Inspection Reports for Provision Living at East Lansing

The document serves as an administrative review and renewal of the Home for the Aged license for Provision Living at East Lansing, confirming substantial compliance with applicable public health codes and administrative rules over the past year.

The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license effective from 01/08/2024 to 07/31/2024.

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

The facility was found to be non-compliant with multiple rules including failure to complete workforce background checks, lack of resident and authorized representative participation in service plan development, absence of a designated shift supervisor, medication administration instructions deficiencies, failure to post therapeutic menus, inadequate ventilation in certain rooms, lack of dishwasher sanitization verification, improper food storage, and failure to destroy uneaten food portions.

The investigation was initiated due to a complaint alleging that Resident B eloped from the facility.

The investigation found that Resident B eloped from the facility after staff failed to check on him every two hours as required. Video footage confirmed the resident left his apartment around 1:24am and was found outside several hours later. The facility failed to protect Resident B, establishing a violation.

Resident B eloped from the facility. The violation was established based on video evidence and staff interviews confirming inadequate supervision.

The inspection was conducted in response to a complaint alleging the facility failed to inform Resident A’s family and hospice company of falls and concerns about Resident A not eating.

The investigation established that the facility failed to notify Resident A’s authorized representative and physician about at least two falls and did not complete incident reports for these falls. However, the allegation that the facility was not ensuring Resident A was eating was not substantiated.

Complaint received on 2022-10-11 alleging failure to inform Resident A’s family and hospice company of falls. Investigation confirmed violation of notification requirements but did not substantiate failure to ensure Resident A was eating.

The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Provision Living at East Lansing.

The study determined substantial compliance with Public Health Code Act 368 of 1978 and administrative rules related to a licensed home for the aged. A temporary 6-month license with a maximum capacity of 126 beds was recommended and issued.