WellBridge of Clarkston

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 10, 2026

  This citation pertains to intake 2790121.Based on observation, interview and record review, the facility failed to ensure care was provided in a safe manner to prevent accidents for one (R802) of two residents reviewed for accidents, resulting in unnecessary pain and a fall with subsequent fractured manubrium and multiple rib fractures and transfer to the emergency department for further evaluation. Findings include:Review of a complaint filed with the State Agency included allegations that care was not provided in a safe manner to prevent a fall with injury.Review of the documentation provided by the facility identified R802 as a resident that had a fall with major injury.On 3/10/26 at 9:58 AM, R802 was observed lying in bed. When asked about with television on. […]

• Actual harm, isolatedF686Aug 16, 2023

  This citation pertains to intake: MI00138676. Based on observation, interview and record review, the facility failed to ensure accurate/completed skin assessments, timely implement adequate interventions to prevent the development and/or worsening of wounds, and failed to monitor, timely identify and treat the worsening of wounds for two (R802 and R804) of two residents reviewed for pressure ulcers, resulting in R802 to have developed bilateral heel wounds, a stage 3 coccyx wound and the need to be transferred and admitted to the hospital for the infected bilateral heel wounds which required Intravenous (IV) antibiotics; and the potential for worsening pressure ulcers for R804. […]

• Actual harm, isolatedF635Aug 16, 2022

  This citation pertains to Intake Number: MI 179 and MI 955. Based on interview and record review, the facility failed to clarify admission orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This deficient practice resulted in recurrent [CONDITION(S)] ([CONDITION(S)]) Bacteremia, [CONDITION(S)], and a hospital admission requiring continued antibiotic therapy. Findings include: The State Agency received a complaint that alleged R802's [MEDICATION(S)] (an antibiotic medication) was discontinued prematurely. Review of R802's clinical record revealed R802 was admitted into the facility on [DATE] from the hospital with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF686Apr 1, 2021

  This citation pertains to intake #'s MI 4 and MI 6. Based on interview and record review, the facility failed to ensure communication and coordination of wound care consultations, accurate and timely skin assessments, wound care treatments were ordered and implemented, and turning and repositioning interventions were performed consistently for one resident (R599) of three residents reviewed for pressure ulcers, resulting in the development of a stage III pressure injury (full thickness loss of skin, in which fat is visible in the ulcer and granulation tissue and rolled edges are often present. […]

• No harm, potential for more than minimal, widespreadF725Jun 15, 2023

  This citation pertains to intake #'s MI00131428, MI00131482, MI00131728, MI00134560, MI00135871, and MI00137478. Based on observation, interview and record review, the facility failed to ensure there was sufficient nursing staff to meet resident needs which included R23, R28, R40 and R63, and multiple residents that attended the confidential resident council interview. This deficient practice has the potential to affect all residents that reside in the facility. Findings include: Review of multiple complaints reported to the State Agency included concerns allegations of not having adequate staffing to provide care per resident's plan of care, such as medications, showers/baths, toileting, and incontinence care. […]