WellBridge of Brighton

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

67.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 363 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 151 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 88 beds and averages 82.2 residents a day — about 93% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.92 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.37 hrs/resident/day on weekends vs 4.15 on weekdays — 19% thinner on weekends. RN hours go from 0.91 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 13 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · Gcited before2026-01-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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 repair on 12/8/25 of their right femoral (large bone in leg) fracture related to a fall at home. R5 had developed urinary retention post operative and arrived at the facility with a Foley (indwelling urinary catheter). On 1/12/26…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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. R18 was asked if they had any wounds. R18's spouse explained R18 had a bad wound on their bottom and they were going to a wound care clinic for it. Review of the clinical record revealed R18 was admitted into the facility on 8/16/23 and readmitted [DATE]…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-08-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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 7/25/24. R903's admitting diagnoses included Schizophrenia, anxiety disorder, Chronic Obstructive Pulmonary Disease (COPD), Parkinson's disease, end stage renal disease, (on hemodialysis) with history of falls and syncopal (fainting) episodes. R903 had a guardian who handled R903's medical, legal, and financial decisions. Based on the Brief Interview for Mental…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to Intake 2990713.Based on interview and record review, the facility failed to follow up following an outside consultation, and receive an After Visit Summer (AVS) for one resident (R700) of two reviewed for outside appointments, resulting in missed antibiotic treatments. Findings include: Family Member O was interviewed on 5/11/26 at 10:20 AM and confirmed an allegation the facility failed to deliver appropriate medical care based on R700's specific needs and follow through with R700's (AVS) from ID (Infectious Disease) on 2/25/26 that indicated R700 was to receive antibiotics through August 2026. Family 'O' said they were contacted by the facility on 4/20/26 and the facility reported that R700 had increased drainage and required an urgent visit to the wound care clinic. Family 'O' further reported R700 had not been receiving their ordered long-term antibiotic (Keflex) as recommended by ID 3/11/26. The complainant stated they contacted the Director of Nursing (DON) and after multiple conversations, the DON confirmed the facility did not have the AVS from the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-14 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to support continuity of a previous resolved grievance for one resident (R37) of one reviewed for grievances.Findngs include:Clinical record review revealed R37 was admitted to the facility on [DATE] with impaired mobility deficits related to recent hospitalization for respiratory and congestive heart failure. R37 required wound care for a diabetic right foot ulcer and required supplemental oxygen. Brief Interview of Mental Status (BIMS) assessed on 11/14/25 scored 15/15 indicating R37 was cognitively intact.On 1/12/26 at 9:49 AM, during initial interview and introductions, R37 voiced concern they previously complained to the facility that Certified Nurse Assistant (CNA) B hurts them when they are repositioned or placed into a Hoyer lift (mechanical lift). R37 stated they can't prove there is intent, they just handle them roughly. R37 said their concern was shared with the staff and was informed that CNA B would no longer be assigned to take care of them.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-11 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to intake 1220695Based on interview and record review, the facility failed to report an alleged violation to the state agency (SA) related to Injuries of Unknown Origin for one resident (R701) of one reviewed for abuse. Findings include:Clinical record review revealed R701 was a long-term resident and admitted under care of Hospice related to advanced Alzheimer dementia, psychotic and mood disturbances and anxiety. R701 was primarily nonverbal, bed/chair bound, required two-person assistance with transfers and had a BIMS (Brief Interview of Mental Status) score of 2/15 indicating severe cognitive impairment.On 7/8/25 the State Agency received a concern that R701 was observed with yellow colored bruising to their middle (sternal) chest wall, and dark red purple bruising to their right rib cage. Neither of these injuries were consistent with the care R701 received and neither was the injury reported to the Hospice Provider or Guardian.On 9/11/25 at 2:30 PM, an interview was conducted with Hospice Register Nurse (RN) D who confirmed on 7/9/25 when they arrived to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-11 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to intake 1220695Based on interview and record review, the facility failed to conduct a thorough investigation for one resident (R701) of one reviewed for Injuries of Unknown Origin. Findings include:Clinical record review revealed R701 was a long-term resident and admitted under care of Hospice related to advanced Alzheimer dementia, psychotic and mood disturbances and anxiety. R701 was primarily nonverbal, bed/chair bound, required two-person assistance with transfers and had a BIMS (Brief Interview of Mental Status) score of 2/15 indicating severe cognitive impairment.On 7/8/25 the State Agency received a concern that R701 was observed with yellow colored bruising to their middle (sternal) chest wall, and dark red purple bruising to their ride rib cage. Neither of these injuries were consistent with the care R701 received and neither was the injury reported to the Hospice Provider or Guardian.On 9/11/25 at 09:30 AM, a clinical record document of a wound evaluation revealed a colored photograph evaluated on 7/4/25 Labeled #8-Bruise Body location: Location…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-10-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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. In the south kitchenette, there were multiple concerns identified, including: The countertop was observed to have dried debris on the surfaces, and in the cracks. The glass enclosure was soiled with debris on the glass surfaces both inside and out. There was debris imbedded in the cracks and crevices and missing portions of the seal that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-16 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure medications were administered per the facility's policy and professional standards of practice for two (R's 41 & R78) of four residents observed for medication administration and provide wound care treatment and documentation of treatment changes according to professional standards of practice for one (R3) of one resident reviewed for non-pressure wounds. Findings include: The facility was previously determined to be out of compliance for concerns with administration and documentation of administration of scheduled medications according to professional standards of practice during an abbreviated survey conducted on 8/28/24 with an alleged compliance date of 9/18/24. R78 On 10/14/24 at 9:04 AM, Licensed Practical Nurse (LPN) F was observed opening the medication cabinet of R78. A clear medication cup was observed in the cabinet with three pills in the cup. When LPN F was asked what the pills were, LPN F stated they did not know. LPN…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-16 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record reviews the facility failed to ensure expired medications were discarded and medications were stored securely for three Residents (R37, R61 and R70) of four residents reviewed for medication storage. Findings include: On 10/14/24 at 8:51 AM, Licensed Practical Nurse (LPN) G was observed preparing the morning medications for R37. Included in the medications was a Docusate Sodium Capsule 100 mg (milligram) obtained from a bottle with an expiration date of 9/2024 and a Multivitamin obtained from a bottle with an expiration date of 8/2024. LPN G did not identify that the medications were expired and administered both medications to R37. LPN G was asked to open the medication cabinet of R37 and obtain the Docusate Sodium and Multivitamin bottle. LPN G was asked to review the expiration date. LPN G reviewed the date and stated they usually would check the expiration date. LPN G stated the expired medication should have not been administered to R37. LPN G stated they were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-16 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure the facility maintained proper infection control practices regarding the cleaning and disinfecting of glucometers per the facility's policy and manufacturer's instructions for two (R's 41 & 61) of four residents observed for the medication administration task. Findings include: R41 On 10/14/24 at 9:43 AM, Licensed Practical Nurse (LPN) E was observed administering R41's morning medications. Once R41 consumed their pills LPN E was then observed to obtain R41's blood glucose level via a fingerstick and glucometer. Once completed, LPN E was observed cleaning the glucometer with an alcohol prep pad and placed the glucometer in R41's medication cabinet and locked it. R61 On 10/14/24 at 9:55 AM, LPN E was observed obtaining the blood glucose level of R61 via fingerstick and the use of a glucometer. Once completed, LPN E was observed cleaning and disinfecting the glucometer with an alcohol pad and placed the glucometer in R61's medication cabinet and locked it. Review of a facility policy titled Blood Sampling…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-16 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure effective interventions were implemented for one (R44) of one resident reviewed for communication. Findings include: On 10/14/24 at 9:15 AM, R44 was observed sitting up in bed. When spoken to, R44 appeared to understand the questions asked, but had difficulty speaking. R44 spoke softly and speech was unclear. R44 became tearful when she was not understood. A sign was posted in R44's room that noted R44 was able to understand others. R44 said she had Parkinson's Disease. It was difficult to understand most words R44 said. On 10/14/24 at approximately 9:30 AM, an interview was conducted with a staff member who was familiar with R44 (Staff 'V'). When queried about how staff communicated with R44, Staff 'V' reported it was difficult and they could sometimes understand what she said. On 10/14/24 at 12:25 PM, a second interview was conducted with R44. R44 answered Yes, No, and Sometimes to questions regarding her care, but when further…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure orders were implemented for a CPAP (continuous positive airway pressure) machine for one (R231) of one resident reviewed for respiratory equipment. Findings include: On 10/24/24 at 9:16 AM, R231 was observed sitting in a wheelchair in their room. R231 was asked about the care at the facility. R231 explained they did not understand why they had to almost beg someone to put on their CPAP machine at night. R231 pointed to their CPAP machine sitting on a dresser next to the bed. R231 explained they could not put it on themselves, but no one would put it on unless he asked. Review of the clinical record revealed R231 was admitted into the facility on [DATE] with diagnoses that included: acute pyelonephritis (kidney infection), Parkinson's and obstructive sleep apnea. According to a Brief Interview for Mental Status (BIMS) exam dated 10/11/24, R231 scored 12/15 indicating moderately impaired cognition. An admission nursing assessment dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$26,686 in federal fines across 1 penalty.

• $26,686 — penalty dated 2024-10-16

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to THE WELLBRIDGE GROUP — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MI