The Willows At East Lansing

In the surveyor’s words

From the most serious findings on record at The Willows At East Lansing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment affecting 64 residents, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings include:On 01/06/2026 at 11:15 A.M., An initial tour of the food service was conducted with Director of Food Service K. The following items were noted: The Globe stand mixer was observed soiled with accumulated and encrusted food residue. 2 of 2 South Bend oven interior and exterior surfaces were observed soiled with accumulated and encrusted food residue. The South Bend char broiler grill plate, backsplash, side panels, and front splash were observed heavily soiled with accumulated and encrusted food residue. […]

• No harm, potential for more than minimal, widespreadF725Jul 21, 2021

  This citation pertains to intake number MI 023. Based on observation, interview, and record review the facility failed to ensure adequate staffing to meet the needs for three out of six confidential residents, and six out of 37 sampled residents (Resident #'s 25, 28, 37, 351, 350, and 405) resulting in the potential for unmet care needs for all 52 residents who resided at the facility. Findings Included: Resident #25 (R25): Per the facility face sheet R25 was admitted to the facility on [DATE]. Record review of a Minimum Data Set MDS, dated [DATE], revealed he had a Brief Interview for Mental Status (BIMS) score of 13 out of 15, which indicated R25 had intact cognition. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2021

  Based on observation, interview, and record review, the facility failed to maintain a sanitary kitchen, and discard expired resident food, resulting in the potential of foodborne illness. These deficient practices affect all residents eating food from the kitchen. Findings include: On [DATE] at 1:03 PM, during an inspection of the kitchen, the ventilation hood filters over the cookline, were observed to have grease accumulation. The grease was observed to be dripping back to the front of the hood, with grease droplets hanging on the edge of the ventilation hood. On [DATE] at 1:08 PM, encrusted food splash was observed on the interior ceiling of the microwave. […]

• No harm, potential for more than minimal, patternF585Jan 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure Grievance/Concern forms were readily available to residents and families to file concerns anonymously and failed to follow facility Grievance policy, resulting the likelihood of unresolved concerns and frustration.During a confidential resident group meeting on 1/07/2026 at 1:31 PM, nine of nine residents reported the facility did not offer an option to complete a grievance confidentially and reported were not aware they had access or where to locate survey results. Residents reported if anyone had a concern they had to report to staff and they would complete form electronically. Residents reported they no longer have an option to complete a paper form. […]

• No harm, potential for more than minimal, patternF641Oct 7, 2022

  Based on observation, interview, and record review, the facility failed to accurately completed Minimum Data Set (MDS) assessments for five (Resident #7, #27, #30, #45, #50) of 17 reviewed, resulting in inaccurate assessments and the potential for unmet care needs. Findings include: Resident 7 (R7) A review of the electronic medical record reflected R7 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of multiple Minimum Data Sets (MDS-resident assessment) reflected incorrect responses to questions in Section B Hearing, Speech and Vision, questions B0200 Ability to hear with hearing aide (or other appliances if normally used) and B0300 Hearing Aide. […]