Inspection Reports for The Avalon of Commerce Township
2500 Martin Parkway, MI, 48390
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
56% better than Michigan average
Michigan average: 5.2 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Renewal
Deficiencies: 0
Apr 29, 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, resulting in the renewal of the Home for the Aged license effective from 03/31/2024 to 07/31/2024.
Report Facts
License effective period start: Mar 31, 2024
License effective period end: Jul 31, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Signed the renewal letter |
Inspection Report
Complaint Investigation
Capacity: 158
Deficiencies: 2
Nov 28, 2023
Visit Reason
The inspection was conducted in response to a complaint alleging improper food storage and that dishes were not being washed properly at The Avalon of Commerce Township.
Findings
The investigation confirmed violations including uncovered perishable food items left in the kitchen, unlabeled and undated prepared foods, and failure to follow dish sanitizing protocols as evidenced by blank sanitation logs and unsanitized scoops in food containers.
Complaint Details
The complaint alleged improper food storage with perishable items left uncovered and that dishes were not washed properly. Both allegations were substantiated during the investigation.
Deficiencies (2)
| Description |
|---|
| Perishable food items were not properly labeled, dated, or sealed. |
| Dish sanitizing protocol was not being followed as evidenced by lack of temperature testing documentation and unsanitized scoops. |
Report Facts
Capacity: 158
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tasheona Beard | Administrator and Authorized Representative | Accompanied inspector during onsite inspection and provided information regarding dish sanitizing procedures. |
| Elizabeth Gregory-Weil | Licensing Staff | Conducted the inspection and authored the report. |
| Andrea Moore | Area Manager | Approved the report. |
Inspection Report
Renewal
Capacity: 158
Deficiencies: 5
Mar 17, 2023
Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and to determine if the facility license should be renewed.
Findings
The facility was found to be in non-compliance with several rules including inadequate documentation and supervision related to assistive devices, unclear medication administration instructions, lack of detailed service plans for medication use, failure to maintain a meal census, and improper food storage practices in the kitchen.
Deficiencies (5)
| Description |
|---|
| Resident A’s service plan lacked information about the Halo Assistive Device related to purpose of use, staff responsibilities, and maintenance schedules. |
| Resident B’s medication administration record lacked clear instructions on administration of Acetamin and Morphine Sul Sol, risking improper medication administration. |
| Resident C’s service plan lacked detailed information on anxiety/agitation behaviors and medication administration criteria. |
| Facility does not maintain a meal census including residents, personnel, and visitors. |
| Multiple food items in the kitchen were opened, unsealed, and not dated, risking food safety. |
Report Facts
Capacity: 158
Staff interviewed/observed: 5
Residents interviewed/observed: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Germain | Authorized Representative/Administrator | Named as the facility's authorized representative and administrator |
| Kimberly Horst | Licensing Staff | Licensing consultant who signed the report |
Inspection Report
Original Licensing
Capacity: 157
Deficiencies: 0
Nov 1, 2022
Visit Reason
The facility requested to add one licensed bed, increasing their licensed beds from 157 to 158.
Findings
The review found that apartment 303 was not listed on the room sheets but meets size requirements with a window. The recommendation was to increase licensed bed capacity to 158.
Report Facts
Licensed bed capacity: 158
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Conducted the licensing study and made the recommendation |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study addendum |
Inspection Report
Original Licensing
Capacity: 157
Deficiencies: 0
Sep 26, 2022
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for The Avalon of Commerce Township facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules. A temporary license with a maximum capacity of 157 beds was recommended for issuance.
Report Facts
Licensed bed capacity: 157
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Author of the licensing study report and signatory recommending license issuance. |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the licensing study report. |
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