Inspection Reports for Royal Oak House
1900 N Washington Ave., Royal Oak, MI 48073, MI, 48073
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Inspection Report
Complaint Investigation
Census: 57
Capacity: 57
Deficiencies: 1
Jul 10, 2025
Visit Reason
The inspection was conducted in response to an anonymous complaint alleging residents were not getting changed, showered as scheduled, timely laundry completion, facility cleanliness issues, and feeding assistance delays.
Findings
The investigation found no violation regarding residents not being changed, laundry issues, facility cleanliness, or feeding assistance. However, a violation was established due to inadequate documentation of residents receiving showers as scheduled.
Complaint Details
The complaint was anonymous and alleged residents were left in soiled briefs or no briefs, not showered as scheduled, laundry was not completed timely and lost, the facility was unclean and smelled, and residents requiring feeding assistance did not receive it timely. Only the showering allegation was substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to provide documentation that residents received showers twice per week as scheduled. |
Report Facts
Capacity: 57
Residents observed: 12
Residents with no shower documentation: 5
Residents missing shower documentation: 10
Complaint receipt date: Jul 7, 2025
Investigation initiation date: Jul 10, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Laura Smigielski | Administrator | Interviewed during investigation |
| Vijay Sahore | Authorized Representative | Contacted during exit conference and referenced in report |
| Rebekah Looney | Licensing Staff | Conducted investigation and authored report |
Inspection Report
Renewal
Census: 22
Capacity: 57
Deficiencies: 14
Sep 5, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with regulatory requirements for the facility's license renewal.
Findings
The facility was found to be in non-compliance with multiple public health code statutes and administrative rules, including privacy violations, lack of updated resident service plans, inadequate tuberculosis screening for residents and employees, medication administration errors, unsecured medications, improper meal census documentation, unsafe storage of garbage and hazardous materials, and maintenance issues such as broken handrails and unsecured toxic chemicals.
Deficiencies (14)
| Description |
|---|
| Medication records were left open on a computer in the memory care unit exposing protected health information. |
| Loose bed rails on 11 resident beds with entrapment risk; lack of physician orders provided to the department and incomplete resident service plans regarding assistive devices. |
| Resident service plans not updated to reflect use of assistive devices and hospice services. |
| Residents admitted without required tuberculosis screening prior to move-in; facility policy did not require pre-admission TB testing. |
| Employees not screened for tuberculosis upon hire as required; facility policy only required annual risk assessment. |
| Multiple missed medication doses for residents without documented reasons; repeat violation established. |
| Resident service plans did not specify medication management status; unsecured over-the-counter medications observed with no monitoring or inventory system. |
| Inconsistent or absent meal census documentation; kitchen staff unaware of documentation dates. |
| Multiple garbage cans without lids including in commercial kitchen. |
| Soiled linens stored in uncovered bin in memory care unit hallway with risk of cross contamination. |
| Perishable food items in kitchen not properly labeled, dated, or sealed; lack of regular temperature monitoring for refrigerator and freezer. |
| No temperature logs to verify dishwashing sanitization effectiveness. |
| Broken handrail with sharp exposed edge in assisted living hallway. |
| Unsecured hazardous and toxic materials in janitor's closet and memory care areas posing poisoning risk. |
Report Facts
Number of residents interviewed and/or observed: 22
Number of staff interviewed and/or observed: 15
Facility capacity: 57
Number of residents with bed rails: 17
Dates of missed medication doses for Resident A: 4
Dates of missed medication doses for Resident B: 20
Dates of missed medication doses for Resident D: 1
Number of excluded employees followed up: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Suzanne Valoppi | Administrator | Provided statements regarding bed rails, TB screening, medication management, and facility policies |
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and renewal licensing study |
Inspection Report
Original Licensing
Capacity: 57
Deficiencies: 0
Feb 23, 2018
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Royal Oak House.
Findings
The study determined substantial compliance with licensing statutes and administrative rules. The facility is a fully remodeled two-story building with secured memory care and general aged care areas, equipped with safety features and approved fire suppression systems. A temporary license with a maximum capacity of 57 was recommended.
Report Facts
Capacity: 57
Beds in Alzheimer’s/dementia program: 26
Beds in general aged program: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen DeLaFlor | Administrator | Administrator of Royal Oak House mentioned in relation to program description and technical assistance |
| Vijay Sahore | Authorized Representative | Authorized representative of the facility and applicant |
| Linda Denniston | Licensing Staff | Licensing staff who signed the report and recommended license issuance |
| Russell B. Misiak | Area Manager | Area Manager who approved the licensing recommendation |
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