Deficiencies (last 4 years)
Deficiencies (over 4 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
85% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 39
Deficiencies: 2
Date: Mar 4, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A ran out of medication due to staff mishandling and failure to notify about medication delivery.
Complaint Details
Complaint received on 02/28/2025 alleged Resident A ran out of medication for 48 hours due to staff placing medication in a locked drawer and failing to notify others. The complaint was substantiated.
Findings
The investigation confirmed that Resident A did not receive prescribed medication for several doses despite the medication being in the facility's possession. Additionally, the facility lacked a policy for handling situations when residents run out of medication.
Deficiencies (2)
Resident A did not receive prescribed Haldol medication on 02/16/2025 and 02/17/2025 despite medication being in possession of the facility.
Facility does not have a policy for staff to follow when a resident runs out of medication.
Report Facts
Capacity: 39
Missed medication doses: 4
Complaint Receipt Date: Feb 28, 2025
Investigation Initiation Date: Mar 4, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Therese Fulgham | Administrator/Authorized Representative | Interviewed regarding medication incident and facility policies |
| Emily Stock | Elara Care Hospice Nurse | Interviewed regarding medication orders and authorization |
Inspection Report
Renewal
Deficiencies: 0
Date: Mar 18, 2024
Visit Reason
The document is a renewal notification indicating that an administrative review of licensing activity for the past year revealed substantial compliance with regulations for a home for the aged facility.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the license effective from 04/16/2024 to 07/31/2024.
Report Facts
License effective period: License effective from 04/16/2024 to 07/31/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Renewal
Capacity: 39
Deficiencies: 1
Date: Mar 24, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing requirements and to determine if the facility's license should be renewed.
Findings
The facility was found to be in non-compliance with rules related to governing bodies, administrators, and supervisors. Specifically, the service plans for a resident lacked adequate information regarding bedside assistive devices, including their purpose, staff responsibilities, and maintenance schedules.
Deficiencies (1)
Service plans lacked information about bedside assistive devices related to purpose of use, staff responsibility to ensure devices were safe, and ongoing maintenance schedules.
Report Facts
Capacity: 39
Number of staff interviewed and/or observed: 3
Number of residents interviewed and/or observed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Long | Authorized Representative | Named in identifying information |
| Therese Fulgham | Administrator | Named in identifying information |
| Kimberly Horst | Licensing Staff | Author of the report and letter |
Inspection Report
Original Licensing
Capacity: 39
Deficiencies: 0
Date: Mar 3, 2011
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the Sensations Home for the Aged.
Findings
The study determined substantial compliance with licensing statutes and administrative rules. The facility was found to be fully secured, barrier-free, and equipped with appropriate resident accommodations and safety features. A temporary license with a maximum capacity of 39 residents was recommended.
Report Facts
Licensed capacity: 39
Staff count: 22
License term length: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tonya Lawrence | Authorized Representative and Administrator | Named as the facility administrator with over 16 years experience |
| Linda Denniston | Licensing Staff | Conducted the licensing study and signed the report |
| Betsy Montgomery | Area Manager | Approved the licensing report |
| Kyle Medaugh | Engineer | Conducted physical measurements of the facility |
| Brian Davis | Fire Marshal Inspector | Approved the fire safety systems of the home |
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