Deficiencies (last 4 years)
Deficiencies (over 4 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 1
Jul 31, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A's care needs had not been met, including issues with hygiene, weight loss, and delayed staff response.
Findings
The investigation substantiated the allegation that Resident A's care needs were not met, noting significant declines in Resident A's condition, missed documentation for oral care, bathing, toileting, vital signs, weight, and laundry services.
Complaint Details
The complaint alleged Resident A was left in saturated diapers causing rashes, had feces on hands and nails, was lying on a bare mattress with soiled sheets nearby, had a room that reeked of urine, was not shaved or bathed regularly, experienced frequent falls, delayed staff response to call button, significant weight loss, and missed meals. The allegation was substantiated.
Deficiencies (1)
| Description |
|---|
| Multiple missed documentation related to oral hygiene, showers, toileting assistance, monthly vital signs, monthly weight, and weekly laundry. |
Report Facts
Capacity: 102
Complaint Receipt Date: May 19, 2025
Investigation Initiation Date: May 19, 2025
Report Due Date: Jul 18, 2025
Call events: 25
Longest call response time (minutes): 27
Average call response time (minutes): 8
Missed oral care opportunities: 15
Missed toileting documentation: 30
Resident A weight: 155.2
Weight loss: 50
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Heim | Health Care Surveyor | Author of the Special Investigation Report |
| Elizabeth Leone | Administrator | Facility administrator mentioned in report |
| Megan Rheingans | Authorized Representative | Facility authorized representative mentioned in report |
Notice
Deficiencies: 0
Mar 31, 2024
Visit Reason
The document serves as a notification that the Home for the Aged license for The Avalon of Auburn Hills has been renewed for a 12-month period effective March 31, 2024.
Findings
The license renewal is valid only at the specified address and is not transferable. No inspection findings or deficiencies are reported in this document.
Report Facts
License duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron Clum | Licensing Staff | Contact person for license renewal questions |
Inspection Report
Complaint Investigation
Capacity: 158
Deficiencies: 1
Nov 28, 2023
Visit Reason
The investigation was initiated due to a complaint alleging inadequate care of Resident A related to constipation and medication administration.
Findings
The investigation found no violation regarding inadequate care or staff access to medication cart. However, a violation was established because staff did not administer the prescribed suppository medication for constipation to Resident A prior to hospitalization, despite the medication being prescribed as needed.
Complaint Details
Complaint alleged inadequate care of Resident A when staff sent her to the hospital instead of administering prescribed suppository due to lack of access to medication cart. Investigation did not substantiate inadequate care or access issues but found medication was not administered as prescribed.
Deficiencies (1)
| Description |
|---|
| Failure to administer prescribed medication (BISACODYL suppository) for constipation as ordered. |
Report Facts
Facility capacity: 158
Complaint receipt date: Nov 28, 2023
Hospitalization date: Apr 15, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bracha Drissman | Administrator/Authorized Representative | Interviewed regarding the investigation and facility operations |
| Nora Sarras | Director of Health Services | Interviewed regarding the investigation and Resident A's care |
| Aaron Clum | Licensing Staff | Author of the Special Investigation Report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Complaint Investigation
Capacity: 158
Deficiencies: 2
Oct 24, 2023
Visit Reason
The investigation was initiated due to an anonymous complaint alleging short staffing, medication administration delays, inadequate food service, and concerns about the wellness director's ability to assist due to alcohol smell.
Findings
The investigation found no evidence of short staffing or inadequate food service, but established violations related to medication administration documentation and failure to document changes in a resident's behavior. Additional allegations about the wellness director and resident care due to short staffing were not substantiated.
Complaint Details
The complaint alleged resident care suffered due to short staffing, the wellness director was unable to assist due to smelling of alcohol, medications were administered late, and inadequate food service was provided. The medication administration documentation and failure to document resident behavior changes were substantiated violations; other allegations were not substantiated.
Deficiencies (2)
| Description |
|---|
| Facility's medication administration records lacked documentation of the actual time medications were administered. |
| Failure to document observations of changes in Resident A's behavior in her health record. |
Report Facts
Facility capacity: 158
Medications administered at 8 am on 10/01/2023: 5
Medications administered at 8 am on 10/01/2023: 10
Medications administered at 8 am on 10/01/2023: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara P. Zabitz | Health Care Surveyor | Author of the investigation report |
| Bracha Drissman | Administrator/Authorized Representative | Interviewed during investigation and named in findings |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the investigation report |
Inspection Report
Renewal
Census: 30
Capacity: 158
Deficiencies: 0
Mar 22, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for The Avalon of Auburn Hills facility.
Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities. Issuance of a regular license is recommended.
Report Facts
Staff interviewed and/or observed: 10
Residents interviewed and/or observed: 30
Capacity: 158
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Rockafellow | Administrator/Authorized Representative | Named as Administrator/Authorized Representative of the facility |
Inspection Report
Original Licensing
Capacity: 158
Deficiencies: 0
Sep 26, 2022
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for The Avalon of Auburn Hills facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. A temporary license with a maximum capacity of 158 beds was recommended for issuance.
Report Facts
Licensed bed capacity: 158
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron L. Clum | Licensing Staff | Author of the licensing study report and signatory. |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study report. |
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