Inspection Reports for Vibrant Life Senior Living

MI, 49006

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Deficiencies per Year

4 3 2 1 0
2011
2020
2022
2023
2024
2025
Unclassified
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 1 Feb 21, 2025
Visit Reason
The investigation was initiated due to a complaint alleging that staff did not administer Resident A’s Norco medication as prescribed for pain.
Findings
The investigation found that Resident A did not receive her prescribed Norco medication from 2/4/2025 to 2/12/2025 because the medication was not available at the facility. Staff failed to follow medication refill procedures, resulting in Resident A going without medication for nine days and being sent to the hospital for pain management.
Complaint Details
Complaint alleged that staff did not administer Resident A’s Norco medication as prescribed. APS Specialist Lauren Crock investigated and found no substantial evidence of neglect or abuse, attributing the issue to the facility running out of medication. The investigation confirmed the medication was not administered from 2/4/2025 to 2/12/2025 due to lack of refill and staff procedural failures.
Deficiencies (1)
Description
Staff did not administer Resident A’s Norco medication as prescribed for pain due to failure to follow medication refill procedures.
Report Facts
Medication non-administration duration: 9 Facility capacity: 20
Employees Mentioned
NameTitleContext
Alexis CraftDirect Care Staff MemberInterviewed regarding medication administration and refill procedures; issued disciplinary notice.
Lomachia CoxDirect Care Staff MemberInterviewed regarding medication administration; received disciplinary notice for medication error.
Hailey NicholsDirect Care Staff MemberInterviewed regarding medication administration and refill procedures.
Laurel SpaceAdministratorParticipated in exit conference.
Catherine ReeseLicensee DesigneeParticipated in exit conference.
Lauren CrockAdult Protective Service SpecialistInvestigated complaint and provided information on substantiation.
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 1 Jan 9, 2024
Visit Reason
The inspection was conducted in response to a complaint alleging that a resident was given all of their PRN medications at once and concerns about a direct care staff member's ability to administer medications properly.
Findings
The investigation found no evidence that the resident was given all PRN medications at once and confirmed that the direct care staff member was properly trained to administer medications. However, a violation was established for failure to document the time and date of a morphine dose administered to the resident.
Complaint Details
The complaint alleged that Resident A was given all his PRN medications at once by a third shift staff member and that direct care staff Cheryl [Unknown] did not know how to give medications. The investigation did not substantiate these allegations.
Deficiencies (1)
Description
Direct care staff failed to document the time and date when administering a dose of Morphine to Resident A despite initialing the medication was administered.
Report Facts
Capacity: 20
Employees Mentioned
NameTitleContext
Cheryl HarrisonDirect Care StaffNamed in complaint alleging lack of medication administration knowledge; found to be properly trained
Laurel SpaceAdministratorInterviewed during investigation and participated in exit conference
Rachel IgnasibanDirect Care StaffAdministered morphine doses to Resident A; failed to document time and date for one dose
Sarah DunningDirect Care StaffInterviewed during investigation
Cathy CushmanLicensing ConsultantAuthor of the report and recommendation
Dawn N. TimmArea ManagerApproved the report
Inspection Report Renewal Census: 7 Capacity: 20 Deficiencies: 4 Dec 7, 2023
Visit Reason
The inspection was conducted as a renewal licensing study to verify compliance with licensing statutes and administrative rules for Vibrant Life Senior Living Kalamazoo Lodge 1.
Findings
The facility was found to be in non-compliance with several rules related to administrator training, tuberculosis testing verification, health status review, and emergency preparedness fire drills. An acceptable corrective action plan was submitted and approved, and renewal of the license is recommended.
Deficiencies (4)
Description
Administrator did not provide evidence of completing 16 hours of required training.
Administrator did not provide written verification of tuberculosis testing every 3 years.
No health status review provided to the department for the administrator.
No recorded practices of fire drills provided to the department for review.
Report Facts
Capacity: 20 Residents observed/interviewed: 7 Staff interviewed/observed: 4
Employees Mentioned
NameTitleContext
Laurel SpaceAdministratorNamed in findings related to training, tuberculosis testing, and health status review deficiencies
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 0 Nov 15, 2023
Visit Reason
The investigation was initiated due to a complaint alleging that the facility office smelled of marijuana and that a staff member was selling marijuana-based products at the facility.
Findings
The investigation found no evidence of marijuana smell in the facility or staff selling marijuana products on the premises. Multiple staff members and the licensee designee denied knowledge of such activities, and no staff were observed impaired or under the influence. The allegation was not substantiated.
Complaint Details
The complaint alleged the facility office smelled of marijuana and a staff member was selling marijuana-based products at the facility. The allegation was investigated through interviews with current and former staff and onsite inspection. No violation was established.
Report Facts
Capacity: 20 Complaint Receipt Date: Sep 25, 2023 Investigation Initiation Date: Sep 25, 2023 Report Due Date: Nov 24, 2023
Employees Mentioned
NameTitleContext
Cory ShellFacility ChefNamed in allegation and investigation regarding selling marijuana products
Catherine ReeseLicensee DesigneeInterviewed and involved in exit conference
Ondrea JohnsonLicensing ConsultantConducted investigation and authored report
Inspection Report Complaint Investigation Capacity: 20 Deficiencies: 0 Oct 25, 2022
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A went for hours without receiving prescribed morphine medication.
Findings
The investigation found no evidence that Resident A went without morphine as prescribed. The medication was prescribed as needed, and staff confirmed Resident A received medication appropriately. The complaint was not substantiated.
Complaint Details
Complaint alleged Resident A went hours without morphine medication on 08/30/2022. Investigation included interviews with multiple staff and review of medication administration records. The complaint was not substantiated as Resident A's morphine was prescribed as needed and was administered accordingly.
Report Facts
Capacity: 20 Complaint Receipt Date: Sep 21, 2022 Investigation Initiation Date: Sep 21, 2022 Inspection Date: Oct 25, 2022
Employees Mentioned
NameTitleContext
Laurel SpaceAdministratorInterviewed regarding complaint and medication administration
Lisa MatthewsHospice NurseInterviewed and reviewed medication administration records
Laticia ScottNursing DirectorInterviewed regarding medication administration and complaint
Ashley EblingDirect Care Staff MemberInterviewed; expressed belief of possible cover-up but provided no evidence
Alexis CraftStaff MemberParticipated in on-site inspection and confirmed medication administration
Inspection Report Original Licensing Capacity: 20 Deficiencies: 0 Dec 15, 2020
Visit Reason
The visit was conducted to process a request by the licensee designee to change the facility's name from New Friends Dementia Community 1 to Vibrant Life Senior Living Kalamazoo 1.
Findings
The licensing consultant verified that the requested name change was not due to a change of licensee or controlling interest and recommended approval of the name change.
Report Facts
Facility capacity: 20
Employees Mentioned
NameTitleContext
Catherine ReeseLicensee DesigneeRequested the facility name change
Michele StreeterLicensing ConsultantConducted the licensing study and verified findings
Dawn TimmArea ManagerApproved the facility name change
Inspection Report Original Licensing Capacity: 20 Deficiencies: 0 May 25, 2011
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for New Friends Dementia Community 1.
Findings
The facility was found to be in substantial compliance with licensing requirements, including physical environment, staffing, and program policies. A temporary six-month license with a maximum capacity of 20 residents was recommended and issued.
Report Facts
Capacity: 20
Employees Mentioned
NameTitleContext
Dean SoldenAdministrator/Licensee DesigneeNamed as licensee designee and administrator with experience in adult foster care and assisted living facilities.
Jill HessAdministratorAppointed administrator with extensive experience in dementia and Alzheimer’s care.
Susan GamberLicensing ConsultantAuthor of the licensing study report and signatory recommending issuance of temporary license.
Gregory V. CorriganArea ManagerApproved the licensing recommendation.

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