Inspection Report
Complaint Investigation
Capacity: 80
Deficiencies: 1
Mar 20, 2025
Visit Reason
The inspection was conducted following a complaint alleging inadequate resident protection after Resident A was assaulted by another resident in the memory care unit.
Findings
The investigation confirmed the allegation that Resident A was assaulted by Resident B due to inadequate supervision and protection. Resident A sustained injuries, was hospitalized, and later passed away. The facility failed to adequately communicate and address concerns about Resident B's aggressive behavior.
Complaint Details
The complaint alleged that on 3/12/2025, Resident A, who was wheelchair bound, was assaulted by Resident B in the memory care common area, resulting in injuries and subsequent hospitalization. Resident A later passed away on 3/16/2025. The investigation substantiated the allegation of inadequate resident protection.
Deficiencies (1)
| Description |
|---|
| Inadequate resident protection resulting in Resident A being assaulted by Resident B. |
Report Facts
Capacity: 80
Complaint Receipt Date: Mar 19, 2025
Investigation Initiation Date: Mar 20, 2025
Report Due Date: May 19, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sonya Boulier | Administrator/Authorized Representative | Named in relation to the investigation and interview regarding Resident B's behavior and facility communication |
| Aaron Clum | Licensing Staff | Author of the report and licensing staff conducting the investigation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Renewal
Deficiencies: 0
Jun 10, 2024
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 license effective 07/01/2024.
Report Facts
License effective date: Jul 1, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Staff | Signed the renewal letter |
Inspection Report
Renewal
Census: 29
Capacity: 80
Deficiencies: 5
Jun 27, 2023
Visit Reason
The inspection was conducted as a renewal licensing study for Sunrise Assisted Living of Troy to assess compliance with regulatory requirements and determine if the facility's license should be renewed.
Findings
The facility was found non-compliant with several administrative rules related to meal and food records, kitchen and dietary practices including improper food storage and lack of temperature monitoring, inadequate sanitization documentation for dishwashing chemicals, and unsafe storage of hazardous materials.
Deficiencies (5)
| Description |
|---|
| Facility could not produce a meal census record that satisfies the requirement to maintain records of meal census and food amounts used. |
| Perishable food items in the kitchen were left uncovered and unlabeled regarding delivery, opening, or preparation dates. |
| Facility was not monitoring or recording temperatures of food storage areas to ensure food safety. |
| Dish washing machine chemical levels were not tested and recorded daily as required; last documentation was in January 2023. |
| Hazardous and toxic materials were found unsecured in the housekeeping closet, posing ingestion and poisoning risks. |
Report Facts
Number of staff interviewed and/or observed: 18
Number of residents interviewed and/or observed: 29
Facility capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Consultant | Author of the inspection report and recommendation |
| Thomas Patterson | Authorized Representative and Administrator of the facility | |
| Employee 1 | Reported on dish washing machine chemical sanitization practices |
Inspection Report
Original Licensing
Capacity: 80
Deficiencies: 0
Dec 11, 2019
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for Sunrise Assisted Living of Troy.
Findings
The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. The report recommends issuance of a temporary license with a maximum capacity of 80 beds.
Report Facts
Licensed bed capacity: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory-Weil | Licensing Staff | Author of the licensing study report and recommendation. |
| Russell B. Misiak | Area Manager | Approved the licensing report and confirmed policy approvals. |
| Ashley Dubay | Authorized Representative/Administrator of the facility. |
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