Bronson Commons

In the surveyor’s words

From the most serious findings on record at Bronson Commons, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 12, 2026

  This citation pertains to intakes: #2790330, #2794131, #2798407Based on observation, interview and record review the facility failed to 1.) accurately assess and prevent an elopement of 1 (Resident #100) of 3 residents reviewed for elopement risk, resulting in an immediate jeopardy when Resident #100 left the premises on 2/14/26 at 5:04 AM, alone, unbeknownst to staff and was later located by staff at 5:55 AM approximately 100 yards from the facility; 2). Ensure safety during a mechanical lift transfer to 1(Resident #104) of 2 residents reviewed for safe transfers resulting in a fall with a head laceration.Findings include:The immediate jeopardy began on 2/13/26 and was identified on 3/11/26 when the facility failed to ensure the safety of and prevent an elopement for Resident #100 who was… […]

• Immediate jeopardy, isolatedF686Nov 10, 2021

  This citation pertains to intake MI 849. Based on observation, interview and record review, the facility failed to adequately assess, monitor, and prevent a coccyx pressure ulcer consistent with professional standards of practice to prevent an avoidable pressure ulcers for one (1) resident (R101) of four (4) residents reviewed for the risk for the development of pressure injuries, resulting in an immediate jeopardy when, beginning on 12/4/2020, facility staff did not follow facility policy and procedure for pressure ulcer prevention and/or treatment. […]

• Actual harm, isolatedF689Jun 12, 2025

  This citation pertains to Intake MI00151630 Based on observation, interview, and record review, the facility failed to ensure appropriate transfer techniques were implemented for 2 (Resident #172 and #65) of 4 residents reviewed for falls resulting in a fall with a hand laceration and a fracture for Resident #172 and an improper transfer with a slide board resulting in bruising on the bilateral (both) upper arms for Resident #65. Findings include: Resident #172 Review of an admission Record revealed Resident #172 was a female, originally admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observation, interview, and record review the facility failed to ensure 1) outdated food items were discarded, 2) the kitchen's ice machine was maintained in a clean and sanitary manner, and 3) appropriate air-drying and cleanliness of an air-drying area with the potential to affect any resident out of the census of 84 who consumed food/beverages from the kitchen resulting in the potential for foodborne illness and/or physical food contamination.Findings include:Outdated Food/Discarding:During an observation on 07/22/2026 at 9:54 AM, in the kitchen's walk-in cooler there were 10 individual strawberry yogurts that had a use by date of 6/29/2026.During an interview on 07/22/2026 at 11:29 AM, Food Services Manager (FSM) I confirmed staff should have checked the dates of product when… […]

• No harm, potential for more than minimal, widespreadF727Mar 12, 2026

  Based on interview and record review the facility failed to ensure a Registered Nurse (RN) served full time in the role of Director of Nursing potentially affecting all 89 residents that reside in the facility.Findings include:On 3/10/26 at 9:50 AM, surveyors entered the facility and were met by Staff Development/Registered Nurse (SD/RN) III. Surveyors requested to meet with either the Nursing Home Administrator and/or the Director of Nursing and SD/RN III reported the NHA and DON were the same person.On 3/10/26 at 9:55 AM, Director of Nursing (DON) B while meeting with survey team in the conference room, reported she was also the Executive Director/Nursing Home Administrator (NHA) A at this time.In an interview on 3/11/26 at 7:42 AM, DON B reported she had held the position of DON for… […]