Inspection Report
Renewal
Census: 38
Capacity: 118
Deficiencies: 1
Oct 21, 2025
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with licensing rules and regulations for Sunrise Assisted Living of Northville.
Findings
The facility was found to be in non-compliance with the rule requiring initial tuberculosis screening for employees within 10 days of hire and before occupational exposure. Five employees did not have timely TB testing, resulting in a violation.
Deficiencies (1)
| Description |
|---|
| Employees #1, #2, #3, #4, and #5 did not have tuberculosis (TB) tests within 10 days of hire and before occupational exposure. |
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 38
Capacity: 118
Number of employees without timely TB test: 5
Inspection Report
Complaint Investigation
Capacity: 118
Deficiencies: 1
Jul 31, 2025
Visit Reason
The inspection was conducted in response to an anonymous complaint alleging that the hot water was not functioning for approximately 24 hours and that the heat was not working for approximately two weeks at the end of April and beginning of May.
Findings
The investigation found that the hot water system was down for a few hours in May due to a malfunctioning pump switch relay which was promptly repaired, resulting in no violation. However, the heating system was down for approximately two weeks due to a cracked pipe and the facility did not maintain adequate temperature logs or documentation to ensure room temperatures were maintained at a safe level, resulting in a violation being established.
Complaint Details
The complaint was anonymous and alleged the hot water was not functioning for approximately 24 hours and the heat was not working for approximately two weeks. The hot water violation was not established, but the heating violation was substantiated due to inadequate temperature maintenance and documentation.
Deficiencies (1)
| Description |
|---|
| Failure to maintain a safe heating system providing at least 72 degrees Fahrenheit in resident rooms during heating system downtime. |
Report Facts
Capacity: 118
Complaint Receipt Date: May 8, 2025
Investigation Initiation Date: May 9, 2025
Report Due Date: Jul 7, 2025
Heating system downtime: 14
Hot water system downtime: 4
Room temperatures below 72 degrees: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristy Britton | Administrator | Interviewed regarding heating and hot water system issues |
| Jennifer Heim | Health Care Surveyor | Conducted the investigation and authored the report |
Notice
Deficiencies: 0
Jun 6, 2024
Visit Reason
The document serves as a notification of license renewal following an administrative review of licensing activity for the past year, confirming substantial compliance with applicable public health codes and administrative rules.
Findings
The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license for 12 months effective 07/01/2024.
Report Facts
License effective period: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Signed the license renewal notification letter |
Inspection Report
Renewal
Census: 32
Capacity: 118
Deficiencies: 4
Jun 23, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Sunrise Assisted Living of Northville to assess compliance with state regulations and determine eligibility for license renewal.
Findings
The facility was found to be in non-compliance with several rules including lack of a designated supervisor of resident care on each shift, incomplete medication administration records for two residents, undated food items in the memory care refrigerator, and unsafe storage of hazardous materials accessible to residents.
Deficiencies (4)
| Description |
|---|
| No designated supervisor of resident care for each shift; charge leads assigned instead. |
| Medication administration records for Resident A and Resident B had blank entries, making it unclear if medications were administered. |
| Memory care refrigerator contained undated food items such as ketchup, mustard, salad dressing, and fruit bowls. |
| Sharp knife and lighter stored in an unlocked kitchen drawer accessible to residents in memory care unit. |
Report Facts
Number of staff interviewed and/or observed: 15
Number of residents interviewed and/or observed: 32
Capacity: 118
Number of excluded employees followed up: 3
Inspection Report
Original Licensing
Capacity: 118
Deficiencies: 9
Dec 17, 2019
Visit Reason
The visit was conducted as an original licensing study for Sunrise Assisted Living of Northville to evaluate compliance with licensing requirements and to determine if a license should be issued.
Findings
The inspection found multiple violations related to resident care, medication administration, employee health screenings, supervision, and record keeping. Due to the severity of violations, a corrective action plan was required before a temporary license could be issued.
Deficiencies (9)
| Description |
|---|
| Failure to maintain an organized program for protection, supervision, and personalized care regarding the use of a bedside assistive device for Resident A. |
| Lack of evidence of annual tuberculosis screening for residents. |
| Lack of evidence of annual tuberculosis risk assessment for employees. |
| Noncompliance with requirement to designate one supervisor of resident care per shift. |
| Resident medication service plans did not adequately address supervision and intervention methods for as-needed medications. |
| Failure to document reasons for administration of as-needed medications. |
| Failure to record written instructions for adjusting or modifying prescription medications, including crushing medications without documented orders. |
| Failure to follow facility policy for narcotic medication counts, including improper signing of narcotic count sheets and presence of unauthorized signatures. |
| Staff work schedules did not show the type of personnel scheduled on duty and did not identify one supervisor per shift. |
Report Facts
Facility capacity: 118
Number of residential units: 70
Number of double occupancy units: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Jensen | Authorized Representative/Administrator | Named in relation to findings on tuberculosis screening, supervision, and medication administration |
| Jordan Jajuga | Day shift staff | Named in relation to narcotic count sheet violation and medication administration |
| D’Nesi Bonner | Day shift staff | Named in relation to narcotic count sheet violation |
| Kathy Ochoa | Resident Care Director | Named in relation to narcotic count sheet procedure and medication administration |
| Shajuana Duncan | Staff | Named in relation to narcotic count sheet violation |
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