Inspection Reports for The Avalon of Bloomfield Township

100 W Square Lake Rd, Bloomfield Twp, MI, 48302

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

62% better than Michigan average
Michigan average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025

Census

Latest occupancy rate 16% occupied

Based on a March 2023 inspection.

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

Census over time

0 40 80 120 160 200 Oct 2022 Mar 2023

Inspection Report

Complaint Investigation
Capacity: 158 Deficiencies: 2 Date: Jul 18, 2025

Visit Reason
The inspection was conducted in response to an anonymous complaint alleging mistreatment of Resident A and that staff were not trained for transfers.

Complaint Details
The complaint alleged mistreatment of Resident A by staff 1 and lack of staff training for transfers. Both allegations were substantiated based on video evidence, interviews, and review of training documentation.
Findings
The investigation confirmed that staff 1 physically struck Resident A during care, violating resident dignity and respect, and that staff were not properly trained for resident transfers. Staff 1 was given a final written warning but allowed to continue working. The facility was found non-compliant with applicable rules.

Deficiencies (2)
Mistreatment of Resident A by staff 1 involving physical contact during care.
Staff were not properly trained to perform resident transfers, including use of Hoyer lifts.
Report Facts
Facility capacity: 158 Complaint receipt date: Jul 16, 2025 Investigation initiation date: Jul 18, 2025 Report due date: Sep 14, 2025

Employees mentioned
NameTitleContext
Laurie PareAdministratorAdministrator involved in disciplinary decisions and interviews regarding the mistreatment allegation
Aaron ClumLicensing StaffAuthor of the Special Investigation Report
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the report

Inspection Report

Complaint Investigation
Capacity: 158 Deficiencies: 1 Date: Jul 11, 2025

Visit Reason
The investigation was initiated due to a complaint received on 2025-07-10 alleging that residents did not receive their morning medications on 2025-07-08.

Complaint Details
Complaint received on 2025-07-10 alleging residents did not receive morning medications on 2025-07-08. The complaint was substantiated based on investigation findings.
Findings
The investigation confirmed that several residents on the 200 hall did not receive their morning medications on 2025-07-08, despite documentation indicating otherwise. Medication bubble packs showed medications were still present, contradicting the medication administration records.

Deficiencies (1)
Residents did not receive their medications as documented.
Report Facts
Capacity: 158

Employees mentioned
NameTitleContext
Laurie PareAdministratorInterviewed during investigation; stated unawareness of missed medications.

Inspection Report

Renewal
Deficiencies: 0 Date: Mar 8, 2024

Visit Reason
The document serves as a renewal notification for the Home for the Aged license of The Avalon of Bloomfield Township after an administrative review of licensing activity for the past year.

Findings
The facility was found to be in substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal effective 03/31/2024.

Inspection Report

Renewal
Census: 26 Capacity: 158 Deficiencies: 4 Date: Mar 16, 2023

Visit Reason
The inspection was conducted as a renewal licensing study for The Avalon of Bloomfield Township facility to assess compliance with applicable administrative rules and regulations.

Findings
The facility was found to be in non-compliance with several administrative rules including employee tuberculosis screening timelines, menu posting in the memory care unit, proper labeling and sealing of perishable food items, and safe storage of hazardous materials.

Deficiencies (4)
Employee tuberculosis screenings were not completed within the required timeframe.
Menus were not posted in the memory care unit.
Perishable food items in the commercial walk-in freezer lacked proper labeling, dating, and/or sealing.
Hazardous and toxic materials were found unsecured in the second floor spa room despite locks being present.
Report Facts
Number of staff interviewed and/or observed: 19 Number of residents interviewed and/or observed: 26 Facility capacity: 158

Inspection Report

Complaint Investigation
Census: 41 Capacity: 158 Deficiencies: 1 Date: Oct 19, 2022

Visit Reason
The inspection was conducted in response to a complaint alleging that Resident A's call pendant was not being answered in a timely manner.

Complaint Details
The complaint alleged that Resident A's call pendant was not answered timely and staff only disengaged the pendant without assisting. The claim was substantiated based on Resident Event Reports showing delayed responses.
Findings
The investigation substantiated the complaint, finding that staff did not respond to Resident A's call pendant within the expected 15-minute timeframe on multiple occasions, with documented response times ranging from 29 to 62 minutes.

Deficiencies (1)
Staff did not respond to Resident A's call pendant in a timely manner as required.
Report Facts
Census: 41 Total Capacity: 158 Response Times (minutes): 37 Response Times (minutes): 29 Response Times (minutes): 37 Response Times (minutes): 32 Response Times (minutes): 62 Response Times (minutes): 43 Response Times (minutes): 49 Response Times (minutes): 31 Response Times (minutes): 59

Employees mentioned
NameTitleContext
Garry YoungAuthorized Representative/AdministratorInterviewed regarding staffing and census; participated in exit conference.
Brandy NagyHealth and Wellness DirectorInterviewed regarding call pendant response times and staff procedures.

Inspection Report

Original Licensing
Capacity: 158 Deficiencies: 0 Date: Sep 23, 2022

Visit Reason
The inspection was conducted as an original licensing study for The Avalon of Bloomfield Township following a change of ownership, to determine compliance with applicable licensing statutes and administrative rules.

Findings
The facility was found to be in substantial compliance with home for the aged public health code and administrative rules. A temporary license with a maximum capacity of 158 beds was recommended for issuance.

Report Facts
Licensed bed capacity: 158 License period: 6

Employees mentioned
NameTitleContext
Jessica RogersLicensing StaffAuthor of the licensing study report and recommendation.
Andrea L. MooreManager, Long-Term-Care State Licensing SectionApproved the licensing recommendation.
Garry Matthew YoungAuthorized RepresentativeAuthorized representative of Lake (Bloomfield) TRS LLC, the licensee.

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