Statewide Detail for Adult Foster Care / Homes for the Aged Facilities

Facility Information
Facility Name:
PINE HAVEN HOME FOR THE AGED
Address:
6201 HWY M-35 POB 348
GLADSTONE , MI 49837
County:
DELTA
Phone:
(906) 428-1334
License Number:
AH210236865
Facility Status:
CLOSED
License Status:
CLOSED
Closed Date:
12/11/2018
License Effective Date:
11/15/2018
License Expiration Date:
11/14/2019
License Facility Type:
HOMES FOR THE AGED
Capacity:
31
Services Provided
Serves:
Aged
Special Certification:
Certification for Community Living:
Licensee Information
Licensee Information:
DAULT, ROGER DL AND DAULT, JANET
PO BOX 348
GLADSTONE , MI 49837
Licensee Phone:
Reports Available
AH210236865_RNWL_20180206.pdf
2/22/2019
AH210236865_SIR_2018A0233007.pdf
5/8/2018
AH210236865_RNWL_20170202.pdf
1/18/2018

The reports on this site are available for downloading or viewing using the Adobe Acrobat Reader. When rule violations have been cited in a report, the licensee is required to submit a corrective action plan. Written corrective action plans that are submitted by the licensee in response to the Department reports are available through the Freedom of Information Act

  • Original and Renewal Licensing Study Report
    Completed in response to the initial or renewal application for license on all facilities.
  • Inspection Report
    Interim Inspections are conducted at or near the mid point of the effective dates of the license.
  • Special Investigation Report
    Special Investigation Reports are conducted in response to rule related complaints received regarding a facility. The presence of a special investigation report on this site does mean there were substantiated rule violations. Please read any report in its entirety.