Inspection Reports for Straits Area Senior Living Community

255 S. Airport Rd., MI, 49781

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 12.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

140% worse than Michigan average
Michigan average: 5.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024
Inspection Report Complaint Investigation Capacity: 48 Deficiencies: 1 Oct 16, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A did not receive timely medical attention for an untreated urinary tract infection (UTI).
Findings
The investigation found that Resident A exhibited increased behaviors and redness as early as 09/14/2024, but the facility delayed contacting the primary care physician until 10/14/2024 for a urinalysis test order. The facility provided over-the-counter ointment and repeatedly attempted to contact Resident A's relative without success. The delay in medical attention was determined to be a violation of regulations.
Complaint Details
Complaint received on 10/15/2024 alleging Resident A had an untreated UTI and did not receive timely medical attention. The violation was established based on interviews and documentation review.
Deficiencies (1)
Description
Resident A did not receive timely medical attention for a urinary tract infection.
Report Facts
Capacity: 48 Complaint Receipt Date: Oct 15, 2024 Investigation Initiation Date: Oct 16, 2024 Report Due Date: Dec 14, 2024
Employees Mentioned
NameTitleContext
Amanda KruczynskiAuthorized RepresentativeInterviewed regarding Resident A's medical attention and investigation details
Annabelle CosibittAdministratorProvided correspondence and information about Resident A's condition and facility actions
Kimberly HorstLicensing StaffConducted investigation and authored the report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the investigation report
Inspection Report Renewal Census: 4 Capacity: 48 Deficiencies: 10 Oct 24, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Straits Area Senior Living Community to assess compliance with applicable regulations and determine eligibility for license renewal.
Findings
The facility was found to be in non-compliance with multiple rules including improper signing of admission agreements, incomplete admission contracts, outdated service plans, lack of tuberculosis screening, incomplete staff training and competency evaluations, medication administration errors, failure to post weekly menus, lack of meal census records, and improper food storage practices.
Deficiencies (10)
Description
Admission agreement was signed by a relative instead of the competent resident, making it invalid.
Admission agreement did not specify the admission and discharge policy and resident rights and responsibilities.
Resident's service plan was not updated to reflect involvement with hospice.
Resident did not have tuberculosis screening within 12 months of admission.
Staff person 1 did not complete the required staff training program.
Facility administrator or designee did not evaluate staff person 1's competencies.
Medication was administered daily despite order specifying 'as needed' basis.
Weekly menu was not posted as required.
Facility did not maintain a meal census record.
Food items in kitchen were opened, unsealed, and not dated.
Report Facts
Number of residents interviewed and/or observed: 4 Number of staff interviewed and/or observed: 4 Facility capacity: 48 Medication administration days: 21
Employees Mentioned
NameTitleContext
Neil HinksonAuthorized Representative/AdministratorNamed as facility administrator
Staff person 1Did not complete required staff training and competency evaluation
Inspection Report Original Licensing Capacity: 48 Deficiencies: 14 Apr 11, 2023
Visit Reason
The inspection was conducted as part of the original licensing study for Straits Area Senior Living Community to determine compliance with applicable licensing statutes and administrative rules for a home for the aged facility.
Findings
The facility was found to be substantially compliant except for physical plant deficiencies including lack of a janitor closet on the resident floor and near the kitchen, no separate soiled linen room, and ventilation issues. A plan and timetable for correction were submitted, and a 6-month temporary license with a maximum capacity of 48 beds was recommended.
Deficiencies (14)
Description
No janitor closet on the resident occupied floor
No janitor closet convenient to the kitchen
No separate soiled linen storage room
Food service establishment license not yet attained
Resident rights and responsibilities not posted
Menus and meal census records needed
Two cabinet doors missing in resident room and bathroom
Need evidence of sanitization in dishwasher and 3-part sink
Ice scoop stored inside ice bin instead of outside
Kitchen chemicals not stored away from food service area
Kitchen handwash lavatory sinks need wrist/foot/knee control
Exhaust vents not working or not continuously operated in hair salon and communal toilet rooms
Kitchen window drop panel not connected to fire system
Exhaust ventilation needed in janitor closets and soiled linen room
Report Facts
Licensed capacity: 48 Residential units: 38 Double occupancy units: 10 Temporary license duration: 6
Employees Mentioned
NameTitleContext
Melissa HinksonOwnerNamed in relation to submission of plans and corrections
Neil HinksonAuthorized RepresentativeNamed in relation to communication about findings and compliance
Ryan ByrneBureau of Fire Services InspectorNamed in relation to fire safety inspection and approval
Kasra ZarbinianHealth Facilities Engineering Section EngineerNamed in relation to occupancy approval and building plan review
Brad LaFaveFinance DirectorNamed in relation to submission of compliance documentation
Andrea KrausmannLicensing StaffAuthor of the licensing study report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApprover of the licensing report

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