WellBridge of Fenton

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Nov 19, 2021

  This Citation pertains to Intake Number MI 687. Based on interview, and record review, the facility was placed in Immediate Jeopardy (IJ) when Licensed Practical Nurse (LPN) F failed to respond and/or address concerns regarding a deterioration or change in condition (Respiratory Distress) for one resident (Resident #400) on two occasions at approximately 3:00 PM, and 3:30 PM, respectively, on [DATE], when prompted by Resident Care Aid (RCA) C. RCA C observed Resident #400 excessively drooling down one side of his face and observed him to be in respiratory distress. […]

• Actual harm, isolatedF686Jun 9, 2023

  This Citation Pertains to Intake Numbers MI00131094, MI00135961, and MI00136144. Based on observation, interview and record review, the facility failed to implement and operationalize a comprehensive skin assessment and wound care program to ensure ongoing, accurate, and consistent assessment, treatment completion, treatment revision, and documentation per professional standards of practice for two residents (Resident #701 and Resident #707) reviewed, resulting in lack of assessment, treatment, and clear documentation of pressure ulcers (wounds caused by pressure), Resident #707 developing two unstageable DTI (Deep Tissue Injury) pressure ulcers, lack of treatment and assessment for Resident #701's right heel unstageable DTI pressure ulcer, gluteal and sacrum pressure ulcers worsening and… […]

• Actual harm, isolatedF689Jun 9, 2023

  This Citation Pertains to Intake Numbers MI00133898 and MI00134745. Based on observation, interview and record review, the facility failed to operationalize policies and procedures for fall prevention including analysis for two residents (Resident #703 and Resident #708) of three residents reviewed resulting in lack of implementation of meaningful and planned implementation of interventions, lack of thorough analysis of falls to determine root cause, Resident #703 experiencing fractured ribs from a fall, Resident # 708 falling and suffering a fracture of their right humeral neck (bone in upper arm), emergency medical treatment/care, unnecessary pain, and the likelihood for decline in overall health and well-being. […]

• Actual harm, isolatedF678Nov 19, 2021

  This Citation pertains to Intake Number MI 687. Based on interview and record review, the facility failed to immediately operationalize or initiate emergency life-sustaining measures, Cardiopulmonary Resuscitation (CPR), for approximately 9 minutes for one resident (Resident #400) out of 9 residents' care reviewed. Resident #400 was found with change in condition, absent of pulse, respirations, and vital signs. Resident #400 was designated as a Full Code for life saving measures. CPR was delayed and not initiated for approximately 9 minutes. […]

• Actual harm, isolatedF684Nov 19, 2021

  This Citation pertains to Intake Number MI 687. Based on interview and record review, the facility failed to properly assess, monitor, and document (including vital signs) a change in condition for 2 residents (Resident #400, Resident #402), out of 9 residents' care reviewed for assessment with change in condition, resulting in Resident #400 and #402 expiring in the facility without a documented assessment. Findings include: Review of facility Policy and Procedure 'Resident Examination and Assessment' dated as revised December, 2011, documented : The purpose of this procedure is to examine and assess the resident for any abnormalities in health status, which provides the basis for the care plan. […]