5 Reports
Inspection Report — Jan 28, 2025
Renewal
Date: Jan 28, 2025
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The home was found to be in non-compliance with 8 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (8)
R 325.1923 Employee's health: Employee 6 was not screened for tuberculosis within 10 days of hire and before occupational exposure, and the facility lacked a completed TB Risk Assessment on file. Repeat violation.
R 325.1931 Employees; general provisions: The schedule lacked designation of one person to be the supervisor of resident care for each shift.
R 325.1931 Employees; general provisions: Employees 3, 4, 5, and 6 had no documented evidence of completed training on reporting, personal care, dementia, and fire prevention.
R 325.1932 Resident medications: Resident A, B, and E had as-needed medications without specified reasons for use, and Resident E's medication administration record had a blank entry on 1/17/2024.
R 325.1953 Menus: Two residents prescribed a pureed diet had no pureed diet menu available or posted. Repeat violation.
R 325.1954 Meal and food records: The home did not keep a record of the number of residents, staff, and visitors served.
R 325.1970 Water supply systems: Memory care apartment 106 had a water temperature of 129.4 degrees Fahrenheit, exceeding the allowed range.
R 325.1976 Kitchen and dietary: Dish Machine Temperature and Pot-Sink Sanitizer Concentration logs for January 2025 had multiple blank entries on various dates. Repeat violation.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Employee 6 | Employee | Named in the tuberculosis screening and training findings |
| Employee 2 | Employee | Named in the supervisor of resident care finding |
| Employee 3 | Employee | Named in the staff training finding |
| Employee 4 | Employee | Named in the staff training finding |
| Employee 5 | Employee | Named in the staff training finding |
| Employee 1 | Employee | Interviewed confirming training completion but no documentation |
| Employee 7 | Employee | Named in the pureed diet menu and meal records findings |
| Employee 8 | Employee | Named in the water temperature finding |
Inspection Report — Jan 12, 2024
Renewal
Date: Jan 12, 2024
Visit Reason
License renewal notice; no inspection report attached. Administrative review without an on-site visit.
Findings
An administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities; the license will be renewed upon receipt of the licensing bed fee.
Inspection Report — Dec 5, 2013
Date: Dec 5, 2013
Visit Reason
Approve resident use of the facility’s new 'Main Street.'
Findings
The renovated area of the facility was inspected and found to be in full compliance with the Home for the Aged rules.
Inspection Report — May 30, 2013
Date: May 30, 2013
Visit Reason
Increase licensed capacity from 40 beds to 58 beds due to a newly constructed dementia care unit.
Findings
The facility was found in full compliance during the on-site inspection. Occupancy approval from BFS and HFES was pending at the time of inspection. The license capacity increase to 58 beds is recommended.
Report Facts
Inspection Report — Aug 23, 2007
Date: Aug 23, 2007
Visit Reason
Addendum purpose: modification of license to add services provided to residents with Alzheimer’s disease and other forms of dementia.
Findings
All items met compliance with MCL 333.20178 regarding services for residents with Alzheimer’s disease or a related condition.
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