GRACE OF DOUGLAS

πŸ“ 243 WILEY ROAD, PO BOX 217, douglas, MI 49406 πŸ“ž 2698572141 πŸ›οΈ 51 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐⭐
5/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

56
Total Violations
8 years of data
$15,000
Total Fines
1 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0728 D Mar 12, 2025

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

βœ“ Corrected: Apr 9, 2025
Tag 0908 F Mar 12, 2025

Keep all essential equipment working safely.

βœ“ Corrected: Apr 15, 2025

2024 11 violations

Tag 0550 D Jul 18, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Aug 21, 2024
Tag 0609 D Jul 18, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Aug 21, 2024
Tag 0656 D Jul 18, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Aug 21, 2024
Tag 0658 D Jul 18, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Aug 21, 2024
Tag 0692 D Jul 18, 2024

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Aug 21, 2024
Tag 0756 D Jul 18, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Aug 21, 2024
Tag 0758 D Jul 18, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Aug 21, 2024
Tag 0803 F Jul 18, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Aug 21, 2024
Tag 0812 F Jul 18, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 21, 2024
Tag 0880 F Jul 18, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 21, 2024
Tag 0887 D Jul 18, 2024

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: Aug 21, 2024

2023 3 violations

Tag 0657 D Jun 7, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jul 6, 2023
Tag 0677 D Jun 7, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jul 6, 2023
Tag 0679 D Jun 7, 2023

Provide activities to meet all resident's needs.

βœ“ Corrected: Jul 6, 2023

2022 18 violations

Tag 0689 G Nov 30, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 22, 2022
Tag 0550 D Mar 10, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 12, 2022
Tag 0554 D Mar 10, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Apr 12, 2022
Tag 0584 D Mar 10, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Apr 12, 2022
Tag 0625 B Mar 10, 2022

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Apr 12, 2022
Tag 0645 D Mar 10, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Apr 12, 2022
Tag 0656 D Mar 10, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Apr 12, 2022
Tag 0658 D Mar 10, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Apr 12, 2022
Tag 0677 D Mar 10, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Apr 12, 2022
Tag 0679 D Mar 10, 2022

Provide activities to meet all resident's needs.

βœ“ Corrected: Apr 12, 2022
Tag 0726 D Mar 10, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Apr 12, 2022
Tag 0758 D Mar 10, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Apr 12, 2022
Tag 0813 E Mar 10, 2022

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Apr 12, 2022
Tag 0842 D Mar 10, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Apr 12, 2022
Tag 0880 E Mar 10, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 12, 2022
Tag 0886 C Mar 10, 2022

Perform COVID19 testing on residents and staff.

βœ“ Corrected: Apr 12, 2022
Tag 0888 C Mar 10, 2022

Ensure staff are vaccinated for COVID-19

βœ“ Corrected: Apr 12, 2022
Tag 0921 E Mar 10, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Apr 12, 2022

2020 6 violations

Tag 0658 D Aug 5, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Aug 28, 2020
Tag 0659 D Aug 5, 2020

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Aug 28, 2020
Tag 0684 D Aug 5, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Aug 28, 2020
Tag 0690 D Aug 5, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Aug 28, 2020
Tag 0842 D Aug 5, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Aug 28, 2020
Tag 0880 E Feb 13, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 13, 2020

2019 7 violations

Tag 0600 D Mar 27, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 26, 2019
Tag 0623 C Mar 27, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: May 17, 2019
Tag 0695 D Mar 27, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Apr 26, 2019
Tag 0761 E Mar 27, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Apr 26, 2019
Tag 0812 F Mar 27, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 26, 2019
Tag 0842 D Mar 27, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Apr 26, 2019
Tag 0880 D Mar 27, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 17, 2019

2018 8 violations

Tag 0584 D May 24, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jun 27, 2018
Tag 0686 D May 24, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 27, 2018
Tag 0758 D May 24, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jun 27, 2018
Tag 0812 F May 24, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 27, 2018
Tag 0813 F May 24, 2018

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Jun 27, 2018
Tag 0921 F May 24, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Jun 27, 2018
Tag 0580 D Mar 15, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Apr 12, 2018
Tag 0623 D Mar 15, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Apr 12, 2018

2017 1 violations

Tag 0223 D Jul 10, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: Jul 28, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $15,000

$15,000
Fine
March 10, 2022
Average: $15,000 | Range: $15,000 - $15,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 18, 2024
0.00

Health

June 7, 2023
0.00

Health

November 30, 2022
0.00

Health

March 10, 2022
0.00

Health

February 13, 2020
0.00

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Ownership Information

For profit - Individual
Independent (Not part of a chain)
235447
235447
2698572141
Allegan

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual