Inspection Reports for Union Court Assisted Living
302 Fulton St., St. Charles, MI, 48655
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
50% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Renewal
Census: 15
Capacity: 86
Deficiencies: 4
Date: May 9, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to assess compliance with regulatory requirements and determine eligibility for license renewal.
Findings
The facility was found to be in non-compliance with multiple rules including lack of physician orders and incomplete service plans for bedside assistive devices, incomplete medication administration plans for residents, invalid resident admission contracts, and unsafe storage of oxygen tanks in residents' rooms.
Deficiencies (4)
Resident C had bedside assistive devices without physician orders and incomplete service plan details regarding device use and safety.
Resident B's medication administration record lacked detailed information on anxiety behaviors and use of nonpharmaceutical interventions; similar findings for Residents A and C.
Admission contracts for Residents A, B, C, and D were invalid as they listed a different licensee than the current one.
Oxygen tanks were stored in residents' rooms without proper safety securing, posing a risk of harm.
Report Facts
Staff interviewed and/or observed: 7
Residents interviewed and/or observed: 15
Capacity: 86
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Clauson | Authorized Representative | Named as authorized representative of the facility |
| Kristine Fiting | Administrator | Named as administrator of the facility |
| Kimberly Horst | Licensing Staff | Licensing consultant who signed the report |
Inspection Report
Renewal
Census: 15
Capacity: 86
Deficiencies: 4
Date: May 9, 2024
Visit Reason
The inspection was conducted as a renewal licensing study to evaluate compliance with regulatory requirements for Union Court Assisted Living.
Findings
The facility was found to be in non-compliance with several rules including lack of physician orders and incomplete service plans for bedside assistive devices, incomplete medication administration service plans, invalid resident admission contracts, and unsafe storage of oxygen tanks in residents' rooms.
Deficiencies (4)
Resident C had bedside assistive devices without physician orders and incomplete service plan details regarding their use and safety.
Resident B's medication administration record lacked detailed information on anxiety behaviors and use of nonpharmaceutical interventions; similar findings for Residents A and C.
Admission contracts for Residents A, B, C, and D were invalid as they listed a different licensee than the current one.
Oxygen tanks were stored in residents' rooms without proper safety securing, posing a risk of harm.
Report Facts
Staff interviewed: 7
Residents interviewed: 15
Capacity: 86
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Connie Clauson | Authorized Representative | Named as authorized representative of the facility |
| Kristine Fiting | Administrator | Named as administrator of the facility |
| Kimberly Horst | Licensing Staff | Licensing consultant who signed the report |
Notice
Deficiencies: 0
Date: Oct 30, 2023
Visit Reason
An administrative review of licensing activity for the past year was conducted to assess compliance with public health code and administrative rules for home for the aged facilities, resulting in license renewal.
Findings
The review revealed substantial compliance with applicable regulations, leading to the renewal of the Home for the Aged license for 12 months effective 11/27/2023.
Report Facts
License duration: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Horst | Licensing Staff | Signed the license renewal notification letter |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 2
Date: Dec 16, 2022
Visit Reason
The inspection was conducted in response to a complaint alleging that timely medical attention was not sought for Resident A after a stroke.
Complaint Details
The complaint alleged that timely medical attention was not sought for Resident A after a stroke occurring on the night of 10/9/22 or early morning of 10/10/22. The complaint was substantiated.
Findings
The investigation found that multiple staff observed stroke-like symptoms in Resident A, but medical attention was delayed for several hours. Additionally, the facility failed to submit timely and complete incident reports regarding the injury and hospitalization of Resident A.
Deficiencies (2)
Failure to assure the availability of emergency medical care required by a resident.
Failure to complete and submit incident reports with required information and within required timeframes.
Report Facts
Capacity: 86
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Cornford | Administrator and Authorized Representative | Corresponded regarding documentation and investigation |
| Elizabeth Gregory-Weil | 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: 86
Deficiencies: 3
Date: Dec 2, 2022
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A had an unwitnessed fall at the facility and that staff delayed seeking medical attention.
Complaint Details
Complaint alleged Resident A had an unwitnessed fall with cuts on her forehead. Facility staff did not know when the fall occurred and delayed calling an ambulance. Violation was established.
Findings
The investigation found that Resident A had unexplained injuries consistent with a fall, and the facility failed to check alarms and assist with toileting as required. The family was contacted, but the physician and hospital transfer were delayed. The facility lacked an organized program to ensure Resident A's protection.
Deficiencies (3)
Failure to check alarms and assist Resident A with toileting every two hours as required.
Delayed notification of physician and hospital transfer after Resident A was found with injuries.
Lack of an organized program to ensure the protection of Resident A.
Report Facts
Capacity: 86
Complaint Receipt Date: Nov 9, 2022
Investigation Initiation Date: Nov 10, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Cornford | Administrator/Authorized Representative | Named as facility administrator and participated in exit conference. |
| Kimberly Horst | Licensing Staff | Conducted investigation and authored report. |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report. |
Inspection Report
Original Licensing
Capacity: 86
Deficiencies: 0
Date: Nov 17, 2016
Visit Reason
The visit was conducted as part of an original licensing study with a modification request to increase the number of beds from 56 to 86 by adding a separate wing with 15 rooms, each housing two beds.
Findings
The 400 wing addition includes 15 double occupancy rooms with accessible bathrooms and resident amenities such as cable TV, wireless internet, and resident-controlled heating and cooling. The addition was approved for occupancy and fire safety certification, and it is recommended that the facility capacity be increased to 86 beds.
Report Facts
Bed capacity increase: 30
Number of rooms in new wing: 15
Room size range (square feet): 372-402
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Gregory | Licensing Staff | Completed inspection and signed report |
| Russell Misiak | Area Manager | Signed report |
| Kelly Cornford | Authorized Representative and Administrator of the facility | |
| Pier-George Zanoni | Health Facilities Engineering Section engineer | Granted occupancy approval |
Inspection Report
Original Licensing
Capacity: 56
Deficiencies: 0
Date: Nov 19, 2009
Visit Reason
The inspection was conducted as an Original Licensing Study Report on the Change of Ownership for Union Court Assisted Living to determine compliance with applicable licensing statutes and administrative rules.
Findings
The facility was found to be in substantial compliance with all applicable rules and statutes. The report recommends issuance of a six-month non-renewable temporary license with a maximum capacity of 56 beds.
Report Facts
Surety Bond Amount: 5000
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Linda Parson | Administrator | Authorized representative and administrator of Union Court Assisted Living. |
| Lilly Anne | Licensing Staff | Prepared and signed the licensing study report. |
| Betsy Montgomery | Area Manager | Approved the licensing study report. |
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