Deficiencies per Year
8
6
4
2
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 25
Capacity: 66
Deficiencies: 1
Sep 22, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging insufficient staffing at the facility, including claims that on 09/15/2025 no staff were present and residents were left soiled.
Findings
The investigation found that on certain shifts, staffing levels were below the required minimum, with only two caregivers present when some residents required two-person assistance. Interviews and schedule reviews confirmed staffing shortages, though no residents were observed left soiled during the visit.
Complaint Details
The complaint was received from Adult Protective Services on 09/17/2025 alleging insufficient staff, including no staff present on 09/15/2025 and residents left soiled. The complaint was substantiated with a violation established.
Deficiencies (1)
| Description |
|---|
| The facility has insufficient staff to meet resident needs as required by their service plans. |
Report Facts
Resident census: 25
Total licensed capacity: 66
Dates with only two employees on third shift: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Malik Davis | Administrator | Interviewed regarding staffing levels and incident on 09/15/2025 |
| Kimberly Horst | 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
Census: 24
Capacity: 66
Deficiencies: 1
Sep 9, 2025
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A was found soaked with urine on multiple occasions during the past 2 months.
Findings
The investigation found that Resident A has heavy bladder incontinence and often refuses assistance with incontinence care, leading to incidents of being soaked with urine. Staff do not document incontinence care or refusals, and the facility is in violation due to lack of documentation to confirm appropriate care. The facility was not found to be short-staffed.
Complaint Details
Resident A was found soaked with urine on multiple occasions during the past 2 months. The violation was established based on interviews, onsite investigation, and review of documentation. The facility was also investigated for alleged short staffing, but no violation was found.
Deficiencies (1)
| Description |
|---|
| Lack of documentation to support that staff appropriately assisted Resident A during incontinence incidents and/or in accordance with the service plan. |
Report Facts
Capacity: 66
Census: 24
Staff per shift: 3
Complaint Receipt Date: Sep 5, 2025
Investigation Initiation Date: Sep 8, 2025
Report Date: Sep 9, 2025
Resident A move-out date: Sep 22, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Malik Davis | Administrator | Interviewed regarding Resident A's care and facility staffing |
| Julie Viviano | Licensing Staff | Conducted the investigation and authored the report |
| Justin Wray | Authorized Representative | Facility representative receiving the report |
Inspection Report
Complaint Investigation
Census: 40
Capacity: 66
Deficiencies: 4
Sep 19, 2024
Visit Reason
The inspection was initiated due to an anonymous complaint alleging multiple issues including non-working fire suppression system, incomplete fire drills, unsecured medications, insufficient staffing, incorrect medication administration, and non-working heating and cooling units.
Findings
The investigation found no violations regarding fire suppression, fire drills, door security, medication security, staffing levels, or heating and cooling units. However, violations were established related to incorrect medication administration and incomplete medication administration logs.
Complaint Details
The complaint was anonymous and alleged issues with fire suppression system, fire drills, door locking, medication security, staffing shortages, incorrect medication administration, and heating/cooling units not working. Some allegations were investigated under separate reports for resident abuse. The complaint regarding medication administration was substantiated.
Deficiencies (4)
| Description |
|---|
| Resident B was prescribed Nuplazid 34mg once daily but received it twice daily on multiple dates. |
| Resident C was prescribed Vitamin D3 500mcg but did not receive it for several days due to pharmacy delays. |
| Resident D was prescribed Nuedextra Cap 20/10mg twice daily but did not receive it for several days due to pharmacy delays. |
| Multiple medications for Residents A, B, and C were not initialed on the medication administration records, making it difficult to verify administration. |
Report Facts
Facility capacity: 66
Resident census: 40
Staff scheduled on second shift: 7
Staff working on second shift: 3
Staff scheduled on third shift: 3
Medication administration errors: 3
Medications not initialed: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Wieland | Administrator | Interviewed regarding internet issues affecting door locking and heating/cooling units |
| Kimberly Horst | 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: 66
Deficiencies: 1
Aug 13, 2024
Visit Reason
The investigation was initiated due to a complaint received on 08/07/2024 regarding bruises and marks observed on Resident C's right forearm and bicep area, with concerns about possible staff abuse and failure to complete an incident report or notify the responsible person.
Findings
The investigation found insufficient evidence to establish that staff intentionally caused the bruises on Resident C. However, it was established that an incident report was not completed and Resident C's responsible person was not notified after the bruising was observed on 08/05/2024, violating reporting requirements.
Complaint Details
The complaint alleged bruises and marks on Resident C's right forearm and bicep area. The bruises appeared in the shape of a handprint. The complaint also alleged failure to complete an incident report and notify Resident C's responsible person. The allegation of staff causing bruises was not substantiated, but the failure to report was substantiated.
Deficiencies (1)
| Description |
|---|
| Failure to complete an incident report and notify Resident C's responsible person after bruising was observed on 08/05/2024. |
Report Facts
Capacity: 66
Complaint Receipt Date: Aug 7, 2024
Investigation Initiation Date: Aug 8, 2024
Inspection Date: Aug 13, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Wieland | Authorized Representative/Administrator | Named as licensee representative and involved in corrective action plan |
| Lauren Wohlfert | Licensing Staff | Conducted investigation and authored report |
| Dale Woytek | Interim Administrator | Interviewed during investigation regarding Resident C's care and bruising |
| Emily Presendieu | Ingham County APS Worker | Assigned APS worker involved in investigation and interviews |
Inspection Report
Renewal
Census: 20
Capacity: 66
Deficiencies: 5
Apr 3, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with state regulations and determine if the facility's license should be renewed.
Findings
The facility was found to be non-compliant with several rules including lack of a required bond for holding resident funds, incomplete admission contracts, insufficient medication administration instructions and documentation, and unsafe storage of hazardous materials.
Deficiencies (5)
| Description |
|---|
| Facility is holding resident funds without a required bond. |
| Admission contracts did not specify transportation services, fees, admission/discharge policy, and refund policy. |
| Resident service plans lacked detailed information on medication administration criteria and hospice agency roles. |
| Medication administration records lacked instructions on medication use and staff failed to initial medication administration logs. |
| Lysol cleaning spray was not stored in a secure area. |
Report Facts
Number of residents interviewed/observed: 20
Number of staff interviewed/observed: 5
Facility capacity: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marie Wieland | Authorized Representative | Named in identifying information section |
| Lauren Kidd | Administrator | Named in identifying information section |
| Kimberly Horst | Licensing Staff | Author of the report and licensing consultant |
Inspection Report
Renewal
Deficiencies: 0
May 1, 2023
Visit Reason
The document serves as a renewal notification following an administrative review of licensing activity for the past year, confirming substantial compliance with public health code and administrative rules for home for the aged facilities.
Findings
The review revealed substantial compliance with applicable regulations, resulting in the renewal of the Home for the Aged license for a 12-month period effective May 31, 2023.
Report Facts
License effective period: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Author of the renewal notification letter |
Inspection Report
Original Licensing
Capacity: 66
Deficiencies: 0
Nov 28, 2018
Visit Reason
The inspection was conducted as part of the original licensing study for Robinwood Landing Alzheimer's Special Care Center to determine compliance with applicable licensing statutes and administrative rules.
Findings
The facility was found to be in substantial compliance with licensing requirements, with no rule or statutory violations noted. A temporary license with a maximum capacity of 66 residents was recommended and issued.
Report Facts
Licensed capacity: 66
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Aaron Clum | Licensing Staff | Author of the licensing study report and recommendation |
| Russell B. Misiak | Area Manager | Approved the licensing study report and recommendation |
| Marie Lynn Wieland | Administrator | Administrator of the facility |
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