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Deficiency Category | Inspection Date: 7/24/24 Complaint Reporting Period: 4/1/24 - 3/31/25 | Inspection Date: 5/22/23 Complaint Reporting Period: 4/1/23 - 3/31/24 | Inspection Date: 4/28/22 Complaint Reporting Period: 4/1/22 - 3/31/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Michigan: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
No Egress Deficiencies were found during this inspection period. |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 7/24/24 | 8/19/24 | 2 - Minimal harm or potential for actual harm | Many |
Install corridor and hallway doors that block smoke. | 7/24/24 | 8/19/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 7/24/24 | 8/19/24 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period. |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Michigan: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Conduct testing and exercise requirements. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Many |
Address subsistence needs for staff and patients. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Many |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have elevators that firefighters can control in the event of a fire. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
Have properly located and lighted "Exit" signs. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
Have generator or other power source capable of supplying service within 10 seconds. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Many |
Have proper medical gas storage and administration areas. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
Meet requirements for the use of electrical equipment. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Some |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Many |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 5/22/23 | 6/16/23 | 2 - Minimal harm or potential for actual harm | Many |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Michigan: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Meet other general requirements. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have properly installed electrical wiring and gas equipment. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Few |
Have elevators that firefighters can control in the event of a fire. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have exits that are accessible at all times. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Install emergency lighting that can last at least 1 1/2 hours. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
Properly select, install, inspect, or maintain portable fire extinguishes. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Provide properly protected cooking facilities. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
Install corridor and hallway doors that block smoke. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
Have properly sized and located compartments to protect residents from smoke. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Few |
Install an approved automatic sprinkler system. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Few |
Have approved installation, maintenance and testing program for fire alarm systems. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Few |
Have proper medical gas storage and administration areas. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide a written emergency evacuation plan. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Many |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Some |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 4/28/22 | 6/1/22 | 2 - Minimal harm or potential for actual harm | Few |
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |