Inspection Reports for St. Anne’s Mead Assisted Living
16106 W 12 Mile Rd, Southfield, MI 48076, MI, 48076
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
1.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Census: 31
Capacity: 83
Deficiencies: 7
Feb 4, 2025
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with applicable administrative rules and public health code statutes for the facility's license renewal.
Findings
The facility was found to be non-compliant with several administrative rules including failure to conduct timely criminal background checks for rehired employees, delayed tuberculosis screenings for residents and employees, multiple missed medication doses without documented reasons, unsafe storage of hazardous materials, and an incomplete disaster plan lacking an explosion response.
Deficiencies (7)
| Description |
|---|
| Failure to conduct criminal history checks coinciding with most recent hire date for a rehired employee. |
| Residents admitted without evidence of tuberculosis screening performed within 12 months before admission. |
| Employees not screened for tuberculosis within 10 days of hire and before occupational exposure. |
| Multiple missed medication doses for residents without documented reasons on medication administration records. |
| Exhaust fan in visitor’s restroom missing cover, exposing fan blades. |
| Hazardous detergents and cleaning agents stored unsecured in launderette rooms with doors propped open, posing ingestion and poisoning risks. |
| Disaster plan lacked a general plan for explosion emergencies, only included a bomb threat plan. |
Report Facts
Number of staff interviewed and/or observed: 18
Number of residents interviewed and/or observed: 31
Facility capacity: 83
Number of excluded employees followed up: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Newport | Administrator and Authorized Representative | Reported discrepancy in criminal background check timing for rehired employee |
Inspection Report
Renewal
Deficiencies: 0
Jan 24, 2024
Visit Reason
The document serves as a renewal notification for the license of St. Anne's Mead Retirement Home following an administrative review of licensing activity for the past year.
Findings
The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License effective date: Jan 26, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Renewal
Deficiencies: 0
Jan 25, 2023
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules regulating home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the facility's 12-month license effective January 25, 2023.
Report Facts
License duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Author of the renewal letter |
Inspection Report
Original Licensing
Capacity: 83
Deficiencies: 0
Dec 6, 2018
Visit Reason
The licensee requested to increase the memory care licensed beds to 21, and an onsite inspection was completed to verify the facility's compliance and capacity.
Findings
The bathing room was found to be handicap accessible with a large walk-in shower, toilet, sink, ample cabinet space, and emergency pull cords to alert staff if assistance is needed. Full occupancy approval was granted, resulting in an overall licensed bed capacity of 83.
Report Facts
Licensed bed capacity: 83
Memory care licensed beds: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brender Howard | Licensing Staff | Completed onsite inspection and signed recommendation |
| Russell Misiak | Area Manager | Signed recommendation for licensed bed capacity increase |
Inspection Report
Original Licensing
Capacity: 83
Deficiencies: 0
Nov 1, 2018
Visit Reason
The facility requested an increase in licensed capacity from 77 to 83 beds, with the addition of 6 beds in the secured memory care unit.
Findings
The memory care unit, originally licensed for 15 beds, has added a second bathing facility allowing the increase of beds from 15 to 21, resulting in a total facility capacity increase from 77 to 83 beds.
Report Facts
Licensed bed increase: 6
Total licensed capacity: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Denniston | Licensing Staff | Author of the addendum report and recommendation |
| Jane Collins | Administrator | Authorized representative and administrator of the facility |
Inspection Report
Original Licensing
Capacity: 77
Deficiencies: 0
Aug 20, 2018
Visit Reason
The facility requested conversion of a former area of the home for the aged into a memory care unit, resulting in a change of licensed bed capacity. The inspection was conducted to evaluate and approve this change.
Findings
The memory care unit consists of 21 resident rooms and associated common areas, with features to support memory care residents including secured exits and a secured courtyard. The unit meets fire safety and occupancy approvals, and the memory care program statement complies with statutory requirements.
Report Facts
Memory care unit beds: 15
Total licensed bed capacity: 77
Fire safety certification date: Aug 17, 2018
Occupancy approval date: Aug 17, 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Linda Denniston | Licensing Staff | Conducted inspection and recommended approval of memory care unit |
| Russ Misiak | Area Manager | Signed recommendation for approval of memory care unit |
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