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Source: MI Dept. of Licensing & Regulatory Affairs
Key Findings
The facility has had several findings related to administrative documentation, including incomplete resident care agreements and lack of administrator training verification. Recent inspections also noted a maintenance issue with a bathroom faucet. While a serious investigation into resident care was conducted in 2023, the specific allegation regarding wheelchair positioning was not substantiated.
The faucet handle in bathroom #2 was loose, causing poor water pressure and water that did not reach a safe temperature for hand washing.
Multiple residents had therapeutic supports in writing, but authorizations either did not state the reason for the support or the term of the authorization (e.g., Resident A's wheelchair order lacked the reason for use).
The Administrator, Kaitlyn Shaffer, did not have verification of 16 hours of training or 6 credit hours on an annual basis, as required.
Multiple residents did not have completed Resident Care Agreements (RCAs). Specific issues included: Resident A's RCA failed to identify the licensee managing personal funds; Resident B's RCA was incomplete; Resident C's RCA was incomplete and unsigned.
A renewal license application and fee have not been received by the Department.
Allegation that a resident was tipped upside down in a wheelchair and was not administered prescribed medication (Protonix). Note: The investigation concluded the violation for the wheelchair positioning was NOT established, but the report notes violations were established regarding other matters (policy/procedure changes).
No deficiencies are reported in this inspection record.
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