Inspection Reports for Tecumseh Place Assisted Living

MI, 49286

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 0.2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

96% better than Michigan average
Michigan average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2019
2022
2023
2024
2025

Census

Latest occupancy rate 25% occupied

Based on a March 2024 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

0 7 14 21 28 Jan 2023 Mar 2024

Inspection Report

Complaint Investigation
Capacity: 20 Deficiencies: 0 Date: Aug 6, 2025

Visit Reason
The investigation was initiated due to allegations that the facility did not have adequate staff, Resident A's healthcare needs were not properly addressed, and that Relative A1 was not properly notified of a serious incident.

Complaint Details
The complaint alleged inadequate staffing, improper addressing of Resident A's healthcare needs including falls and nutrition, and failure to notify Relative A1 properly of a serious incident. All allegations were investigated and found not substantiated.
Findings
The investigation found no violations regarding staffing adequacy, Resident A's healthcare needs, or notification of incidents to Relative A1. Staff schedules showed no gaps, Resident A's care was managed according to physician orders, and Relative A1 was notified of a fall incident. Resident A was transferred to another facility during the investigation.

Report Facts
Facility capacity: 20 Complaint receipt date: Aug 4, 2025 Investigation initiation date: Aug 6, 2025

Employees mentioned
NameTitleContext
Geoff ByronAdministratorInterviewed regarding staffing and Resident A's care
Dwight FordeLicensing ConsultantConducted investigation and authored report

Inspection Report

Complaint Investigation
Capacity: 20 Deficiencies: 0 Date: Dec 27, 2024

Visit Reason
The investigation was initiated due to a complaint alleging employee verbal abuse of residents, leaving residents in soiled briefs causing skin problems, and substandard housekeeping resulting in ants and improperly changed bedding.

Complaint Details
Complaint received on 12/23/2024 alleging employees verbally abuse residents, leave residents in soiled briefs causing skin problems, and substandard housekeeping with ants and improper bedding changes. All allegations were investigated and found unsubstantiated.
Findings
The investigation found no substantiated violations. Observations and interviews indicated employees treated residents with dignity, residents were properly cared for with no skin problems noted, and housekeeping standards were maintained with no evidence of ants or dirty bedding.

Report Facts
Capacity: 20

Employees mentioned
NameTitleContext
Kristina PetersEmployeeInterviewed during investigation regarding resident care and allegations
Jennifer PaulsenCareline Nurse PractitionerInterviewed by telephone regarding resident health care and skin conditions
Connie ClausonLicensee DesigneeContacted for exit conference and advised of findings

Inspection Report

Renewal
Census: 5 Capacity: 20 Deficiencies: 0 Date: Mar 5, 2024

Visit Reason
The visit was conducted as a renewal inspection to determine compliance with licensing statutes and rules for the Adult Foster Care large group home license.

Findings
The facility was determined to be in substantial compliance with applicable rules and requirements, resulting in the recommendation for issuance of a 2-year regular adult foster care license.

Report Facts
Number of staff interviewed and/or observed: 4 Number of residents interviewed and/or observed: 5 Facility capacity: 20

Employees mentioned
NameTitleContext
Connie ClausonLicensee/Licensee DesigneeNamed as Licensee/Licensee Designee
Keely SandersAdministratorNamed as Administrator
Dwight FordeLicensing ConsultantAuthor of the report and recommendation

Inspection Report

Complaint Investigation
Capacity: 20 Deficiencies: 0 Date: Oct 16, 2023

Visit Reason
The investigation was initiated due to complaints alleging no staff training, residents left in soiled clothing, resident bruises, and lack of use of hoyer lifts.

Complaint Details
Complaint alleged no staff training, resident bruises, residents left in soiled clothing, and no use of hoyer lifts. All allegations were investigated and found not substantiated.
Findings
The investigation found no substantial violations. Allegations regarding residents left in soiled clothing, improper staff training on special equipment, and residents having bruises were all determined to be unsubstantiated based on interviews, documentation review, and observations.

Report Facts
Capacity: 20

Employees mentioned
NameTitleContext
Keely SandersAdministratorInterviewed regarding staff training and facility operations
Connie ClausonLicensee DesigneeAttempted exit conference; unavailable
Dwight FordeLicensing ConsultantAuthor of the report
Barbara RobertsResident Care ManagerInterviewed regarding complaints about resident care
India MesterStaff MemberInterviewed about resident care and observations
Wendi CombsEmployeeFile reviewed for training verification on use of hoyer lifts
Kristina PetersEmployeeInterviewed regarding observations of resident bruising

Inspection Report

Complaint Investigation
Capacity: 20 Deficiencies: 1 Date: Apr 26, 2023

Visit Reason
The investigation was initiated due to a complaint alleging that employees did not follow Resident A’s plan of care.

Complaint Details
Complaint investigation initiated on 04/19/2023 regarding failure to follow Resident A’s plan of care. Violation was established based on evidence that employees failed to turn Resident A every two hours and keep her dry as required.
Findings
The investigation found that employees did not consistently follow Resident A’s plan of care, specifically failing to turn and change the resident as required, resulting in gaps in care documentation and Resident A being found in soiled clothing. The violation was established based on interviews and review of logs and hospice notes.

Deficiencies (1)
Employees did not follow Resident A’s plan of care regarding turning and keeping the resident dry.
Report Facts
Capacity: 20

Employees mentioned
NameTitleContext
Keely SandersAdministratorInterviewed regarding Resident A’s care and logs
Connie ClausonLicensee DesigneeAttempted exit conference contact
Cheryl MooreCareline Medical Social WorkerInterviewed regarding gaps in Resident A’s care and logs
Jennifer PaulsonCareline Hospice Nurse PractitionerInterviewed regarding Resident A’s care and wound condition

Inspection Report

Complaint Investigation
Census: 8 Capacity: 20 Deficiencies: 0 Date: Jan 24, 2023

Visit Reason
The inspection was conducted in response to complaints alleging understaffing, medication errors, improper toileting of residents, and moldy and dirty rooms at the facility.

Complaint Details
The investigation was initiated following a complaint received on 2022-12-05 regarding understaffing, medication errors, improper toileting, and unclean rooms. All allegations were investigated and found to be unsubstantiated.
Findings
No violations were established for any of the allegations. The home was found to be adequately staffed, medication errors were not substantiated, residents were properly toileted, and the facility was clean without mold or foul odors.

Report Facts
Capacity: 20 Census: 8

Employees mentioned
NameTitleContext
Athena MezaHome ManagerInterviewed during the investigation denying staffing and medication error issues

Inspection Report

Complaint Investigation
Capacity: 20 Deficiencies: 0 Date: Jun 30, 2022

Visit Reason
The investigation was initiated due to complaints alleging staff sleeping during shifts, failure to provide proper medical care, and improper toileting and cleaning practices at the facility.

Complaint Details
Complaints alleged staff sleeping and not providing proper supervision, failure to provide proper medical care, and improper toileting and unclean rooms. All allegations were investigated and violations were not established.
Findings
The investigation found no substantial violations. Staff sleeping was an isolated incident with disciplinary action taken. Medical care and resident hygiene were found to be properly managed with no evidence of neglect or improper care.

Report Facts
Capacity: 20

Employees mentioned
NameTitleContext
Nicole WingenfeldAdministratorInterviewed regarding allegations and investigation findings
Wendy CombsStaff memberInterviewed regarding staff sleeping and care allegations
Kristina PetersStaff memberInterviewed regarding staff sleeping and care allegations
Sarah HumphreyCareline Hospice nurseInterviewed regarding resident wound care and medical care
John MooneyhamFacility DirectorOversees cleaning process improvements
Adelina CabelloStaff member disciplined for sleeping during shift

Inspection Report

Original Licensing
Capacity: 20 Deficiencies: 0 Date: Aug 26, 2019

Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Tecumseh Place I.

Findings
The facility was found to be in substantial compliance with licensing requirements, including physical facility standards, program descriptions, and staff qualifications. A temporary license with a maximum capacity of 20 residents was recommended and issued.

Report Facts
Facility capacity: 20 Facility size: 9682 Number of bedrooms: 20 Room dimensions: 144 Living space: 1000 Staff to resident ratio: 1

Employees mentioned
NameTitleContext
Jeffrey J. BozsikLicensing ConsultantAuthor of the licensing study report and recommendation
Connie ClausonAdministrator/Licensee DesigneeFacility administrator and licensee designee
Ardra HunterArea ManagerApproved the licensing recommendation

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