WellBridge of Rochester Hills

In the surveyor’s words

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

• Actual harm, isolatedF689Sep 11, 2024

  Based on observation, interview, and record review, the facility failed to safely assist with a transfer to the toilet, wheelchair, and bed, complete a thorough and timely investigation to determine the root cause of injuries and accidents, and implement effective interventions to prevent multiple falls for four (R9, R8, R25, and R35) of seven residents reviewed for accidents, resulting in R9 falling during a transfer to the toilet and sustaining a tibia fracture that required surgery, R25 sustaining a hematoma that required treatment in the hospital after being injured during a mechanical lift transfer and two additional hospitalization s regarding hoyer lift injuries, and R35 sustaining abrasions to the legs and face after falling. […]

• Actual harm, isolatedF686Aug 3, 2023

  Based on observation, interview and record review the facility failed to ensure appropriate interventions and treatments were in place to prevent the development/worsening of a heel ulcer for one resident (R38) of three residents reviewed for pressure ulcers, resulting in R38 obtaining a stage 3 pressure ulcer on their right heel. Findings include: On 8/1/23 at approximately 10:07 a.m., R38 was observed up in a geriatric chair (medical reclining chair) No heel protector boots were observed to be on R38's right heel. On 8/1/23 the medical record for R38 was reviewed and revealed the following: R38 was initially admitted to the facility on [DATE] and had diagnoses including CVA (stroke) and Hypertension. […]

• No harm, potential for more than minimal, patternF686Apr 14, 2026

  This citation pertains to intake: 2711407.Based on interview and record review the facility failed to ensure a Physician evaluation and/or assessment of wounds and failed to follow the facility's policy for Pressure Ulcers for one (R205) of three residents reviewed for wounds. Findings include:A review of a complaint submitted to the State Agency (SA) revealed poor care provided to R205 resulting in the worsening of wounds.A review of the medical record revealed R205 was readmitted to the facility on [DATE], with diagnoses that included: dementia and sarcopenia (age-related progressive loss of muscle mass, strength, and function). […]

• No harm, potential for more than minimal, patternF600Dec 11, 2025

  This citation pertains to Intake 2677719Based on interview and record review, the facility failed to protect the residents' right to be free from neglect for 14 residents (R's 3, 5, 7, 25, 26, 39, 66, 70, 72, 88, 97, 103, 104 and 108) of 19 residents reviewed for neglect. Findings include,A complaint was filed with the State Agency (SA) that alleged on 11/23/25 There were no nurses on the 200 and 400 hallway. My family member did not receive their night meds [medications] and other residents did not either. […]

• No harm, potential for more than minimal, patternF689Mar 14, 2025

  This citation pertains to Intake #: MI00150503. Based on observation, interview, and record review facility failed to investigate an incident of hot liquid spill (unknown resident) and failed to implement interventions/supervision related to falls for two (R801 and R803) of four residents reviewed for accidents resulting in a fall with major injury and hospitalization (R803); with potential for continued falls for R803. Findings include: A complaint received by the State Agency read in part, (R801- name omitted) had a fall and sustained a hip fracture. Complainant also states the (R801- name omitted) had a laceration on head .was found in the lunch area after fall. R801 R801 was admitted to the facility on [DATE] after a hospital stay from 11/4/24 to 11/10/24. […]