one resident's TB screening was completed after admission, and one employee did not have evidence of TB screening within 10 days of hire.
Deficiencies (2)
| Description |
|---|
| Resident A's tuberculosis screening was completed after admission, not within 12 months before admission as required. |
| Employee A did not have evidence of tuberculosis screening completed within 10 days of hire and prior to occupational exposure. |
Report Facts
Number of residents interviewed/observed: 23
Facility capacity: 40
Number of staff interviewed/observed: 11
Incident report dates: Incident reports followed up dated 8/1/2023 and 10/31/2023
Corrective action plan due date: Corrective action plan due by 3/21/2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dean Bonesteel | Authorized Representative/Administrator | Named as facility administrator |
| Employee A | Named in deficiency related to employee tuberculosis screening |
Inspection Report
Complaint Investigation
Capacity: 40
Deficiencies: 6
Jul 20, 2023
Visit Reason
The investigation was initiated due to a complaint received from Adult Protective Services regarding the facility's ability to manage Resident B, including concerns about elopement, aggression towards residents and staff, and use of restraints.
Findings
The investigation found that the facility did not establish a violation for inability to manage Resident B but did establish violations related to improper use of restraints without physician orders, invalid admission agreement signatures, failure to develop an appropriate service plan with the resident, lack of tuberculosis screening, and improper discharge practices by refusing to accept residents back after hospitalizations.
Complaint Details
Complaint received from Adult Protective Services on 07/20/2023 regarding concerns about the facility's ability to manage Resident B, including elopement, aggression, and restraint use. The complaint was partially substantiated with violations established related to restraint use, admission and service plan deficiencies, tuberculosis screening, and discharge practices.
Deficiencies (6)
| Description |
|---|
| Facility restrained Resident B by placing him in a wheelchair with a seatbelt without a physician order specifying reasoning and timeframe. |
| Use of gloves or mitts on Resident C's hands without a physician order specifying reasoning and timeframe. |
| Admission agreement for Resident B was not valid as it was signed by Relative B1 without activated durable power of attorney and not by Resident B. |
| Facility did not appropriately develop Resident B’s service plan with the resident due to lack of activated durable power of attorney. |
| No evidence of tuberculosis screening on record for Resident B within 12 months before admission. |
| Facility refused to accept Resident B and Resident C back after hospital discharge, resulting in improper discharge practices. |
Report Facts
Capacity: 40
Emergency room visits: 3
Duration in emergency room: 47
Corrective action plan due days: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Author of the Special Investigation Report |
| Dean Bonesteel | Administrator/Authorized Representative | Interviewed administrator and named in report |
| Lane Stopher | APS Worker | Interviewed regarding complaint and Resident B's behaviors |
| Mike Morey | McLaren Northern Michigan Case Manager | Interviewed regarding Resident B's placement and hospital status |
| Andrew Ostosh | McLaren Northern Michigan Physician | Interviewed regarding Resident B's hospital stay and medical clearance |
Inspection Report
Complaint Investigation
Census: 18
Capacity: 40
Deficiencies: 1
Jul 5, 2023
Visit Reason
The investigation was initiated due to a complaint from Adult Protective Services alleging that Resident A was issued an incorrect discharge notice, treated disrespectfully, the facility had insufficient staff, and Resident A did not receive medication.
Findings
The investigation found no violations regarding the incorrect discharge, disrespectful treatment, insufficient staffing, or medication administration. However, a violation was established for the facility's discharge letter omitting the resident's right to file a complaint and improperly stating discharge to a hospital, which is not an approved discharge location.
Complaint Details
Complaint from Adult Protective Services alleging Resident A was issued an incorrect discharge notice, treated disrespectfully, facility had insufficient staff, and Resident A did not receive medication. All allegations except additional findings were not substantiated. Additional finding violation was established related to discharge notice content.
Deficiencies (1)
| Description |
|---|
| Discharge letter omitted information on the resident's right to file a complaint and improperly stated discharge to a hospital, which is not an approved discharge location. |
Report Facts
Capacity: 40
Census: 18
Staffing: 18
Staffing: 2
Discharge notice period: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dean Bonesteel | Administrator/Authorized Representative | Interviewed regarding Resident A's care needs and discharge |
| Kimberly Horst | Licensing Staff | Author of the Special Investigation Report |
| Hilde Bonesteel | Administrator interviewed by telephone regarding Resident A | |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Renewal
Capacity: 40
Deficiencies: 0
Feb 8, 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. Renewal of the license is recommended.
Inspection Report
Original Licensing
Capacity: 40
Deficiencies: 0
Jul 26, 2018
Visit Reason
The visit was conducted as an original licensing inspection to determine compliance with applicable licensing statutes and administrative rules for Pineview Cottage.
Findings
The facility was found to be in substantial compliance with licensing rules during the onsite inspection on July 26, 2018, and a temporary license with a maximum capacity of 40 was recommended for issuance.
Report Facts
Capacity: 40
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dean Bonesteel | Authorized Representative | Named as Authorized Representative of the facility |
| Barbara Boonstra | Administrator | Named as Administrator of the facility |
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