Inspection Reports for Serene Gardens of Grand Blanc
1481 E Hill Rd, Grand Blanc Twp, MI 48439, United States, MI, 48439
Back to Facility ProfileDeficiencies per Year
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Unclassified
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 2
Sep 26, 2025
Visit Reason
The inspection was conducted in response to an anonymous complaint alleging inadequate care for Resident A, specifically regarding failure to rotate the resident as ordered, and a separate complaint about moldy food storage.
Findings
The investigation found that Resident A was receiving wound care and had a rotation order in place, but staff documentation of two-hour rotations was inconsistent with 58 missing entries in September 2025. The facility was not storing moldy food. Additionally, Resident A's service plan was not updated to include wound care, constituting a violation.
Complaint Details
The complaint alleged inadequate care for Resident A related to bed sore management and failure to rotate as ordered, and a separate allegation of moldy food storage. The inadequate care allegation was substantiated; the moldy food allegation was not substantiated.
Deficiencies (2)
| Description |
|---|
| Inadequate care for Resident A due to inconsistent documentation of two-hour rotations. |
| Failure to update Resident A's service plan to include wound care. |
Report Facts
Capacity: 79
Missing documentation entries: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Jackson | Administrator | Provided statements consistent with staff regarding Resident A's care and documentation issues |
| Aaron Clum | Licensing Staff | Conducted the investigation and authored the report |
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 2
Sep 9, 2025
Visit Reason
The inspection was conducted in response to an anonymous complaint alleging inadequate supervision of Resident A who eloped from the facility, and that Resident C was not bathed as required.
Findings
The investigation substantiated violations for inadequate supervision of Resident A, who exited the facility through an unsecured window, and for Resident C not receiving bathing as scheduled since admission. Both residents' care plans and facility practices were reviewed and found deficient.
Complaint Details
The complaint alleged inadequate supervision for Resident A who eloped from the building and Resident C was not bathed since admission. The allegations were substantiated based on investigation findings.
Deficiencies (2)
| Description |
|---|
| Inadequate supervision allowed Resident A to exit the facility through an unsecured window. |
| Resident C was not bathed as required since admission, despite care plan specifying bathing twice weekly. |
Report Facts
Capacity: 79
Complaint Receipt Date: Sep 8, 2025
Investigation Initiation Date: Sep 9, 2025
Report Due Date: Nov 7, 2025
Bathing frequency: 2
Safety checks frequency: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Rheingans | Administrator/AR | Named as facility administrator |
| Aaron Clum | Licensing Staff | Conducted investigation and authored report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Complaint Investigation
Capacity: 79
Deficiencies: 1
Sep 13, 2024
Visit Reason
The investigation was initiated due to a complaint alleging multiple concerns including residents being talked down to and harassed, residents left in bed during a tornado without notification, residents not being taken to the bathroom or left on the toilet for long periods, falsification of shower documentation, medication not given or given late, and issues with the menu and food served.
Findings
The investigation found no evidence to support allegations of residents being talked down to or harassed, residents left in bed during a tornado, bathroom neglect, or issues with the menu and food served. However, a violation was established regarding Resident A's medication not being given as prescribed due to medication availability issues and delays.
Complaint Details
The complaint was substantiated only for the allegation that Resident A’s medication was not given or given late. Other allegations including harassment, tornado safety, bathroom neglect, and food service were not substantiated.
Deficiencies (1)
| Description |
|---|
| Resident A’s medication was not given or given late due to medication availability and pharmacy delays. |
Report Facts
Facility capacity: 79
Medication unavailability dates: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Author of the Special Investigation Report |
| Megan Rheingans | Administrator | Facility administrator mentioned in identifying information |
| Daniela Popaj | Authorized Representative | Facility authorized representative and recipient of the report |
Inspection Report
Renewal
Census: 30
Capacity: 79
Deficiencies: 0
Jul 30, 2024
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for Serene Gardens of Grand Blanc.
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: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Rheingans | Administrator | Named as the facility administrator |
| Daniela Popaj | Authorized Representative | Named as the authorized representative |
Notice
Deficiencies: 0
Jul 26, 2023
Visit Reason
The document serves to notify that the Home for the Aged license for Bella Vita of Grand Blanc has been renewed for a 12-month period effective July 26, 2023.
Findings
The license renewal is valid only at the listed address and is not transferable. No inspection findings or deficiencies are reported in this document.
Report Facts
License duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron Clum | Licensing Staff | Contact person for license renewal questions |
Inspection Report
Original Licensing
Capacity: 79
Deficiencies: 0
Jan 26, 2018
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Bella Vita of Grand Blanc.
Findings
The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. A temporary license with a maximum capacity of 79 beds was recommended and issued.
Report Facts
Licensed bed capacity: 79
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory | Licensing Staff | Author of the licensing study report and recommendation for license issuance. |
| Russell B. Misiak | Area Manager | Approved the licensing recommendation. |
| Karen Peasley | Authorized Representative and Administrator of the facility. |
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