The Springs at Rochester Hills Rehab and Nursing C

In the surveyor’s words

From the most serious findings on record at The Springs at Rochester Hills Rehab and Nursing C, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 13, 2023

  Based on observation, interview and record review the facility failed to provide safe, appropriate monitoring/supervision/interventions for a resident that had a physician order for NPO (non-per-oral/nothing by mouth) from being fed by family member(s), resulting in an Immediate Jeopardy for one (R53) out of six residents reviewed for accidents. R53 was sent to the hospital on at least two occasions (7/10/23 and 7/12/23) for a decrease in oxygen saturation after being fed by family member(s) and the likelihood of possible aspiration, choking and/or other negative consequences. […]

• Actual harm, isolatedF600Jun 16, 2026

  This citation pertains to Intake Number(s): 3044078 and 3044417. Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for one (R804) of four residents reviewed for abuse, resulting in psychosocial harm using the reasonable person concept when R805 laid in bed with R804, exposed his genitals, and touched R804's breast. Findings include:A review of a Facility Reported Incident (FRI) submitted to the State Agency (SA) revealed there was an allegation of sexual abuse between R805 and R804 that occurred on [DATE]. A review of a complaint submitted to the SA revealed an allegation that R804 was sexually assaulted by an unknown male resident. On [DATE], an unannounced onsite investigation was conducted. […]

• Actual harm, isolatedF600Feb 25, 2026

  This incident relates to Intake 2742599.Based on observation, interview, and record review, the facility failed to protect the residents right to be free from physical abuse when R106 punched R105 in the nose, which resulted in nasal fractures, pain, acute mental status changes, and feelings of fearfulness. Findings include: Review of a Facility-Reported Incident (FRI), dated 1/10/26, revealed R106 made contact with R105's face with a closed fist when R105 rolled over R106's toes with their wheelchair on 1/10/26 at approximately 7:03 p.m This resulted in R105's injury to R105's nose, an emergent hospital transfer, and R105 sustaining bilateral (both sides) nasal fractures. The report concluded that R105 had minimal injury and no psychosocial outcome. […]

• Actual harm, isolatedF684Dec 4, 2025

  This citation pertains to Complaint #2578523. Based on observation, interview, and record review, the facility failed to assess, monitor, and document a change in condition in a timely manner for two (R27 and R92) of four residents reviewed for change in condition, resulting in a delay in treating a Urinary Tract Infection (UTI) leading to septic shock and admission into the Intensive Care Unit (ICU) at the hospital. Findings include: R27 On 12/2/25 at 9:40 AM, R27 was observed lying in bed, in a low position. R27 was sleeping with the blanket pulled up over her face. On 12/2/25 at 12:45 AM, an interview was conducted with R27's family member who reported R27 fell in the dining room a couple weeks ago and was sent to the hospital. […]

• Actual harm, isolatedF600Oct 7, 2025

  This citation pertains to intake 263088. Based on observation, interview and record review, the facility failed to protect the residents' right to be free from physical abuse by a resident for three (R801, R802, and R803) of three residents reviewed for abuse, resulting in R801 punching R802 in the face twice breaking R802's jaw and R802 pushing R803 to the floor, then kicking R803 and trying to run R803 over in their wheelchair. Findings include:Review of the facility reported documentation submitted to the State Agency on 9/21/25 included an incident summary of a resident to resident physical altercation which read, On 9/20/25 at approximately 5:50pm Nurse was at medication cart in the hallway. […]