Inspection Report
Complaint Investigation
Census: 8
Capacity: 37
Deficiencies: 1
Sep 17, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging residents were left unattended, resident bathing was not being completed, and the facility was not clean.
Findings
The investigation found that residents were not left unattended and the facility was clean, but bathing was not consistently completed as per residents' service plans for four residents.
Complaint Details
The complaint alleged residents were left unattended on 9/1/24, resident bathing was not completed, and the facility was unclean. The allegation of residents left unattended and unclean facility were not substantiated. The bathing allegation was substantiated based on documentation review.
Deficiencies (1)
| Description |
|---|
| Residents A, B, C, and D did not consistently receive twice weekly bathing as their service plans instructed during the timeframe reviewed. |
Report Facts
Residents present: 8
Total licensed capacity: 37
No bathing documented: 9
No bathing documented: 9
One shower documented: 1
One shower documented: 1
One shower documented: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Margo Kendzier | Administrator | Interviewed regarding allegations and staffing |
| Daniela Popaj | Authorized Representative | Provided staffing information in follow-up correspondence |
Inspection Report
Original Licensing
Capacity: 37
Deficiencies: 2
Sep 21, 2023
Visit Reason
The visit was conducted as part of the original licensing study for Serene Gardens of Rochester Hills Memory Care to determine compliance with applicable licensing statutes and administrative rules for a home for the aged with a memory care program.
Findings
The facility was found to be in substantial compliance with licensing requirements after addressing a few physical plant items identified during the on-site inspection. A temporary license with a maximum capacity of 37 beds was recommended and issued.
Deficiencies (2)
| Description |
|---|
| Hair salon exhaust was not continuous but rather connected to light switch. |
| Windows in memory care facility open fully and do not match program statement that indicates they only open 6 inches and are alarmed. |
Report Facts
Licensed beds: 37
Resident rooms: 27
Double occupancy rooms: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lawrence Ragnone | Authorized Representative | Named in relation to findings and submission of corrective documentation |
| Daniela Popaj | Chief Financial Officer | Named in relation to findings and submission of corrective documentation |
| Logan Miller | Administrator | Present during on-site inspection |
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