Inspection Reports for Pomeroy Living Northville Assisted & Memory Care
40033 W. Eight Mile, Northville, MI, 48167
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 109
Deficiencies: 1
Date: Sep 12, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging inadequate supervision of Resident A and that Resident A was not charged according to his contract.
Complaint Details
The complaint alleged inadequate supervision of Resident A who had four falls during his stay, and that Resident A was not charged according to his contract after discharge. The inadequate supervision allegation was substantiated; the billing allegation was not substantiated.
Findings
The investigation confirmed that Resident A experienced four falls due to inadequate supervision, establishing a violation related to supervision and use of restraint. The allegation that Resident A was not charged according to his contract was not supported by evidence and was not established.
Deficiencies (1)
Inadequate supervision of Resident A resulting in multiple falls and use of an inappropriate restraint method (tilt back wheelchair seat).
Report Facts
Capacity: 109
Falls: 4
Resident A rent: 5700
Level 4 care cost: 2000
Resident A payment for June: 7700
Rent credit: 1800
Total charges: 1879.55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sandra Salvati | Administrator | Interviewed regarding Resident A's supervision and billing |
| Aaron Clum | Licensing Staff | Author of the Special Investigation Report |
| Employee 1 | Interviewed by telephone regarding Resident A's charges |
Inspection Report
Renewal
Census: 21
Capacity: 109
Deficiencies: 4
Date: Sep 13, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with regulatory requirements for the facility license renewal.
Findings
The facility was found to be non-compliant with several administrative rules including tuberculosis screening timing, medication administration documentation, and menu posting accuracy. A corrective action plan is required for renewal approval.
Deficiencies (4)
Resident A’s chest x-ray was completed after her move in and not prior to admission as required for tuberculosis screening.
Resident B missed one or more scheduled doses of Tramadol on 8/18/23, 8/30/23 and 8/31/23 with no documented reason.
Resident C did not receive Ketoconazole shampoo application from 9/2/23 to 9/6/23 as prescribed every other day.
The menu posted in the assisted living dining room was not updated to reflect the current week and instead listed meals for the week of 9/3/23-9/9/23.
Report Facts
Number of staff interviewed and/or observed: 12
Number of residents interviewed and/or observed: 21
Facility capacity: 109
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and contact for corrective action plan |
| Sue Fickau | Administrator | Facility administrator named in identifying information |
| Manda Ayoub | Authorized Representative | Facility authorized representative named in identifying information |
Inspection Report
Renewal
Census: 21
Capacity: 109
Deficiencies: 4
Date: Sep 13, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with administrative rules for the facility's license renewal.
Findings
The facility was found non-compliant with medication administration, menu posting, and initially tuberculosis screening requirements, though the TB screening non-compliance was later resolved upon submission of additional documentation. Renewal of the license is recommended contingent upon an acceptable corrective action plan for medication management and menu posting violations.
Deficiencies (4)
Resident A’s chest x-ray was initially found to be completed after move-in and not prior to admission as required by TB screening rules.
Resident B missed one or more scheduled doses of Tramadol on 8/18/23, 8/30/23, and 8/31/23 without documented reason.
Resident C did not receive prescribed Ketoconazole shampoo applications from 9/2/23 to 9/6/23 as ordered every other day.
The menu posted in the assisted living dining room was not updated to reflect the current week and instead listed meals for the week of 9/3/23-9/9/23.
Report Facts
Number of staff interviewed and/or observed: 12
Number of residents interviewed and/or observed: 21
Facility capacity: 109
Dates of missed medication doses: 3
Date of on-site inspection: 2023-09-13 (extracted as report_date)
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and recommendations |
| Manda Ayoub | Authorized Representative | Named in identifying information |
| Sue Fickau | Administrator | Named in identifying information |
Inspection Report
Original Licensing
Capacity: 109
Deficiencies: 0
Date: May 5, 2022
Visit Reason
The visit was conducted to review and approve changes in licensed bed designation from the general assisted living population to memory care beds at Pomeroy Living Northville Assisted & Memory Care.
Findings
The facility designated resident rooms in the 200-hall 'Copper Harbor' neighborhood solely as memory care beds. The licensed bed capacity and license status remain unchanged.
Report Facts
Licensed bed capacity: 109
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Staff | Author of the addendum report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Signed the addendum report |
| Manda Ayoub | Authorized Representative | Authorized representative who submitted operational narrative and floor plan |
| Alex Reed | Administrator | Administrator who requested the bed designation change |
Inspection Report
Original Licensing
Capacity: 109
Deficiencies: 0
Date: Jan 22, 2019
Visit Reason
The visit was conducted as an original licensing study with an addendum to update the facility name from Beacon Square Northville to Pomeroy Living Northville Assisted & Memory Care.
Findings
The facility name change was confirmed and recommended to be approved. The license status remains unchanged.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Krausmann | Licensing Staff | Author of the addendum and licensing staff involved in the original licensing study. |
Inspection Report
Original Licensing
Capacity: 109
Deficiencies: 0
Date: Mar 21, 2016
Visit Reason
The inspection was conducted as an original licensing study for Beacon Square Northville to determine compliance with applicable licensing statutes and administrative rules for a home for the aged.
Findings
The facility was found to be in substantial compliance with licensing statutes and administrative rules, and a temporary license with a maximum capacity of 109 residents was recommended and issued.
Report Facts
Capacity: 109
Resident apartments: 71
Grand Haven capacity: 36
Copper Harbor capacity: 38
Eagle Harbor capacity: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrea Krausmann | Licensing Staff | Author of the licensing study report and recommendation |
| Betsy Montgomery | Area Manager | Approved the licensing study report and recommendation |
| Kristie Nagle | Authorized Representative | Authorized representative of the applicant and facility |
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