Deficiencies (last 4 years)
Deficiencies (over 4 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
75% better than Michigan average
Michigan average: 5.2 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Renewal
Census: 6
Capacity: 34
Deficiencies: 4
Oct 4, 2024
Visit Reason
The inspection was conducted as a renewal licensing study for Westgate Living Center to assess compliance with regulatory requirements and determine eligibility for license renewal.
Findings
The facility was found to be in non-compliance with several rules including lack of proper physician orders and monitoring for bedside assistive devices, failure to comply with tuberculosis screening requirements for a new employee, incomplete staff training records, and incomplete sanitation logs for dishwashing and sink sanitation.
Deficiencies (4)
| Description |
|---|
| Lack of physician's order and insufficient monitoring and care plans for bedside assistive devices, posing risk of resident harm. |
| Employee #1's tuberculosis test was not conducted within the required timeframe after hire. |
| Employees #1, #2, and #3 lacked personal care training checklists in their files. |
| September 2024 dishwash temperature and three compartment sink sanitation logs were incomplete for one or more meals. |
Report Facts
Capacity: 34
Number of residents observed/interviewed: 6
Number of staff interviewed/observed: 8
Date of on-site inspection: Oct 4, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Watt | Administrator and Authorized Representative | Provided statements regarding bedside assistive devices and employee tuberculosis screening |
| Employee #1 | New employee with non-compliant tuberculosis screening and missing personal care training checklist | |
| Employee #2 | Missing personal care training checklist | |
| Employee #3 | Missing personal care training checklist |
Inspection Report
Complaint Investigation
Capacity: 34
Deficiencies: 1
Jun 18, 2024
Visit Reason
The investigation was initiated due to a complaint alleging that Resident A fell and fractured her right elbow and right hip while walking without a gait belt or assistance.
Findings
The investigation substantiated that Resident A fell and sustained fractures after staff left her standing alone despite her service plan requiring assistance during ambulation. The facility failed to ensure Resident A's safety consistent with her service plan.
Complaint Details
Resident A had a fall, fracturing her right elbow and right hip. The claim was substantiated based on evidence that staff left Resident A unattended contrary to her service plan.
Deficiencies (1)
| Description |
|---|
| Facility did not ensure the safety of Resident A by leaving her unattended despite her service plan requiring assistance during ambulation. |
Report Facts
Capacity: 34
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Watt | Administrator | Contacted during investigation and provided information about Resident A's assistance |
| Employee #1 | Staff member assisting Resident A during the incident; interviewed by telephone | |
| Brender Howard | Licensing Staff | Investigator who authored the report and made recommendations |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report and recommendations |
Inspection Report
Renewal
Deficiencies: 0
Sep 12, 2023
Visit Reason
The document serves as a renewal notification for the Home for the Aged license following an administrative review of licensing activity over the past year.
Findings
The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.
Report Facts
License duration: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Rogers | Licensing Staff | Signed the renewal notification letter |
Inspection Report
Renewal
Capacity: 34
Deficiencies: 0
Sep 29, 2022
Visit Reason
The visit was conducted as an on-site renewal inspection to verify and update the licensee's name and address information for the facility.
Findings
The inspection confirmed that the licensee's name and address had changed as documented by the LARA Corporations Division Website and supported by an IRS letter. The facility's records were updated accordingly.
Report Facts
Facility capacity: 34
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Watt | Authorized Representative/Administrator/Licensee Designee | Provided information regarding licensee name and address change during the renewal inspection |
| Jessica Rogers | Licensing Staff | Conducted the inspection and authored the report |
| Andrea L. Moore | Manager, Long-Term-Care State Licensing Section | Approved the report |
Inspection Report
Original Licensing
Capacity: 34
Deficiencies: 0
Jul 20, 2011
Visit Reason
The purpose of this addendum is to describe ownership interests of the licensee, lessees, and the owner of the property where the facility is located as part of the original licensing study for Westgate Living Center.
Findings
The facility is operated as a distinct part within a licensed nursing home. Ownership and lease agreements were reviewed, confirming valid registrations and ownership interests among related entities. The licensee remains legally responsible for the care provided at the facility.
Report Facts
Capacity: 34
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Russell B. Misiak | Licensing Staff | Author of the addendum report |
| Betsy Montgomery | Area Manager | Approved the addendum report |
| Betty Usitalo | Administrator / Authorized Representative | Administrator appointed by CCG Ironwood Inc |
| Essel W Bailey | Chairman/ Director | Board of Directors and Officers of related entities |
| Donald D Finney | CEO/ President | Board of Directors and Officers of related entities |
| Jason B Reese | Director | Board of Directors and Officers of related entities |
| Keith J Yoder | Treasurer | Board of Directors and Officers of related entities |
| Pamela J Meikle | Director | Board of Directors and Officers of related entities |
| Dennis A Lockhart | Secretary | Board of Directors and Officers of related entities |
| Gertie F Dickey | Director | Board of Directors and Officers of related entities |
| Robert E Schmidt | Director | Board of Directors and Officers of related entities |
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