Licensing and Inspections of Homes for the Aged, Bureau of Community and Health Systems - 641-0452-22

Description of Agency

Homes for the aged (HFAs) are long-term care facilities that provide supervised personal care, room, and board to 21 or more individuals aged 55 years or older. The Health Facility Licensing and Support Division, within the Department of Licensing and Regulatory Affairs’ Bureau of Community and Health Systems (BCHS), licenses and monitors HFAs operating in the State of Michigan. The Division’s mission is to prevent harm and to provide protection to those persons who are reliant on HFA services. HFAs are required to renew their license annually, and the Division shall make at least one unannounced on-site inspection every three years to ensure ongoing compliance with the Public Health Code, Public Act 368 of 1978, as amended, and related Michigan Administrative Code rules. BCHS expends an average of $900,000 annually to monitor HFAs, and as of March 22, 2022, there were 317 active HFAs licensed in Michigan.

Audit Objectives

  1. To assess the effectiveness of BCHS’s efforts to inspect and license homes for the aged.
  2. To assess the sufficiency of BCHS’s efforts to investigate and resolve complaints of alleged administrative rule or State statute violations related to homes for the aged.


Estimated Release Date: March 2023

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