WellBridge of Romeo

In the surveyor’s words

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

• Actual harm, isolatedF686Jun 15, 2022

  Based on observation, interview and record review, the facility failed to accurately assess/identify pressure injuries and consistently utilize preventative measure prevent the development and/or worsening of pressure ulcers for three (R88, R82 and R85) of three residents reviewed for pressure ulcers, resulting in R88 having a misidentified Unstageable (full-thickness skin and tissue loss .obscured by eschar - devitalized tissue . usually black . may appear scab-like) sacrum pressure ulcer. Findings include: R88 On 6/13/22 at 9:47 AM, R88 was observed lying in bed. Protective foam boots were noted on the floor next to the dresser. R88 was asked if he had any wounds or sores. R88 explained he had wounds on his bottom and both his feet. […]

• Actual harm, isolatedF689Jun 15, 2022

  This citation pertains to intake #MI 096. Based on interview and record review, the facility failed to implement appropriate interventions to prevent falls, injury from falls, and perform an accurate, thorough root cause analysis and investigation after a fall for one resident (R390), of three residents reviewed for falls, resulting in a fall with major injury. Findings include: Review of a complaint submitted to the State Agency on 6/13/22 revealed, .that complainant states the resident (R390) fell so hard that he sustained a bad cut on his head and had a brain bleed . […]

• No harm, potential for more than minimal, widespreadF577Dec 17, 2025

  Based on observation and interview, the facility failed to provide access to past survey results, affecting 117 residents residing in the facility.Findings include: On 12/15/25 at 9:45 AM, during a tour of the facility, a table was noted with a sign on it saying, previous state survey results book can be found at this location. At 2:00 pm and 3:30 PM there was no book observed on the table. On 12/16/25 at 9:00 AM, 12:00 PM and 3:00 PM, there was no book observed on the table. On 12/17/25 at 9:00 am and 10:00 AM, there was no survey book available on table. On 12/17/25 at 10:05 AM, R9 was observed sitting up in wheelchair watching television. R9 was asked about the survey book and where it was located. R9 could not recall seeing a survey book or knowing where it was located. […]

• No harm, potential for more than minimal, patternF880Jun 15, 2022

  Based on observation, interview and record review, the facility failed to ensure infection control standards and practices were consistently followed throughout the facility for seven of seven residents (R3, R10, R13, R14, R31, R63, and R77) reviewed for transmission-based precautions related to suspected COVID-19 exposure. Findings include: According to the facility's Pandemic Response Plan updated 3/9/22: .Manage Residents with Suspected or Confirmed [CONDITION(S)]-CoV-2 Infection - HCP (Health Care Personnel) caring for residents with suspected or confirmed [CONDITION(S)]-CoV-2 infection should use full PPE (gowns, gloves, eye protection, and a NIOSH-approved N95 or equivalent or higher-level respirator) .Ideally, a resident with suspected [CONDITION(S)]-CoV-2 infection should be moved… […]

• No harm, potential for more than minimal, isolatedF684Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to apply heel boots per physician's order for one resident (R61) out of two reviewed for skin conditions. Findings include:On 12/17/2025 at 9:11 AM, R61 was observed in bed with socks on their feet and their heels resting on the bed.A review of the medical record revealed R61 admitted into the facility on 6/8/2024 with the following medical diagnoses, Encephalopathy and Pain in Right Hip. A review of the most recent Minimum Data Set assessment revealed a Brief Interview for Mental Status score of 3/15 indicating an impaired cognition. R61 also required staff assistance with bed mobility and transfers.A review of the physician orders revealed the following, Bilateral heel lift boots on while in bed every shift. […]