Inspection Report
Original Licensing
Capacity: 95
Deficiencies: 0
May 9, 2023
Visit Reason
The inspection was conducted to review the addition of a newly built memory care unit and to increase the licensed bed capacity by 36 beds at Randall Residence at Encore Village.
Findings
The facility added a secure memory care unit consisting of 36 single-occupancy residential units with various room styles and compliant safety features. The memory care program statement and emergency generator were found compliant with applicable Michigan laws. The facility is equipped with approved fire suppression systems and emergency power provisions.
Report Facts
Capacity increase: 36
Total licensed capacity: 95
Recommended licensed capacity: 131
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Author of the addendum report and recommendation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the addendum report |
| Michele Perry | Authorized Representative/Administrator | Facility administrator and authorized representative who signed the memory care program statement |
| Christopher Randall | Manager | Signed the application for the addition of the memory care unit |
Inspection Report
Renewal
Census: 10
Capacity: 131
Deficiencies: 0
May 9, 2023
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with licensing statutes and rules for license renewal.
Findings
The facility was found to be in compliance with all applicable rules and statutes. Renewal of the license is recommended.
Report Facts
Number of staff interviewed and/or observed: 5
Number of residents interviewed and/or observed: 10
Inspection Report
Original Licensing
Capacity: 95
Deficiencies: 0
Jan 25, 2023
Visit Reason
The visit was conducted to approve the utilization of all 56 residential units and to increase the total licensed bed capacity from 60 to 95 beds at Randall Residence at Encore Village.
Findings
The facility was initially licensed for 60 beds using 30 of the 56 residential units, with only three units meeting barrier-free accessibility requirements. After reconstruction of additional rooms to meet accessibility standards, all 56 units were approved for occupancy with 39 rooms approved for double occupancy, increasing total capacity to 95 beds.
Report Facts
Licensed bed capacity: 60
Licensed bed capacity: 95
Residential units: 56
Double occupancy rooms: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Austin Webster | Health Facilities Engineering Section engineer | Submitted Occupancy Approval Reports and identified rooms meeting accessibility requirements |
| Andrea Krausmann | Licensing Staff | Prepared and signed the Addendum to the Original Licensing Study Report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the Addendum to the Original Licensing Study Report |
Inspection Report
Original Licensing
Capacity: 60
Deficiencies: 1
Dec 9, 2022
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Randall Residence at Encore Village, a new assisted living facility.
Findings
The facility was found to be in substantial compliance with home for the aged public health code and administrative rules, with some physical plant items initially out of compliance but corrected promptly. A temporary 6-month license with a maximum capacity of 60 beds was recommended and issued.
Deficiencies (1)
| Description |
|---|
| A few physical plant items were found to be out of compliance during the on-site inspection on 12/09/2022 but were corrected by 12/15/2022. |
Report Facts
Licensed capacity: 60
Residential units approved: 30
Beds: 60
License duration: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michele Perry | Authorized Representative | Accompanied the inspector during the on-site inspection and submitted documentation related to compliance and licensing. |
| Andrea Krausmann | Licensing Staff | Conducted the licensing study and authored the report. |
| Don Collick | Bureau of Fire Services Inspector | Issued fire safety certification approval and approved physical plant corrective actions. |
| Austin Webster | Health Facilities Engineering Section Engineer | Issued opening survey and occupancy approval for residential units. |
| Bradley Zulewski | REHS Livingston County Health Department | Signed approval letter for food service establishment license. |
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