WellBridge of Brighton

In the surveyor’s words

From the most serious findings on record at WellBridge of Brighton, in the surveyor’s own words.

• Actual harm, isolatedF686Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to provide necessary treatment and care consistent with professional standards of practice to promote healing of a compromised skin integrity to the coccyx area (area above the buttock region) and prevent new and or worsening pressure ulcer development for one resident (R5) of one reviewed for pressure ulcers resulting in R5 developing an unstageable pressure ulcer( a severe wound characterized by full-thickness tissue loss, where the base of the wound is obscured by slough or eschar, making it difficult to assess the true extent of tissue damage) to their coccyx area.Findings include:Clinical record review revealed R5 was admitted to the facility on [DATE] for physical therapy following hospitalization for surgical… […]

• Actual harm, isolatedF686Oct 16, 2024

  Based on observation, interview and record review, the facility failed to ensure accuracy of assessments, coordination of care with a wound care clinic, and ensure recommended interventions were followed for one (R18) of four residents reviewed for pressure ulcers, resulting in R18 being sent to the hospital from the wound care clinic for surgical debridement and intravenous (IV) antibiotics of an infected Unstageable (full-thickness skin and tissue loss in which the wound bed is obscured by slough or eschar) Pressure Ulcer. Findings include: On 10/14/24 at 9:26 AM, R18 was observed sitting up in bed eating breakfast. A low air loss mattress (group 2 mattress) was observed on R18's bed and a ROHO (individual air cells) cushion was observed in R18's wheelchair. […]

• Actual harm, isolatedF689Aug 28, 2024

  This citation pertains to intakes: MI00146401 and MI00146531 This citation had two Deficient Practice Statements (DPS). DPS #1 Based on observation, interview, and record review the facility failed to provide adequate supervision for one Resident (R903) of two Residents reviewed for accidents resulting in an unbeknownst exit of a cognitively impaired, wheelchair bound resident from the facility and a fall with injury. Findings include: A record review revealed that R903 was admitted to the facility on [DATE] after a hospitalization , for skilled nursing and rehabilitation services. R903 was recently hospitalized and readmitted back to the facility on [DATE]. […]

• Actual harm, isolatedF689Sep 20, 2022

  This citation pertains to intake: MI 980 and has two deficient practice statements (DPS). DPS #1 Based on interview and record review the facility failed to follow the care plan and properly transfer one (R73) of three residents reviewed for accidents resulting in the resident suffering a laceration that required nine sutures to the right leg. Findings include: Review of the medical record revealed R73 was admitted to the facility on [DATE] with diagnoses that included: surgical aftercare following surgery on the [CONDITION(S)] system, [CONDITION(S)] stage 3 and asthma. […]

• No harm, potential for more than minimal, widespreadF812Oct 16, 2024

  Based on observation, interview, and record review, the facility failed to maintain the main kitchen and the south satellite kitchen in a sanitary manner. This deficient practice had the potential to affect all residents in the facility that consume food. Findings include: On 10/14/24 between 9:40 AM-10:10 AM, during an initial tour of the kitchen with Dietary Manager (DM 'D'), Culinary Specialist (CS 'B'), and the Assistant Dietary Manager (ADM 'C'), the following items were observed: In the dry food storage room, there was a package of sweet cornbread muffin mix on a metal wire shelf that was not sealed and exposed to air. In the walk-in refrigerator, there was a large package of full-size fresh carrots that were not sealed and exposed to air. […]