Inspection Reports for Primrose Retirement Community of Midland
5600 Waldo Ave, Midland, MI 48642, MI, 48642
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Inspection Report
Complaint Investigation
Capacity: 106
Deficiencies: 1
Jan 17, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A was discharged without proper notice from Primrose of Midland.
Findings
The investigation found that the facility did not provide proper discharge notice as required by facility policy and the occupancy agreement, establishing a violation related to discharge notification.
Complaint Details
Complaint alleged discharge without proper notice. Violation was established based on failure to provide discharge notification as required.
Deficiencies (1)
| Description |
|---|
| Failure to provide proper discharge notice according to facility Occupancy Agreement. |
Report Facts
Capacity: 106
Complaint Receipt Date: Nov 20, 2023
Investigation Initiation Date: Nov 27, 2023
Report Due Date: Jan 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Rockafellow | Administrator / Executive Director | Interviewed during onsite investigation and involved in findings. |
| Lakeen Arndt | Director of Nursing | Interviewed during onsite investigation and involved in findings. |
| Jennifer Heim | Licensing Staff | Author of the investigation report. |
Inspection Report
Renewal
Deficiencies: 0
Nov 30, 2023
Visit Reason
The document serves as a notification that the Home for the Aged license for Primrose of Midland has been renewed for a 12-month period effective November 30, 2023.
Findings
The license renewal confirms that the facility's Home for the Aged license is valid for another year at the specified address and is not transferable.
Report Facts
License duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron L. Clum | Licensing Staff | Signed the license renewal notification |
Inspection Report
Complaint Investigation
Census: 17
Capacity: 106
Deficiencies: 1
Feb 14, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A eloped twice from the facility and sustained injuries.
Findings
The investigation substantiated that Resident A eloped twice from the facility, was missing for four hours, and sustained injuries including fractures and lacerations. The facility failed to adequately intervene during the exit-seeking behavior, and staff did not hear the alarm due to a phone volume being turned down. However, the facility did report the incident to the State within the required timeframe.
Complaint Details
The complaint alleged that Resident A eloped twice on 9/3/2022, fell into a ditch, and broke her shoulder. The claim that the incident was not reported to the State was not substantiated.
Deficiencies (1)
| Description |
|---|
| Resident A eloped from the facility and was missing for four hours due to inadequate supervision and failure to respond to alarms. |
Report Facts
Census: 17
Total Capacity: 106
Incident timeline: 4
Length of hospital stay: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Myndy Sanders | Administrator | Interviewed regarding the elopement incident and facility response |
| Brender Howard | Licensing Staff | Author of the Special Investigation Report |
Inspection Report
Renewal
Census: 60
Capacity: 106
Deficiencies: 0
Dec 6, 2022
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility license renewal.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 10
Number of residents interviewed and/or observed: 60
Facility capacity: 106
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron L. Clum | Licensing Consultant | Signed the inspection report and recommendation |
| Myndy Sanders | Administrator | Named as facility administrator |
| Mark McNeary | Authorized Representative | Named as authorized representative of the licensee |
Inspection Report
Original Licensing
Capacity: 106
Deficiencies: 0
Oct 16, 2020
Visit Reason
The facility requested an increase in licensed bed capacity from 104 beds to 106 beds based on the originally determined capacity from HFES.
Findings
The licensee's reasoning for the increase of capacity from 104 to 106 beds poses no conflicts with the statutes or rules. It is recommended that the bed capacity be increased accordingly.
Report Facts
Bed capacity increase: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mark W. McNeary | Authorized Representative | Signed application requesting bed capacity increase |
| Crystalee Keehey | Administrator | Named in facility identifying information |
| Aaron Clum | Licensing Staff | Prepared and signed the addendum report |
| Russell Misiak | Area Manager | Signed the addendum report |
Inspection Report
Original Licensing
Capacity: 106
Deficiencies: 0
May 17, 2019
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Primrose of Midland.
Findings
The facility was found to be in substantial compliance with the home for the aged public health code and administrative rules. A temporary license with a maximum capacity of 106 beds was recommended and issued.
Report Facts
Licensed bed capacity: 106
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron Clum | Licensing Staff | Author of the licensing study report and recommendation. |
| Russell Misiak | Area Manager | Approved the licensing recommendation. |
| Crystalee Cook | Administrator | Named as the facility administrator in the identifying information. |
| Mark McNeary | Authorized Representative | Named as the authorized representative of the applicant. |
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