The Willows At Okemos

In the surveyor’s words

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

• Actual harm, isolatedF689May 7, 2025

  This Citation Pertains to Intake Number MI00152440. Based on interview and record review, the facility failed to ensure adequate supervision, implementation of meaningful and resident-centered care plan interventions, and staff awareness of planned interventions for fall prevention for two residents (Resident #701 and Resident #704) of three residents reviewed, resulting in Residents with a known risk of falls experiencing falls with injury, including a fracture, necessitating emergency medical treatment and unnecessary pain and discomfort. Findings include: Review of intake documentation revealed Resident #701 fell out of their bed on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain food service equipment affecting 67 residents who consume food, resulting in the increased likelihood for cross-contamination and bacterial harborage.Findings include:On 04/14/2026 at 8:52 A.M., An initial tour of the food service was conducted with Director of Food Services (DFS) M. The following items were noted:Dry Storage Room: The return air exhaust ventilation grill was observed heavily soiled with accumulated and encrusted dust/dirt deposits. […]

• No harm, potential for more than minimal, widespreadF921Jan 4, 2024

  Based on observations, interviews, and record reviews, the facility failed to effectively clean and maintain the physical plant effecting 59 residents, resulting in the increased likelihood for cross-contamination, bacterial harborage, and decreased illumination. Findings include: On 01/03/24 at 09:05 A.M., An interview was conducted with Director of Plant Operations C regarding the facility maintenance work order system. Director of Plant Operations C stated: We have the Direct Supply TELS software system for entering and monitoring maintenance work orders. On 01/03/24 at 01:15 P.M., An environmental tour of sampled resident rooms was conducted with Director of Environmental Services D. […]

• No harm, potential for more than minimal, widespreadF812Oct 4, 2022

  Based on observation, interview, and record review, the facility failed to maintain kitchen sanitation and equipment resulting in potential contamination of food product and equipment, affecting all residents who consume food from the kitchen. Findings include: On 9/29/22 at 9:20 AM, a working spray container, with unidentified contents, was observed to be stored underneath the dish machine drainboard. At this time, Dietary Director (DD) K discarded the spray container. According to the 2013 FDA Food Code Section 7-102.11 Common Name. […]

• No harm, potential for more than minimal, patternF641Jan 29, 2025

  Based on observation, interview and record review the facility failed to ensure accurate Minimum Data Set (MDS) assessments for four (Resident #4, #34, #42, and #67) of 18 reviewed. Findings include: Resident #4 (R4) Review of the medical record revealed R4 admitted to the facility on [DATE] with diagnoses that included major depressive disorder. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/2/24 revealed R4 scored 14 out of 15 (cognitively intact) on the brief interview for mental status. Review of the Annual MDS with an ARD date of 12/2/24 revealed R4 was coded for taking an anticoagulant medication and an opioid medication. Review of the Physician Orders revealed R4 was not taking an anticoagulant or an opioid medication for that MDS period. […]